19-100025 Electrical
City of Federal Way Permit #:19-100025-00-EL
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2608 FILE
Project Name: MEYERING
Project Address: 31327 10TH AVE S Parcel Number:787540 0035
Project Description: Replace 125-amp panel.
•
Owner Applicant Contractor
MARSHA D MEYERING HERTZ ELECTRIC(ELECTRICAL 01) HERTZ ELECTRIC(ELECTRICAL 01)
31327 10TH AVE S 757 116TH ST S HERTZE*903K1(5/22/20)
FEDERAL WAY WA TACOMA WA 98444
98003 757 116TH ST S
TACOMA WA 98444
Additional Permit Information
Is this an Online or O.T.C.application9 Yes
Alt. Serv./Feeder:0 to 200 am] 1
PERMIT EXPIRES Friday,3 January,2020
Permit Issued on Thursday,January 3,2019
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: / — 3 -
THIS CARD IS TO REMAIN ON-SITE
III&recirieral Way Construction Inspection Record
INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 100025 00 Address: 31327 10TH AVE S
Project: MARSHA D MEYERING FEDERAL WAY WA 98003-5306
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-le to right;-tep teb ) Work mustnot be covers intil its + iL CI willucu ins odor if
you are unsure about my of the inspections or the inspection sequence. On-going inspections are logged on the back of this card.
0 UFER Ground(4295) C Ditch cover(4030) ] Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
El Pool Bonding(4195) El Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) ® Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
Mi Final-Electrical(4955)
Approved
By Date /frig
•
.
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date ,By Date
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CITY OF
Federal Way
RECEIVED
JAN 0 3 2019
COM UTY NRY DEVELOPMEYNT
ELEC'T'RICAL
PERMIT APPLICATION
PERMIT NUMBER /__2 _ _19 a 5
_
SITE ADDRESS: �5 i ?� Z 7 j0
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SUITE/UNIT/SPACE #
PROJECT VALUATION
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ASSESSOR'S TAX/PARCEL #
`7_5� -7 -5 _q_a-__0 -0J�
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
M&ZeA /t) QCT
PRIMARY PHONE
( ) -
MAILING ADDRESS
E-MAIL
CITY
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STATE
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ZIP
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FAX
( ) -
ELECTRICAL
CONTRACTOR
NAME
PRIMARY PHONE
(20) DS'- _Z,6W7
MAILING ADDRESS
7!!5;-7
E-MAIL
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CITY
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STATEZICP,�
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FAX
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FEDERAL WAY BUSINESS LICENSE N
APPLICANT
NAME
PRIMARY PHONE
( )
MAILING ADDRESS
E-MAIL
CITY
STATE
I 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 Z
PRINT NAME: N 4, \Gk -A il Lj
Bulletin # 160 –April 14, 2016 Page 1 of 1 k:\Handouts\Electrical Permit Application
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