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17-105084r. r City of Federal Way Community Development Dept. 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax (253) 835-2609 r Electrical Permit #:17 -105084 -60 -EL Inspection Request Line: (253) 835-3050 Project Name: PHILBRICK Project Address: 1508 SW 321ST ST Parcel Number: 010450 0850 Project Description: Change out the electrical panel & wire front porch lights & outlets. Owner Applicant Contractor MICHAEL PHILBRICK MICHAEL PHILBRICK OWNER IS CONTRACTOR 1508 SW 321ST ST 1508 SW 321ST ST FEDERAL WAY WA FEDERAL WAY WA Additional Permit Information Is this an Online or O.T.C. application? .................. Yes Alt. Serv./Feeder: 0 to 200 aml I hereby certify that the above and the occupalfty and th • Owner or agent: 1 S, <<L RSatur tober,2018 sid ober 20,2017 n isnd that the construction on the above described property be in ac race with the laws, rules and regulations of the State of hington qWe City of Federal Way. Date: )0 ".2U — / 7 ` Federal Way -w .� I Building Division 33325 Eighth Avenue South Federal Way, WA 98003-6325 Phone 253-835-2607 Fax 253-835-2609 CORRECTION NOTICE ADDRESS: 15bg sw -a-w SS s•r'• PERMIT#: 1-7 oo - - 1. N� ZSO• 4 -Two GAvoiAmL A F-* As nt&ti Pw In 11" to 1 Aa,4- bkcykIyw" Y41�h 11N D✓ivcLn To A Dc=pklea 6�p qi �.) NwL Soo ATSIc StALI Fac, 5CAJc-A Wj+l t mac} sut1 Govv,pbw,.*t. 110X,"-' 10 VVdk AvA Swv i c,_ 6ekAAv c.4'V s rl�ycvs ,eA - 6 Ipods- ALAA A4- T'i c a I�sc�ec-f1'vv► . S• r+AL2so - ui c . .-As 5Va t i 13c, AWLLl 'Ta VV`}� 1 WG04"e vaoP VO)Ctc. 0IF- Te Gov v uwk PV&& 54�i 4- e_v v i w (`ko v p✓'ov c0( To Be- 1�Inw I i 2 t.i( IF YOU HAVE QUESTIONS CALL Vk-,.A44— (253) 835- 211, 2-3 WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS. 1� 1-3 l DATE INSPECTOR DO NOT REMOVE THIS NOTICE Page of CITY or Federal Way PERMIT #: Project: THIS CARD IS TO REMAIN ON-SITE Construction Inspection Record INSPECTION REQUESTS: (253) 835-3050 17105084 00 Address: 1508 SW 321ST ST RUTH PHILBRICK FEDERAL WAY WA 98023-5401 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. Wofk must not be covered until it is you are unsure about any of the inspectionh s or the ' approved.Check with your inspector if inspection sequence. On-going inspections are logged on the bade of this card. 1❑ UFER Ground (4295) 0 Ditch cover (4039) Appr°ved Slab/Concrete Floor (4255) Appmved Approved 1By Approved 1By Approved to place concrete By Date Date Date Date ® Pool Bonding (4195) ® Temporary Power (4275) © Service (4235) Appr°ved Approved Appmved By Date By Date By W* Date It 1 1 11-7 FLI Feeders/Sub-panels (4045) ® Rough Electrical (4225)0 Final Electrical Ceiling Cover (4020) 13 Apprmed Approval Approved By Date By Date By Date Final - Electrical (4055) Approval By Date Rough Electrical Final Electrical 13 Right of Way Approved Approved Approved By Date By Date By Date �� Pkv h- o,� -rb w Pow, mar ` Federal Way - 1-4 r Building Division 33325 Eighth Avenue South Federal Way, WA 98003-6325 Phone 253-835-2607 Fax 253-835-2609 CORRECTION NOTICE ADDRESS: IS-og- sw 3'2_%'5-T sT' PERM 11-�- IF YOU HAVE QUESTIONS CALL V�A'� -IA- (253) 835- 2-67-3 WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS. 11 � DATE INSPECTOR DO NOT REMOVE THIS NOTICE Page of CITY OF 1A Federal Way RECEIVED OCT 2 0 2017 CITY OF FEDERAL WAY COMMUNITY DEVELOPMENT ELEC'T'RICAL PERMIT APPLICATION PERMIT NUMBER I I _ / (D 5 n �- q _ t L-- SITE ` SITE ADDRESS.j Dg S0 �5 '56 a-04 SUITE/UNIT/SPACE e PROJECT VALUATION vo, ASSESSOR'S TAR/PARCEL N S� + �5 U _ C� CURRENT/PROPOSED USE PROJECT NAME (Tenant or Homeowner Last Name) j' r rb n t �� ra e ,r, Gym PROJECT DESCRIPTION Detailed description of work to be included on this permit only f PROPERTY OWNER NAME �� L � I O� PRIMARY PHONE (3&o MAILING ADDRESS l�rU SGJ / s E Sit E-MAIL iv�tk�ah�vL<l-�i 1 CITY STATE W, ZIP VLvo FAX ( ) - ELECTRICAL CONTRACTOR NAME !0 PRIMARY PHONE 1 ) MAILING ADDRESS E-MAIL CITY STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE X EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE X APPLICANT NAME t/1 -1 p /� 0 WR PRIMARY PHONE MAILING ADDRESS E-MAIL CITY STATE I ZIP FAX ( ) PROJECT CONTACT AME I PRIMARY PHONE ( ;00 0-00 _ /3 q 1 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: -Im" DATE 10-19::2017 PRINT NAME: M i LA= � L ' �P: (-L Bulletin # 160 - January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application