15-100399City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
40 0 Electrical
Permit #: 15 -100399 -00 -EL
FILEInspection Request Line: (253) 835-3050
Project Name: WHITE
Project Address: 547 SW 304TH ST
Project Description: 0-200 amp panel replacement to include circuits
Parcel Number: 178880 0940
Owner
ARRlican
Contractor
EDNA HONSINGER
CHARLES DEAN ELECTRIC LLC
CHARLES DEAN ELECTRIC LLC
547 SW 304TH ST ST
28107 20TH AVE S
CHARLDE930LQ (6/18/15)
FEDERAL WAY WA 98023-3942
FEDERAL WAY WA 98003
28107 20TH AVE S
FEDERAL WAY WA 98003
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes Is Use Educational or Institutional? ....................... No
Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 amps (F 1
PERMIT EXPIRES Sunday, July 26, 2015
Permit Issued on Tuesday, January 27, 2015
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 F ---- 1-027.
Owner or agent: Date: / -2 7' ts
THIS CARD IS TO MAIN ON-SITE
CITY OF
VAI� 0 Construction I ection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT #: 15 -100399 -00 -EL Address: 547 SW 304TH ST
Project: EDNA HONSINGER FEDERAL WAY, WA 98023-3942
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)
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)
1:1Approved
Temporary Power (4275)
1:1Approved
Right of Way
By
Service (4235)
Approved
Date
Approved
Date
Approved
By
Date
By
Date
By Date �3--,-5
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
ByC�.� Date
Rough Electrical
Approved
1:1Approved
Final Electrical
1:1Approved
Right of Way
By
Date
By
Date
By
Date
r ,
CITY OF AA
Federal Way
PERMIT NUMBER I f O C)� g 9_
E CTRICAL
PERMIT APPLICATION
M-EVED
JAN 27 2015
SITE ADDRESS: 5-Y7 ST-
/ CDS
OJECT 700) O
Z�
ASSESSOR'S TAX/PARCEL # - O 4 ^
jvl
CURRENT/PROPOSED USE
PROJECT NAME"
(Tenant or Homeowner Last Name)
/
IN I te
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
f eidqcr
AJJ CZ' r
rf rq C C i r
PROPERTY OWNER
NAME `
C � I0 L1//j
PRIMARY PHONE
( ) -
MAILING ADDRESS
E-MAIL
CITY
STATE
I ZIP
FAX
( )
ELECTRICAL
CONTRACTOR
NAME
C l e s .pean F f ec-'r i s
PRIMARY PHONE
() -
?LING ADDRESS
Z O �D 11"
E-MAIL
CITY ��
STAT
ZIP
(rte
FAX
( )
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
C R L e 930 L4
FEDERAL WAY BUSINESS LICENS #
7 0 & co xL.
APPLICANT
NAME
PRIMARY PHONE
( )
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
( )
PROJECT CONTACT
NAMPRIMARY
P 5
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 tot city as apart of this application.
SIGNATURE: DATE 1-27- 15`
PRINT NAME: f r s G C k.
Bulletin # 160 —January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application