14-104812City 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: BISTER
Electrical
Permit #: 14=104$12 -00 -EL
Inspection Request Line: (253) 835-3050
Project Address: 32111 16TH PL SW Parcel Number: 010450 0390
Project Description: Replace electrical panel and outlet for generator interlock switch
Owner
A nIA icant
Contractor
III EDWARD L BISTER
HECCO ELECTRICAL CONTRACTORS
HECCO ELECTRICAL CONTRACTORS
KAREN E BISTER
25005 SE 380TH ST
BECCOEC95INA (8/21/15)
32111 16TH PL SW
ENUMCLAW WA 98022
25005 SE 380TH ST
FEDERAL WAY WA
ENUMCLAW WA 98022
98023
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes
Electrical Fixtures
Is Use Educational or Institutional?.......................No
Alt. Serv./Feeder: 0 to 200 amps (F 1 Circuits - Residential ......................
PERMIT EXPIRES Tuesday, March 17, 2015
Permit Issued on Thursday, September 18, 2014
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 the City of Federal Way.
Owner or agent: Date: °� - l k - ty
CRY OF `�
Federal Way
PERMIT #: 14 -104812 -00 -EL
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
Address: 32111 16TH PL SW
Project: III EDWARD L BISTER FEDERAL WAY, WA 98023-5416
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.
Service (4235)
n µbew Approved
By C Date 9,13 ,
Ceiling Cover (4020)
Approved
By Date
UFER Ground (42 5)
Ditch cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
Approved
Approved
By
Approved
By
Approved to place concrete
By
Date
By
Date
By
Date
Service (4235)
n µbew Approved
By C Date 9,13 ,
Ceiling Cover (4020)
Approved
By Date
Pool Bonding (4195)
Temporary Power (4275)
Approved
Right of Way
By
Approved
By
Date
Date
By
Date
Date
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Approved
Approved
By
Date
By
Date
Final - Electrical (4055)
�J
Approved
By
Date �+ 3
Service (4235)
n µbew Approved
By C Date 9,13 ,
Ceiling Cover (4020)
Approved
By Date
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date
CITY OF A
Federal Way
PERMIT NUMBER l 4— _
(04g12_0a
ELEC'T'RICAL
SEP 18 2014
CITY OF FEDERAL WAY
SITE ADDRESS: 3 z 1 l l (�`('h )0 l 5 t,,,
SU110dAWSPACE #
PROJECT VALUATION
(SOO , U 0
AS?SUSOr'STAX/PARCEL #� O - 0 � '^ U
_
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
FJ 1 5
A C.t✓i- 1
( 2_ l 0.
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PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
PRIMARY PHONE
(7-5 3):3 9 y - Zl $1
MAILING ADDRESS
3-2-1(j I
E-MAIL
CITY
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STATE
WA
ZIP
FAX
NAME
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PRIMARY PHONE
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MAILING ADDRESS
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ELECTRICAL
CITY
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STATE
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FAX
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CONTRACTOR
WA STATE CONTRACTOR'S LICENSE # EOX�PIRATION DATE
RF-Cx-O C GofS I Ai A
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME S
5U rn S OL s
PRIMARY PHONE
(2o (o) y o - b Z I Y
MAILING ADDRESS
25 ooS
E-MAIL
CITY-
VA
STATE
ZIP
FAX
PROJECT CONTACT
NAME
S v -4V rn S
PRIMARY PHONE
( 2-0 o - (Q z 1
I certify under penalty of per, jury 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: ±L46 al—�� DATE
PRINT NAME: SU S a Yl 44 -un $ a-b—y-
Bulletin # 160 — January 1, 2013 Pagel of 2 k:\Handouts\Electrical Permit Application