14-101045a It
Electrical
City of Federal Way
Community & Econ. Dev. Services Permit #: 14 -101045 -00 -EL
33325 8th Ave S
Federal Way, WA 98003 Ins ection Re uest Line: 253 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609 FILE
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Project Name: BURBIDGE
Project Address: 2824 SW 300TH PL Parcel Number: 416660 0145
Project Description: Adding/altering (1) circuit for garage
Owner
Al2plican
Contractor
JAMES D BURBIDGE
AMP'D ELECTRIC LLC
AMP'D ELECTRIC LLC
2824 SW 300TH PL
2725 83RD CT NE
AMPDEE*945MM (7/20/14)
FEDERAL WAY WA 98023
OLYMPIA WA 98506
2725 83RD CT NE
OLYMPIA WA 98506
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 Wednesday, September 3, 2014
Permit Issued on Friday, March 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. Date: -3-7—/q
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Owner or agent: �—�"�
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CITY OF
Federal Way
PERMIT #:
14 -101045 -00 -EL
THIS CARD IS TOWIAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
Address: 2824 SW 300TH PL
Project: JAMES D BURBIDGE 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.
0
UFER Ground (4295)
0
Ditch cover (4030)
0
Slab/Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
11 Final - Electrical (4055)
Approved
By Date b w
Pool Bonding (4195)
❑
Temporary Power (4275)
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
E]
Rough Electrical (4225)
❑
Ceiling Cover (4020)
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
By
Date
By
Date
11 Final - Electrical (4055)
Approved
By Date b w
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF
Federal Way
� ELECTRICAL
PERMIT APPTION
PERMIT NUMBER _ 1 D O 4-5 _ 00
MAR 4 *2014
SITE ADDRESS: ,w\
300N
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PROJECT VALUATION
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SCURRENT/PROPOED USE
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PROJECT NAME
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(Tenant or Homeowner Last Name)
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PROJECT DESCRIPTION
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Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
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(
PRIMARY PHONE
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MAILING ADDRESS
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E-MAIL
CITY VAwA
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NAME avRPRIMARY
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E-MAIL
CONTRACTOR
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FAX
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WA ATE C RACTOR'S LICENSE ■
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
1
FAX
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PROJECT CONTACT
NAME
PRIMARY PHONE
1 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 linciuding 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 suppli the city as a of this application.
SIGNATURE: DATE
PRINT NAME:
Bulletin # 160 — January 1, 2013 Page 1 of 2 k:U IandoutsTlectrical Permit Application