13-103214r a a Electrical
City of & Econ.
al Delay Permit #: 13 -103214 -00 -EL
Community 8 Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609 _ Inspection Request Line: (253) 835-3050
Project Name: SNELSON
Project Address: 117 SW 292ND ST Parcel Number: 1196001010
Project Description: Connection for furnace & A/C.
Owner
ARRIlcan
Contractor
ARMOND T SNELSON
WATTS ELECTRIC SERVICE INC
WATTS ELECTRIC SERVICE INC
117 SW 292ND ST
PO BOX 46410
WATTSES1760K (12/5/13)
FEDERAL WAY WA 98023-3501
SEATTLE WA 98106
PO BOX 46410
SEATTLE WA 98106
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes Is Use Educational or Institutional? ....................... No
Electrical Fixtures
Circuits - Residential ...................... 2
PERMIT EXPIRES Wednesday, January 15, 2014
Permit Issued on Friday, July 19, 2013
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy a the use will be in accordance with the laws, rules and regulations of the State of Washington
a he City of Federal Way. Q
Owner or agent: T Date: -13
CITY OP
Federal Way
THIS CARD IS TO REMAIN ON-SITE
Construction I>n ection Record
INSPECTION RES: (253) 835-3050
PERMIT #: 13 -103214 -00 -EL Address: 117 SW 292ND ST
Project: ARMOND T SNELSON FEDERAL WAY, WA 98023-3501
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)
1
❑
Ditch cover (4030)Slab/Concrete
Final Electrical.
Floor (4255)
1:1Approved
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
0
Temporary Power (4275)Service
Final Electrical.
1:1Approved
(4235)
By
Approved
Approved
Date
Approved
By
Date
By
Date
By
Date
E]
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 R _ 2
Rough Electrical
Approved
1:1Approved
Final Electrical.
1:1Approved
Right of Way -�
By
Date
By
Date
By
Date
CITY OF 'A
Federal Way
I#CEIVED
JUL 18 2013
CITY OF FEDERAL WAY
CDS
ELECTRICAL
PERMIT APPLICATION
PERMIT NUMBER13-/o 39 / Y -F L
SITE ADDRESS: / 5 C+ N�
SUITE/UNIT/SPACE #
PROJECT VALUATION
$�0_6.—
ASSESSOR'S TA—'—•n//"rv. a
—J-cqDd l�l ---
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
/
N
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
r '' - Q L VV j ` T
PROPERTY OWNER
NAME
i/IZLti XU�Z Svd`j
PRIMARY PRONE
( ) -
MAILING ADDRESS
/ "? &--/ 2 eiZ'Y
E-MAIL
CITY
STATE
ZIP
FAX
ELECTRICAL
CONTRACTOR
NAME
0_) c.
PRIMARY PHONE
(2(7l� 767 l (
MAILING ADDRESS
CO 541 c3
E-MAIL
CITY
54. -
STATE
CU+
ZIP
��/6�
FAx
( ) 3S" i
WA STATE CONTRACTOR'S LICENSE B EXPIRATION DATE
wA-Mes /?toot=f2 s��3
FEDERAL WAY BUSINESS LICENSE M
APPLICANT
NAME
PRIMARY PHONE
( )
MAILING ADDRESS
EMAIL
CITY
STATE I
ZIP
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 lied to the
�city
ass apart of plication. 2
SIGNATURE: DATE / 2
PRINT NAME:
Bulletin # 160 -January 1, 2013 Page 1 of 2 k: flandoutsTlectrical Permit Application