12-104377•
r � Electrical
City of Federal Way
Community &Econ. Dev. Services Permit #: 12 -104377 -00 -EL
.
33325 8th Ave S 'a LL-s:o
Federal way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253
) 836-3050
Project Name: MONTGOMERY/FEATHERSTONE
Project Address: 2820 SW 300TH PL Parcel Number: 416660 0140
Project Description: Adding/altering (3) circuits for associated bathroom remodel
Owner
A.J Iican
Contractor
PAT MONTGOMERY
NORTH POINTE ELECTRIC
NORTH POINTE ELECTRIC
JUDITH A FEATHERSTONE
3519 N BENNETT ST
NORTEPE901ML (7/13/14)
2820 SW 300TH PL
TACOMA WA 98407
3519 N BENNETT ST
FEDERAL WAY, WA 98023
TACOMA WA 98407
Additional Permit Information
Is Use Educational or Institutional?.......................No
Electrical Fixtures
Circuits - Residential ...................... 3
PERMIT EXPIRES Sunday, March 24, 2013
Permit Issued on Tuesday, September 26, 2012
I hereby certify that the above rmation is correct and that the construction on the above described property and
the occupancy and the us it be in accordance with the laws, rules and regulations of the State of Washington
a the City of Federal Way.
Owner or agent: Date:
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SEP 25 2012
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ELEC'T'RICAL
02- - I O -1---3 -77-
PERMIT APPLICATION
CITY OF FED€ #%Yectrical permits maybe obtained on-line at www.cityo ederalway.com**
SITE ADDRESS: 2Q.,,210
SUITE/UNIT/SPACE #
ASSESS TAX/PARCEL # � D _ � L � CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
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PROJECT DESCRIPTIONa
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Detailed description of work to
be included on this permit only
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PROPERTY OWNER
NAME
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PRIMARY PHONE
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MAILING ADDRESS
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STATE
ZIP
FAX
NAME
PRIMARY PHONE
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ELECTRICAL
MAILING ADDRESS
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WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
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FEDERAL WAY BUSINESS LICENSE #
NAME
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PRIMARY PHONE
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APPLICANT
MAILING ADDRESS
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STATE
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FAX
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PROJECT CONTACT
NAME
PRIMARY PHONE
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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 ss the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation and defen of ch ciain4, which may be made by any person, including the undersigned, and filed against the city,
but only where such cla es out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to Ahe cjty as apart of this application.
SIGNATURE:
PRINT NAME.
Z
33325 8'" Avenue South ♦ Federal Way ♦ WA 1 98003-6325 ♦ 253-835-2607 1 fax: 253-835-2609 ♦ www_cityoffederalway.com
Bulletin #160 —January 1, 2011 Page 1 of 2 k:\Handouts\Electrical Permit Application
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CITY OF 'V;&�
Federal Way
PERMIT #:
Project:
• THIS CARD IS TOMAIN ON-SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
12 -104377 -00 -EL Address: 2820 SW 300TH PL
PAT MONTGOMERY FEDERAL WAY, WA 98023-2325
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
Date, \ _�
UFER Ground (4295)Ditch
cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
Service (4235)
Approved
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
Date, \ _�
Pool Bonding (4195)
❑
Temporary Power (4275)
Service (4235)
Right of Way
Approved
Date
Approved
Date
Approved
By
Date
By
Date
By
Date
E]
❑
Feeders/Sub-panels (4045)
Rough Electrical (4225)11
Ceiling Cover (4020)
Approved
Approved
Approved
B Y
Date
B Y CZ ;
Date
�, . �, `_ y
By
Date
Final - Electrical (4055)
Approved
Date, \ _�
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date