19-100070Electrical
City °rFederal Way Permit #:19 -100070 -00 -EL
Community Development Wept.
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: (253) 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: WHITMIRE/SCHOENHERR
Project Address: 4825 SW 310TH ST Parcel Number: 184080 0095
Project Description: Add subpanel for AFCl/GFCI circuits; wiring for addition including lights, switches and
outlets.
Owner
Applicant
Contractor
DAVID E WHITMUtE
S C G ELECTRIC INC
S C G ELECTRIC INC
4825 SW 310TH ST
PO BOX 58744
SCGELI'099NH (8/13/19)
FEDERAL WAY WA 98023-2017
SEATTLE WA 98138
PO BOX 58744
SEATTLE WA 98138
Additional Permit information
Is this an Online or O.T.C. application? .................. Yes
Alt. Serv./Feeder: 0 to 200 aml 1
PERMIT EXPIRES Saturday, 4 January, 2020
Permit Issued on Friday, January 4, 2019
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:
ciY or �r'MMM
Federal Way
PERMIT #:
Project:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-30M
1910007000 Address: 4825 SW 310TH ST
DAVID E WHITMIItE FEDERAL WAY WA 98023-2017
Scheduled inspections may be fair 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 aro unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card.
0
UFER Ground (4295)x❑
® Temporary Power (4275)
Ditch cover (4030)
0
Slab/Concrete Floor (4255)
Approved
Approved
Approved
By Date
Approved to place concrete
By
Date
By
Date
By
Date
41
Pool Bonding (4195)
® Temporary Power (4275)
Q
®
Service (4235)
Approved
Approved
Approved
By Date
Approved
By
Date
By Date
By
Date
Feeders/Snb-panels (4045)
®
Rough Electrical (4225)
Q
Ceiling Cover (4020)
Approved
Approved
Approved
By Date
By
Date 1. -
By
Date
10 Final - ElectrkA (4055)
Approved W I
Date
Rough Electrical Final Electrics ❑ Right of Way
Approved Approved Approved
By Date Date By Date
DECEIVED
CITY O ELEC'T'RICAL
Y CITY OF FEDERAL WAY
Federal Way SAN 2019 PERMIT APPLICATION
COMMUNMY DEVELOPMENT
PERMIT NUMBER—/O
O D i D _
SITE ADDRESS: G`, '� � -
�TAAR/PARCEL
SUITE/UNIT/SPACE #
PROJECT VALUATION
ASSESSOR'S #
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
• G
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
-
MAILING ADDRESS
i�
E-MAIL
CITY
STATE -
ZIP
FAX
NAME
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
ELECTRICAL
22 U�7L4L
CITY
��' E'.�—
STATE
J )d
ZIP
cy
FAX
CONTRACTOR
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
CITY
STATE
ZIP
( FAX
1 )
PROJECT CONTACT
NAME
C1
c-,
PRIMARY PHONE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. 1 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 flied 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. I
SIGNATURE:
PRINT NAME:
Bulletin #160 —April 14, 2016 Page 1 of 1 k:\Handouts\Electrical Permit Application