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14-103296City of Federal Way Community & Econ. Dev. Services 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax: (253) 835-2609 F11 Project Name: JACMAN Project Address: 31210 41ST PL SW I I s Electrical Permit #: 14 -103296 -00 -EL Inspection Request Line: (253) 835,3050 Parcel Number: 873199 0090 Project Description: Repairs to electrical panel. (See attached) Add light in basement closet Owner ARnlicant Contractor THOMAS W JACKMAN GREEN TECHNOLOGY INC GREEN TECHNOLOGY INC 31210 41ST PL SW 4325 S WARNER ST UNIT A GREENTI883C7 (2/27/16) FEDERAL WAY WA TACOMA WA 98409 4325 S WARNER ST UNIT A 98023-2113 TACOMA WA 98409 Additional Pennit Information Is this an Online or O.T.C. application?.................Yes Electrical Fbctures Alt. Serv./Feeder: 0 to 200 amps (F 1 Is Use Educational or Institutional? ....................... No PERMIT EXPIRES Saturday, January 3, 2015 Permit Issued on Monday, July 7, 2014 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: J===2Z Date: TRIS CARD IS TOrection ON-SITE r CITY OF Construction In Record Federal Way INSPECTION REQUE3) 835-3050 PERMIT #: 14 -103296 -00 -EL Address: 31210 41ST PL SW Project: THOMAS W JACKMAN FEDERAL WAY, WA 98023-2113 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. Final - Electrical (4055) Approved By Date UFER Ground (4295)Ditch cover (4030) Power (4275) Slab/Concrete Floor (4255) 1:1Approved Approved By Approved Approved to place concrete By Date By Date By Date Final - Electrical (4055) Approved By Date Pool Bonding (4195)1:1Temporary 1:1Approved Power (4275) 1:1Approved Service (4235) By Approved By Approved By Approved By Date By Date By Date Feeders/Sub-panels (4045) Rough Electrical (4225) Ceiling Cover (4020) Approved Approved Approved By Date By Date By Date Final - Electrical (4055) Approved By Date Rough Electrical Approved 1:1Approved Final Electrical 1:1Approved Right of Way By Date By Date By Date CITY OF 'A Federal Way PERMIT NUMBER 14 0 R� ECTRICAL JUL OT 2014 PERMIT APPLICATION 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. N SIGNATURE: PRINT NAME: Bulletin # 160 —January 1, 2013 Pagel of 2 k: 11andoutsTlectrical Permit Application SUITE/UNIT/SPACE # SITE ADDRESS: 3 PROJECT VALUATION A3S OTAR# G���q^-©O9O CURRENT/PROPOSED USE i PROJOCT NAME /( /" JA C MIA (Tenant or Homeowner Last Name) r ` PROJECT DESCRIPTION Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER _ ," -- �:-4 i i, MAILING ADDRESS E-MAIL CITY STATE ZIP FAX NAME PRIMARY PHONE j7 MAILING ADDRESS - t s+ *A E-MAIL ELECTRICAL 2 So. .. cl 174 ZIP FAX CONTRACTOR ( ) WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE # } � C N .\ PRIMARY PHONE APPLICANT � S ( ) - MAILING ADDRESS 4n) � E-MAIL Z) . CITY - STATE ZIPO� 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. N SIGNATURE: PRINT NAME: Bulletin # 160 —January 1, 2013 Pagel of 2 k: 11andoutsTlectrical Permit Application