14-101590City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
° • s r
Electrical
Permit #: 14 -101590 -00 -EL
Inspection Request Line: (253) 835-3050
Project Name: NORWOOD Fm I Lt
Project Address: 3916 SW 317117H ST
Project Description: Assess fire damage to mast/meter & repair as necessary.
Owner
LISA M NORWOOD
3916 SW 317TH ST
FEDERAL WAY WA 98023
nlicant
PACIFIC SUN SERVICES LLC
4408 S 282ND ST
AUBURN WA 98001
PERMIT E
Permit
I hereby certify that the above information is cqlli
the occupancy and the use will be in accor ce
end the
Owner or agent:
Is Use
Parcel Number: 873198 2060
Contractor
PACIFIC SUN SERVICES LLC
PACIFSS945RC (12/12/14)
S 282ND ST
-AUBURN WA 98001
or'Institutional?....................... No
r 5, 2014
2014
construction on the above described property and
rules and regulations of the State of Washington
al Way.
Date:
Crrr of
Federal Way
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 14 -101590 -00 -EL Address: 3916 SW 317TH ST
Project: LISA M NORWOOD FEDERAL WAY, WA 98023-2134
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as
possible (read left to right, top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your
inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card.
U ER Ground (4295)
Ditch cover (4030)
Final Electrical
Approved
Slab Concrete Floor (4255)
Approved
Temporary Power (4275)
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
Final Electrical
Approved
Right of Way -^
Approved
Temporary Power (4275)
Service (4235)
Approved
Date
Approved
Date
Approved
By
Date
By
Date
By
Date
❑
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
❑
Final - Electrical (4055)
Approved
By
Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way -^
Approved
By
Date
By
Date
By
Date
`CITY OF
Federal Way
ADDRESS:
CONSTRUCTION ALERT
For Your Information
t L i,.; 7s 1 u t
N"; co V10 -{ e.-}- i V
Building Division
33325 Eighth Avenue South
PO Box 9718
Federal Way, WA 98063-9718
Phone 253-835-2607
Fax 253-835-2609
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This Construction Alert is intended as a proactive measure to provide early notification of code issues.
Items listed above have been noted on this alert as a courtesy and should not be viewed as a
comprehensive list of code violations for the job or any portion thereof. Necessary corrections will be
noted during formal inspections. This is not an Inspection Notice.
DATE
INSPECTOR Page of
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IF YOU HAVE ANY QUESTIONS CALL 253 -835 -
This Construction Alert is intended as a proactive measure to provide early notification of code issues.
Items listed above have been noted on this alert as a courtesy and should not be viewed as a
comprehensive list of code violations for the job or any portion thereof. Necessary corrections will be
noted during formal inspections. This is not an Inspection Notice.
DATE
INSPECTOR Page of
CITY OF
Federal Way
PERMIT NUMBER / V
PZCEIM
APR o 8 2014 ELEC'T'RICAL
CITY OF FEDERAL WAY PERMIT APPLICATION
CDS
S9o- �
SITE ADDRESS: :5&71(, o 3 (-7-
SUITE/UNIT/SPACE #
PR VALUATION
$ m00%
ASSESSOR'S TAX/PARCEL #
�731�
CURRENT/PROPOSED USE
--'0
PR E
(Tenant or Homeowner Last Name)
SA 1',S N 09W co
' S Q S ►�� C S Sct Y
PROJECT DESCRIPTIONrn�
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME \
1–iSA Nf�, oco
PRIMARY PHONE
(263) 335- 9?Zlq
MAILING ADDRESS
E-�L
CITY
FP,1 LO
STATE
ulAr
ZIP
48 02-3(
FAX
) -
NAME
PRIMARY PHONE
,¢clic
(Z -53) (c53- 9e39'
MAILING ADDRESS
4408 S• �� a�� �T
E-MAIL n�t
Ci c si w� e ec4v, c- J1
ELECTRICAL
CITY
STATE
ZIP
FAXZ g'Jras nef
CONTRACTOR
WA STATECONTRACTOR'S LICENSE # EXPrRATION DATE
J
FEDERAL WAY BUSINESS LICENSE #
i2ac !2 ds r•c 12-1 (Z / I /F
AME
PRIMARY PHONE
-
APPLICANT
MAILING ADDRESS
hm
E-MAIL
A of
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME
t�)l CU om 7-�644d5
PRIMARY PHONE
(,�53) 653 -
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as apart of this application.
SIGNATURE: 4 A ",- DATE
PRINT NAME: 1y1 7140�-41s
Bulletin # 160 — January 1, 2013 Page I of 2 k:\Ilandouts\Electrical Permit Application