12-103551IF e10 •
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
u
Electrical
Permit #: 12 -103551 -00 -EL
Inspection Request Line: (253) 835-3050
Project Name: JACK �,q td -
Project Address: 31972 36TH AVE SW Parcel Number: 873198 0030
Project Description: 0-200 amp panel change
Owner
ARRIecant
Contractor
MARTYN E JACK
KANON ELECTRIC
KANON ELECTRIC
ELEANOR S JACK
PO BOX 1745
KANONEI947BE (1/10/14)
31972 36TH AVE SW
MILTON WA 98354
PO BOX 1745
FEDERAL WAY WA 98023-2138
MILTON WA 98354
Additional Permit Information
Is Use Educational or Institutional?.......................No
Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 amps (F 1
Service greater than 999 Amps? .............................No
PERMIT EXPIRES Tuesday, January 29, 2013
Permit Issued on Thursday, August 2, 2012
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 ity of Federal Way. X12Owner or agent:2=1 Date: / Z—
THIS CARD IS TO REMAIN ON-SITE
CITY °F THIS
Inection Record '
Federal Way INSPECTION REQU TS: (253) 835-3050
PERMIT #: 12 -103551 -00 -EL Address: 31972 36TH AVE SW
Project: MARTYN E JACK FEDERAL WAY, WA 98023-2138
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.
lH'in l - Electrical (4055)
Approved
Dat,— ?-"l
UFER Ground (4295)Ditch
cover (4030)
Temporary Power (4275)Service
Slab/Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
lH'in l - Electrical (4055)
Approved
Dat,— ?-"l
Pool Bonding (4195)
Temporary Power (4275)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
lH'in l - Electrical (4055)
Approved
Dat,— ?-"l
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
cirY a
--
Fe ELECTRICAL
AUG 02 2012 PERMIT APPLICATION
CITY OF FEDERAL wAy
CDS **Most electrical permits may be obtained on-line at www. cityo ederalway.com**
SITE ADDRESS:
2 -`
true
SUITE/UNIT/SPACE I
ASSESSOR'S TAR/PARCEL # CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
GIQAQA
o
PROJECT DESCRIPTION
Xer 4CA "i -C
Detailed description of work to
w
be included on this permit only
NAME
�
PRIMARY PHONE
PROPERTY OWNER
-
MAILING ADDRESS
EMAIL
CITY STATE ZIP
FAX
1r1
NAME
ti bAl-
PRIMARYPHONE
l1
/
MAILING ADDRESS
i%C{S
E-MAIL
ELECTRICAL
b. BMX'
CONTRACTOR
CITY STATE ZIP
FAX
WA STATE CONTRACTOR'S LICENSE N EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE M
NAME
PRIMARY PHONE
APPLICANT
(
) -
MAILING ADDRESS
E-MAIL
CITY STATE ZIP (
l
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 supplied to a city as apart of this application.
SIGNATURE DATE f� Z
PRINT
33325 8ih Avenue South ♦ Federal Way ♦ WA ♦ 98003-6325 ♦ 253-835-2607 ♦ fax: 253-835-2609 ♦ www.cityoffederalway.com
Bulletin #160 — January 1, 2011 Page 1 of 2 k:\Handouts\Electrical Permit Application
NEW SINGLE FAMILY RESIDENCE
Total Square Feet
(including attached garage):
FEES: First 1300 ft2 - $122.00;
Each additional 500 ft2 - $39.00
NEW MULTIFAMILY (3 units or more)
1st Seruice/Feeder Additional Feeders
2d 1 ~ 400 80.50
ALTERED SINGLE or MULTI FAMILY
1st Service/Fe
gederbo
Added or Altered Circuits ..
1-4 circuits $80.50; each additional $8.00
Mast or meter repair $60.50
MANUFACTURED HOMES
Service or feeder only x $'' 80.50
NEW COMMERCIAL
1st Service/Feeder Additional Feeders
1 til arzxp . $164 `0' "! $103;