14-104016p *Eldtrical
Community & Econ Dev. Services Permit #: 14 -104016 -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
F i L;
Project Name: OTSU 17'5(0&q(
Project Address: 1240 SW 296Th ST Parcel Number: 062104 9047
Project Description: Installation of a 5.5 kw new solar panel photovoltaic system
Owner
LYNNE OTSU
ARRIacant
A & R SOLAR (ELECTRICAL)
Contractor
A & R SOLAR (ELECTRICAL)
1240 SW 296TH ST
2444 1 ST AVE S
RSOLAS" 903JM (5/20/14)
FEDERAL WAY WA 98134
SEATTLE WA 98134
2444 1 ST AVE S
SEATTLE WA 98134
Additional Permit Information
Is this an Online or O.T.C. application?.................No Is Use Educational or Institutional? ....................... No
Service greater than 999 Amps? .............................No
Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 amps (F 1
PERMIT EXPIRES Tuesday, March 3, 2015
Permit Issued on Thursday, September 4, 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.
Owner or agent: Date: / c
THIS CARD IS TO MAIN ON-SITE
gcarr of V •
Construction In ection Record'
Federal Way INSPECTION REQ TS: (253) 835-3050
PERMIT #: 14 -104016 -00 -EL Address: 1240 SW 296TH ST
Project: LYNNE OTSU FEDERAL WAY, WA 98023-3410
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) Slab/Concrete Floor ( 255)
Approved Approved Approved to place concrete
By Date By Date By Date
Pool Bonding (4195) E]Temporary Power (4275) Service (4235)
Approved Approved 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 Date Ck —) D
Rough Electrical
Final Electrical
1:1Approved
Right of Way
Approved
Approved
By
Date
By
Date
By
Date
RECEIVM 0
ELECTRICAL
Federal Way AUG ° g 201¢ PERMIT APPLICATION
CITY OF FEDERAL WAY
PERMIT NUMBER14
— / U 6DS /
(,:.;, — _�_ L_
SITE ADDRESS: 1240 SW 296th ST, Federal Way, WA 98023
SUITE/UNIT/SPACE M
PROJECT VALUATION
$ 2,523
ASSESSOR'S TAX/PARCEL N
_
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
QTSU
PROJECT DESCRIPTION
5.5kW Residential Photo Voltaic System
Detailed description of work to
be included on this permit only
NAME
PRDIARY PHONE
PROPERTY OWNER
Lynne Otsu
(425 ) 753 - 5060
MAILING ADDRESS
E-MAIL
1240 SW 296th ST
lynneots@yahoo.com
CITY
STATE
ZIP
FAX
Federal Way
WA
98023
( ) -
NAME
A&R Solar
PRIMARY PHONE
( 206) 707 _9937
MAHJNG ADDRESS
E-MAIL
ELECTRICAL
2444 1st Ave S
evan@a-rsolar.com
CITY
STATE
ZIP
FAX
CONTRACTOR
Seattle
WA
98134
WA STATE CONTRACTOR'S LICENSE M EXPIRATION DATE
RSOLAS*903JM 05/20 2016
FEDERAL WAY BUSINESS LICENSE X
20 -13 -104671 -00 -BL
NAME
PRIMARY PHONE
Jesse Anderson
( 206 ) 707 - 9937
APPLICANT
MAILING ADDRESS
E-MAIL
2444 1st Ave S
info@a-rsolar.com
CITY
STATE
ZIP
FAX
Seattle
WA
98134
PROJECT CONTACT
NAME
Evan Manderbach
PRMIARY PHONE
(206 ) 743 - 4634
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. 1 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:
PRINT NAME: Jesse Anderson
8/8/2014
Bulletin # 160 —January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application