12-105692w
ApRlicant
Contractor
•
City of Federal Way
r
i
Community & Econ. Dev. Services
33325 8th Ave S
21504107TH AVE E
Federal Way, WA 98003
`J
Ph: (253) 835-2607 Fax: (253) 835-2609
21504107TH AVE E
Project Name: KIEFFER
Project Address: 31921 53RD AVE SW
Electrial
Permit #: 12 -105692 -00 -EL
Project Description: Install automatic transfer switch for new generator
Inspection Request Line: (253) 836-3050
Parcel Number: 189860 0090
Owner
ApRlicant
Contractor
WILLIAM KIEFFER
SONNENFELD ELECTRIC LLC
SONNENFELD ELECTRIC LLC
JUDITH KIEFFER
21504107TH AVE E
SONNEE028BB (1/22/14)
31921 53RD AVE SW
GRAHAM WA 98338
21504107TH AVE E
FEDERAL WAY WA 98023-2027
GRAHAM WA 98338
Additional Permit Information
Is Use Educational or Institutional?.......................No
Electttcal Fbdulres
Alt. Serv./Feeder: 0 to 200 amps (F 1
CONDITIONS:
A permanently installed generator is not allowed to be placed within required yards (setbacks). See Bulletin
#150 for placement details.
PERMIT EXPIRES Monday, June 24, 2013
Permit Issued on Wednesday, December 26, 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 Ci Federal Way.
Owner or agent Date:T
r CITY 9F V `�
Federal Way
PERMIT #:
Project:
THIS CARD IS TOMAIN ON-SITE
Construction In ection Record
INSPECTION REQ TS: (253) 835-3050
12 -105692 -00 -EL Address: 31921 53RD AVE SW
WILLIAM KIEFFER FEDERAL WAY, WA 98023-2027
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.
0 Final - Electrical (4055)
Approved
By Date �cV-
LIFER Ground (4295)Ditch
cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
11
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
0 Final - Electrical (4055)
Approved
By Date �cV-
Pool Bonding (4195)
E]
Temporary Power (4275)
11
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
0 Final - Electrical (4055)
Approved
By Date �cV-
Rough Electrical
Approved
Final Electrical
Approved
11
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF
•— _ c ° .5 6 ;�z-
Fedj ELEC'T'RICAL
DEC 2 6 2012 PERMIT APPLICATION
CITY OF FEMMtrical permits may be obtained on-line at www.cityoffederalway.com
SITE ADDRESS: `31IV
/ % /
SUITE/UNIT/SPACE #
ASS OR'S TAR/PARCEL #
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
I Q
PROJECT DESCRIPTION
. '-7171,61
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
( ) -
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
( )
NAMEPRIMARY
PHONE
MAILING ADDRESS
R -MAIL,
ELECTRICAL
CONTRACTOR
CITY
STAT
ZI
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
APPLICANT
( )
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
/ FAX
l
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 an�rson, including the undersigned, and filed against the city,
but only where such claim arises out of the reliance of the city, in ding its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
SIGNATURE:
PRINT NAME: �-
33325 8h Avenue South 1 Federal Way ♦ WA ♦ 98003-6325 ♦ 253-835-2607 ♦ fax: 253-835-2609 ♦ www.cityoffederalway.com
Bulletin #160—January 1, 2011 Page 1 oft k:Wandouts\Electrical Permit Application