13-103813A
Electrical.
City of Federal Way
Community & Econ. Dev. Services Permit #: 13 -103813 -00 -EL
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (2
53) 835-3050
Project Name: ATWOOD 12%1%
Project Address: 31025 48TH AVE SW Parcel Number: 184080 0115
Project Description: Septic repair.
Owner
A n�
Contractor
VIRGINIA ATWOOD
GARY CLARK
NORTHWEST CASCADE INC
3706 40TH AVE SW
NORTHWEST CASCADE
NORTHCI148BG (10/1/13)
SEATTLE WA 98116-3804
10412 JOHN BANANOLA WAY E
PO BOX 73399
PUYALLUP WA 98373
PUYALLUP WA 98373
Additional Permit Information -
Is this an Online or O.T.C. application?.................Yes Is Use Educational or Institutional?....................... No
Electrical Fixtures
Circuits - Residential ...................... 1
CONDITIONS:
Inspection approval is required prior to covering or concealing any portion of the septic electrical system,
including the pump. New septic & effluent tanks containing electrical wires and equipment MUST be
inspection and approved PRIOR to being loaded with sewage. (Per 296-46B-501-001(b)(7)WAC)
PERMIT EXPIRES Tuesday, February 25, 2014
Permit Issued on Thursday, August 29, 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
nd the City of Federal Way.
512-
Owner or agent: ILA C Date:
� /3
0" OF '!"'-"'ter✓
Federal Way
PERMIT #:
THIS CARD IS TO IN ON -SIVE ,
Construction In ection Record
INSPECTION REQ TS: (253) 835-3050
13 -103813 -00 -EL Address: 31025 48TH AVE SW
Project: VIRGINIA ATWOOD FEDERAL WAY, WA 98023-2001
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)11
Ditch cover (4030)
Temporary Power (4275)11
Slab/Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By 1"A Date I d 1 ?
F1
Pool Bonding (4195)
0Final
Temporary Power (4275)11
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 1"A Date I d 1 ?
F1
Rough Electrical
Approved
0Final
Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
y i � OCEIVED
ELECTRICAL
CITY of
AUG 2 9 2013
Federal Way PERMIT APPLICATION
CM OF FEDERAL WAY
PERMIT NuxBER a— j U 3 Ps(-,
— 00
SITE ADDRESS: `3 Z 5— L{ v✓ (/7.r
SUITE/UNIT/SPACE#
PROJECT VALUATION
ASSESSOR'S TAR/PARCEL #
�g4U S -D
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
,yl
4-- rovo
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME //�� l /
) d' i� A J W o b C
PRIMARY PHONE
(�C%�p) (2(q37 02-7Z
MAILING ADDRESS O
�l O 2- Av-d
E-MAIL
CITY
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STATE
ZIP
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FAX
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ELECTRICAL
CONTRACTOR
NAME
Itla i—.-sf C4osCA- 0a
PRIMARY PHONE
237/
MAH.IIiG ADDRESS
0 7 3 3#
- - EMAIL J
CITY
G-40
STATE
ZIP
� 9137
FAX
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
^/p/2f 7/Cr%Fy1"41
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME
C � �r���v �
PRIMARY PHONE
( , _
MAILING ADDRESS
E-MAIL
CITY
3TA?E
ZIP
FAX
t ) -
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.
SIGNATURE: DATE
PRINT NAME: U ,V ` C (),�o l `—
Bulletin # 160 — January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application