12-103187'Electrical
City of Federal Way Permit #: 12- 103187- 00-E L
Community &Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (2
53) 835-3050
Project Name: SCHIEMER
Project Address: 32914 39TH AVE SW Parcel Number: 873213 0890
Project Description: Adding/altering (4) circuits
Owner
ARRIIcan
Contractor
CHARLES W SCHIEMER
RAIMER ELECTRIC LLC
RAINIER ELECTRIC LLC
32914 39TH AVE SW
5308 ISLAND DR E
RAIMEL948JE (4/5/14)
FEDERAL WAY WA
BONNEY LAKE WA 98391
5308 ISLAND DR E
98023-2620
BONNEY LAKE WA 98391
..... - �►4
Y rY
PERMIT EXPIRES Monday, Janua 7!20
Permit Issued on Wednesday, July 11, 2go
I hereby certify that the above information is correct and that the constru . on the ove described property and
the occupancy and the use will in accordance with the lawles regulati the State of Washington
_pd the kt _ I�leral y.
Owner or agent:
x:
y
CITY OF VA�
Federal Way
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 12 -103187 -00 -EL Address: 32914 39TH AVE SW
Project: CHARLES W SCHIEMER FEDERAL WAY, WA 98023-2620
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)Ditch
cover (4030) Slab/Concrete Floor (4255)
Date
Approved
Approved Approved to place concrete
By
Date By
Date By Date
Date
Pool Bonding (4195)
Temporary Power (4275) ❑ Service (4235)
Approved
Approved Approved
By
Date By
Date By Date
Feeders/Sub-panels (4045)
Rough Electrical (4225) Ceiling Cover (4020)
Approved
Approved Approved
By
Date By
�V4, Date r) _ By Date
Final - Electrical (4055)
Approved
By
Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
A-
CITY OF
Fe%f&ll# ff
ELECTRICAL
PERMIT APPLICATION
JUL 112012
CITY OF FEDE I J1 lectrical permits may be obtained on-line at www.citvoffederalway.com
SITE ADDRESS: / 1
Q� `l� �� o� - f �G , 7?02,T
SUITE/UNIT/SPACE M
ASSESSOR'STAX/PARCEL N
2
CURRENT/PROPOSED USE
PROJECT NAME
C i
J 41y/l
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME /
Aarl,' �C ,� ��
�J PRIMARY PHONE
(G�) 27o -F5
MAILING ADDRESS
Z_ L
394 �
_
PIT
FAX
=e/ ale r '�
(Z�3)25YPHONE
27-
ELECTRICAL
MAILINGD
53O ,
E.MAH,
CONTRACTOR
zIP /
GI(�
FAx
Artie co�i�
�,J
( )
WA STATE ONTRACTOR'S LICENSE X EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE X
NAME
PRIMARY PHONE
APPLICANT
( ) -
MAILING ADDRESS
E-KAIL
CITY
STATE
7IP
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 Iaws.
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 a f this application.
SIGNATURE: DATE
PRINT NAME:
33325 8h Avenue South ♦ Federal Way ♦ WA ♦ 98003-6325 1 253-835-2607 ♦ fax: 253-835-2609 ♦ www.cityoffederalway.com
Bulletin #160 — January 1, 2011 Page 1 of 2 k:\Handouts\Electrical Permit Application