19-100345w
City of Federal Way
Community Development Dept
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax. (253) 835-2609
I
Electrical
Permit #:19 -100345 -00 -EL
Inspection Request Line: (253) 835-3050
Project Name: GALLAGHER
Project Address: 30824 2ND AVE S Parcel Number: 667265 0280
Project Description: Complete the work and get final inspection for Permit #18-104688 for "Adding/altering (2)
branch circuits for light and outlets in new bedroom addition"
Owner
Applicant
Contractor
DONALD GALLAGHER
DONALD GALLAGHER
OWNER IS CONTRACTOR
30824 2ND AVE S
30824 2ND AVE S
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
Atlditional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Circuits - Residential 4
PERMIT EXPIRES Saturday, 18 January, 2020
Permit Issued on Friday, January 18, 2019
I hereby certify that the abov in#brmation is correct and that the construction on the above described property
and the occu nc an, he' lse be in a ordance with the laws, rules and regulations of the State of
ing d the City of Federal Way.
Owner or agent: Date:
CIry O/ V&
Federal Way
PERMIT #: 19100344 00
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
Address: 30824 2ND AVE S
1
Project: DEBORAH GALLAGHER FEDERAL WAY WA 98003-4003
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.
El Fiaal - Plumbing (4075) El Final - Building (4050)
Approved Approved
By Date By Date
E]
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
Date r
By
Date
RECEIVED
CITY OF ELECTRICAL
JAN 18 2019
Federal Way CITY OFFED ERALWAy PERMIT APPLICATION
^AMMUN[ Y DEl/ELOPMENT
PERMIT NUMBER
SITE ADDRESS: 50 G ^z C1 c2P'j 1Q�E 5. )�7 w G�3
SUITE/UNIT/SPACE #
PROJECT VALUATIQN
ASSESS T CEL # -� -
CURRENT/PROPOSEDSC�
PROJECT NN E/(�"
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
44 TI
7
PROPERTY OWNER
NAME
U�
PRIMARY PHONE
(a�3) -3,/v- _ 5 j 7
MAILING ADDRESS
zo,'�.,zy ate°' . s.
E-MAIL
,
CITY
Fe,44-
STATE
ZIP
FAX
ELECTRICAL
CONTRACTOR
NAME
/ PRIMARY PHONE
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME
e
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 City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation and nse of ch claim), which may be made by any person, including the undersigned, and filed against the city,
but only where su claim ses t of t 1 elia of the city, including its officers and employees, upon the accuracy of the
information supp ed t t c as p this a ication.
SIGNATURE: DATE
PRINT NAME: ��-
Bulletin # 160 —April 14, 2016 Page 1 of l k:\Handouts\Electrical Permit Application