14-104813r
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: MARTIN
Project Address: 124 SW 292ND ST
Electr'cal
Permit #: 14 -104813 -00 -EL
d IF Inspection Request Line: (253) 835-3050
Project Description: Electrical work for remodel.
Parcel Number: 119600 0006
Owner
RAOUL MARTIN
ARRficant
HANSON ELECTRIC LLC
Contractor
HANSON ELECTRIC LLC
SHERYL MARTIN
PO BOX 124
HANSOEL879BQ (1/18/15)
PO BOX 16485
WILKESON WA 98396
PO BOX 124
SEATTLE WA 98093
WILKESON WA 98396
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes
Electrical Fixtures
Circuits - Residential ...................... 8
Is Use Educational or Institutional? ....................... No
PERMIT EXPIRES Tuesday, March 17, 2015
Permit Issued on Thursday, September 18, 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
C nd the City of Federal Way.
Owner or agent: Date: (� I (`�
V
FINALED
CITY OF
Federal Way
PERMIT #:
Project:
THIS CARD IS TO MAIN ON-SITE
Construction In ection Record
INSPECTION REQ TS: (253) 835-3050
14 -104813 -00 -EL Address: 124 SW 292ND ST
RAOUL MARTIN 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.
E
LIFER Ground (4295)Ditch
cover ( 030)
Electrical
Approved
Slab/Concrete Floor (4255)
Service (4235)
Approved
Approved
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
E
Pool Bonding (4195)
Temporary Power (4275)
Electrical
Approved
Service (4235)
Right of Way —�
Approved
Approved
Date
Approved
By
Date
Approved
By
Date
By
Date
By
Date
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
VV4 Date p
(2-0 1
By
Date
Final - Electrical (4055)
Approved
B
Date
E
Rough Electrical
Approved
❑Final
Electrical
Approved
Right of Way —�
Approved
By
Date
By
Date
By
Date
EL C'TRICAL
CITY OF OCMVM SEP 1 $ 2014
Federal Way PERMIT APPLICATION
CITY OF FEDERAL WAY
CDS
PERMIT NUMBER / _ V Y 9 / 3 —_6L, 6 /
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; 41iere 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:
PRINT NAME:\y 1J C V\Sy'\
Bulletin # 160 —January 1, 2013 Page 1 of 2 k: flandoutsTlectrical Permit Application
Coll
SUITE/UNIT/SPACE #
SITE ADDRESS:
PROJECT VALUATION
$ S 000 0
ASSESSOR'S TAR PARCEL #
_j j _6 -0(2- 00—
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
Ar\ U ,r- "
^� M X -E S
PROJECT DESCRIPTION
Y\,Q\_9
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
(� -, _o, 0, -k her- N� G i'
( ) -
MAILING ADDRESS`
E-MAIL
`
1Z SW Z Z,\ CN, S-F�
CITY
STATE
ZIP
FAX
NAME
PRIMARY PHONE
MAILING ADDRESS
?. L), 8 o,*, 1 Zy
E-MAIL
ELECTRICAL
CITY
STATE
ZIP
FAX
CONTRACTOR
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
APPLICANT
(,r\,��- H ``^ S`) —
(zS3) Z2. - g 103
MAILING ADDRESS
P.
E-MAIL
So 114 kyOwz
CITY
STATE
ZIP
FAX
W" 1\kol sow
vs
X45'3 to
t ) -
PROJECT CONTACT
NAME
!YN k.V�,IL kAQ, So
PRIMARY PHONE
(-253)2 7, - 2110 3
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; 41iere 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:
PRINT NAME:\y 1J C V\Sy'\
Bulletin # 160 —January 1, 2013 Page 1 of 2 k: flandoutsTlectrical Permit Application
Coll