13-104004ilectt*al
City of Federal Way '
Community & Econ. Dev. Services Permit #: 13-104004-00-EL
33325 8th Ave S
Federal Way, WA 98003 InS ction Re u
Ph: (253) 835-2607 Fax: (253) 835-26..F[I
pe q est Line: (253) 835-3050
Project Name: FAITHFULL
Project Address: 31021 50TH AVE SW Parcel Number: 184090 0010
Project Description: Add dedicated circuit for heat pump.
Owner
A ulicant
Contractor
LUCIA FAITHFULL
ELECTRICAL SERVICES INC
ELECTRICAL SERVICES INC
31021 50TH AVE SW
1128 21ST AVE E
ELECTSI102LM (6/17/14)
FEDERAL WAY WA 98023-2006
SEATTLE WA 98112
1128 21ST AVE E
SEATTLE WA 98112
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes Is Use Educational or Institutional?....................... No
Electrical Fixtures
Circuits - Residential ...................... 1
PERMIT EXPIRES Monday, March 10, 2014
Permit Issued on Wednesday, September 11, 2013
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
an City of Federal Way.
Owner or agent: ��� Date:
Carr CW
Federal Way
THIS CARD IS TOIN ON -ITE � '
Construction Inrection'R'ecord
INSPECTION REQUE(253) 835-3050
PERMIT #: 13 -104004 -00 -EL Address: 31021 50TH AVE SW
Project: LUCIA FAITHFULL FEDERAL WAY, WA 98023-2006
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)
Final Electrical
Slab/Concrete Floor (4255)
Service (4235)
Approved
Approved
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
Temporary Power (4275)
Final Electrical
0
Service (4235)
Right of Way
Approved
Date
Approved
By
Date
Approved
By
Date
By
Date
By
Date
E]
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By 4�L
Date —/
Rough Electrical
Approved
1:1Approved
Final Electrical
1:1Approved
Right of Way
By
Date
By
Date
By
Date
CITY OF
Federal Way
POCEIVED ELECTRICAL
SEP 112013 PERMIT APPLICATION
CITY OF FEDERAL WAIF'
CDS
PERMIT NUMBER��
SITE ADDRESS:3 l (')� l S ja-h //�✓ f� 0 F&V, tJ(4Y
SUITE/UNIT/SPACE #
PROJECT VALUATION
ASSESSOR'S TAR/PARCEL #
CURRENT/PROPOSED USE
$ -yoo,00
_
PROJECT NAME
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION
!�
Detailed description of work to
be included on this permit only
PROPERTY OWNERTffr-ALL-
NAME
PRIMARY PHONE
(��3 ) 879 - 41-5S-9
MAILING ADDRESS
7310 1 So"�'` f}V S
E.KAIL
CITY
STATE
ZIP
FAX
,JA(
WA
NAME
PRIMARY PHONE
7800
MAILING ADDRESS
1/ 1 sk fid, C
E-MAIL
ES _ T A)G
ELECTRICAL
CITY
STATE
ZIPFAIL
CONTRACTOR
SL 17�G�
i )A
W12
{a06 )a8�
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
e2-�CTS!lD,2 Lry► i �? ! /�(
00-13-10y0cQ-00_13
NAME
�MM E AS C O &.rr44<TOr-
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
STATE I
ZIP
( FAX
t ) -
PROJECT CONTACT
NAME
PRIMARY PHONE
739 - 93 78
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:
PRINT NAME:
L�
Cfil�,eL�-S t✓��/�/S
Bulletin # 160 — January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application