15-100854_ ' Electrical
City of ay
Community & Econ.�Dev. Serviow Permit #: 15 -100854 -00 -EL
33325 8th Ave S FILE
Federal Way, WA 98003 Inspection Request Line:
Ph: (253) 835-2807 Fax: (253) 835-2609 (��� 253 835-3050 Q
Project Name: CROSSPOINT LOT 4
Project Address: 35733 20TH AVE SW Parcel Number. 185340 0040
Project Description: 200 Amp U/G New residence
Owner
ARplican
Contractor
BROOKSTONE HOMES LLC
J & J ELECTRIC
J & J ELECTRIC
33516 9TH AVE S SUITE 6
17621 35TH AVE E
JJELEJE869CL (2/19/16)
FEDERAL WAY WA 98003-6322
TACOMA WA 98446
17621 35TH AVE E
TACOMA WA 98446
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes Is Use Educational or Institu ' al? ....................... No
Electrical Fixtures
New Service: Residential ............ 1
PERMIT EXPIRES Sunday,
Permit Issued on Tuesday, Fi
1 hereby certify that the above information is correct and
the occupancy and the use will be in accordance v0h I
and d%A fl!
Owner or agent
\01
ft
Au 3, 2015
:b 24, 2015
nstruction ve described property and
rules and regglaffts of the State of Washington
aayy
Date: 0-0'-F-..?oK
MY of VAI�
Federal Way
PERMIT #:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
15 -100854 -00 -EL Address: 35733 20TH AVE SW
Project: BROOKSTONE HOMES LLC FEDERAL WAY, WA 98023
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.
LIFER Ground (4295)11
Ditch cover (4 30)
Slab/Concrete Floor (4255)
Approved
Approved
Approved to place concrete
ByDateIS_
By :til; Date ;' 11 I IC'
By Date
Final - Electrical (4055)
Approved
By Date
Pool Bonding (4195)
Temporary Power (4275)
Service (4235)
By
Approved
By
Approved
By
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
PERMIT NUMBER 19
ELEC'T'RICAL
I00 S51-_ Ob FEB 242015
CITY OF FEDERAL WAY
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: 1 " " DATE Li - a0) S
PRINT NAME: Z-,) i V GA2
Bulletin # 160 -January 1, 2013 Page 1 of 2 k: 14andoutsTlectrical Permit Application
C)M
SUITE/UN CE #
SITE ADDRESS:
L'01-4
PROJECT VALUATION
S� D . O a
ASSESSOR'S TAX/PARCEL # � � - �7/) � O
11l g- 5 3
CURRENT/PROPOSED USE
PROJECTNAME
(Tenant orrHomeowner Last Name)
ll
�c v v1L �1'cx-) G_ 40T'--"2 S
c •� -� �< <�u�d S env r
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER��
ovY 5 � a o., , e s
W53) 363- 1 L4 0
MAILING ADDRESS
E-MAIL
33 Ar S
CITY
STATE
ZIP
FAX
YJ p
8 a 3
( ) -
NAME
PRIMARY PHONE
MAILING ADDRESS
)-1 la a l 3 ` p Y c
E-MAIL
i c I ),- -; c="'
ELECTRICAL
CITY
STATEZIP
v FAX
CONTRACTOR
Taco e-_,
NO,
9 Q�.LtL+c�
( ) -
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
SJ � LE S� S 6-1 C,L_. a / ► G /mol �
NAME
PRIMARY PHONE
APPLICANT
-
MAILING ADDRESS
E-MAIL
CITY
STATE
I ZIP
FAX
( )
PROJECT CONTACT
NAME
C}rc',-,� 14
PRIMARY PHONE
)3 t-2- - ul U
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: 1 " " DATE Li - a0) S
PRINT NAME: Z-,) i V GA2
Bulletin # 160 -January 1, 2013 Page 1 of 2 k: 14andoutsTlectrical Permit Application
C)M