12-101033x ' Elkal
City of Federal Way ALL'
Community & Econ. Dev. Services Permit #: 12,101033,740 -EL
33325 8th Ave S :rt
Federal Way, WA 98003 Ins ection Re nest Line: ,t"^*' J 3 8 5~3050
Ph: (253) 835-2607 Fax: (253) 835-2609 p q
Project Name: WARNER
Project Address: 32259 21ST AVE SW Parcel Number: 132103 9144
Project Description: Add sub -panel and wiring for new detached garage.
Owner
Applican
Contractor
WAYNE & FRANCIS WARNER
KANON ELECTRIC
KANON ELECTRIC
32259 21ST AVE SW
PO BOX 1745
KANONEI947BE (1/10/14)
FEDERAL WAY WA 98023
MILTON WA 98354
PO BOX 1745
MILTON WA 98354
Additional Permit Information
Is Use Educational or Institutional? ....................... No
Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 amps (F 1 � 5/
PERMIT EXPIRES Sunday
Permit Issued on
I hereby certify that the above information is correct and tF
the occupancy and the use will be in accordance with the
and the raity d
Owner or agent:
UP
r 2, 2012
h6,22Anns
constre above described property and
rule of the State of Washington
al W
Date: 2'
VA� y
�
Federal Way
PERMIT #:
Project:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
12 -101033 -00 -EL Address: 32259 21 STAVE SW
WAYNE & FRANCIS WARNER FEDERAL WAY, WA 98023-2502
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 (4295)Ditch
cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
1:1Approved
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
E]
Temporary Power (4275)
1:1Approved
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
❑
0
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
11
Final - Electrical (4055)
Approved
By
Date
Rough Electrical
Approved
0
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date
4
`FOF
eeral Way
Building Division
33325 Eighth Avenue South
Federal Way, WA 98003-6325
Phone 253-835-2607 Fax 253-835-2609
CORRECTION NOTICE
ADDRESS: -;-Ze-Ais, l PERMIT#: /Z
, ;-/- � i,
t
IF YOU HAVE QUESTIONS CALL os -P S (253) 835- 2C -RIS
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS.
3- (3-- ( Z
DATE 11,401 L.N_ I %.JI\
DO NOT REMOVE THIS NOTICE
Page _L of 4—
CITY OF A _/ 4 -3 _-�,
Federal Way ELECTRICAL RECEIVED
PERMIT APPLICATION MAR 0 6 2012
CITY OF FEDERAL WAY
**Most electrical permits may be obtained on-line at www. cityo ederal6Q�.com**
SITE ADDRESS:? L 2 Z
SUITE/UNIT/SPACE # ASSESSOR'S TAX/PARCEL # 3 - y � CURRENT/PROPOSED USE
PROJECT NAME }
(Tenant or Homeowner Last Name)Ef� 1� /
PROJECT DESCRIPTION r
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER-
MAILING ADORESS EMAIL
f5o QAC
CITY STATE ZIP / FAX
NAME PRIMARY PHONE
ING ADDRESS / E-MAIL
ELECTRICAL 'l
CONTRACTOR CITYSTATE ZIP FAX
ye,
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE #
NAME PRIMARY PHONE
APPLICANT ( ) NAILING ADDRESS EMAIL
CITY STATE ZIP / FAX
l ) -
NAME PRIMARY PHONE
PROJECT CONTACT ( )
I certify under penalty of perjury that I am 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 supplieo,the city as a part of this application.
SIGNATURE: ` 2.— DATE it Z
r ,
PRINT NAM]r'-- /.l 4 ✓ 1( `7 (.� r" N' C U c I
33325 8h Avenue South ♦ Federal Way ♦ WA 1 98003-6325 ♦ 253-835-2607 ♦ fax: 253-835-2609 ♦ www.cityoffederalway.com
Bulletin #160 – January 1, 2011 Page 1 of 2 k:\Handouts\Electrical Permit Application