15-106272City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: PIERCY
Project Address: 31112 51ST AVE SW
Project Description: Replace 200 -amp panel.
. _ . >~
Electrical
Permit #: 15 -106272 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 184090 0090
Owner
ARniicant
Contractor
GLENN W PIERCY
WILDCAT ELECTRICAL SERVICE INC
WILDCAT ELECTRICAL SERVICE INC
31112 51ST AVE SW
PO BOX 88577
WILDCES999BA (1/3/17)
FEDERAL WAY WA 98023
STEILACOOM WA 98388
PO BOX 88577
STEILACOOM WA 98388
Additional Permit Information
Electrical Work Valuation?....................................1800 Is this an Online or O.T.C. application?................ Yes
Is Use Educational or Institutionl?.......................No
Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 amps (F 1
PERMIT EXPIRES Wednesday, June 8, 2016
Permit Issued on Friday, December 11, 2015
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
and he City of Federal Way.
Owner or agent: Date:
THIS CARD IS TOIN ON-SITE
CIOF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 15 -106272 -00 -EL Address: 31112 51 STAVE SW
Project: GLENN W PIERCY FEDERAL WAY, WA 98023-2022
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.
UFER Ground (429)Ditch
cover (4030)
Temporary Power (4275)Service
Slab/Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
Temporary Power (4275)Service
(4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
E]
Rough Electrical (4225)
Feeders/Sub-panels (4045)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
0 Final - Electrical (4055)
Approved
Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way -�
Approved
By
Date
By
Date
By
Date
CITY OF 'A
Federal Way
RECEIVED
DEC 112015
CITY OF FEDERAL WAY
CDS
PERMIT NUMBER 1 �_ Z U
ELECTRICAL
PERMIT APPLICATION
SITE ADDRESS: ) 1/ 2- T ,t S �
SUITE/UNIT/SPACE#
P JECT VALUATION
ASSESSOR'S TAX/PARCEL #
_11 0 1 CL - 2
CURRENT/PROPOSED USE
PROJ - AME
(Tenant or Homeowner Last Name)
�/ G
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
r.) Ci!'1"{ t -Poll
PROPERTY OWNER
NAME
C/tnpj /fer
PRIMARY PHONE
(zS3)92i-79,5 -7
MAILING ADDRESS
2,///-z
E-MAIL
CITY
AeJIV4011U
STATE
WA
ZIP
5$oz3
FAX
( ) -
-
ELECTRICAL
CONTRACTOR
NAME
Ij c e -f
PRIMARY PHONE
253) 59 - 91-53
MAILING ADDRESS
0. gS 7
q E-MAIL
d.>, l4Jeleett to�.xk
CITY
Sf'ellG�cfa
STATE
+AWA
ZIPFAX
983£58-057
(Zs3) -
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
011 -456t5 -71f WA
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME
PRIMARY PHONE
( )
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
( )
PROJECT CONTACT
NAME
PRIMARY PHONE
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: DATE
PRINT NAME:
Bulletin #160 —January 1, 2013 Page 1 of 2 k: flandoutsTlectrical Permit Application
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