14-101171City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2807 Fax: (253) 835-2609
Project Name: KERCI3ER
Project Address: 4343 SW 307TH ST
Project Description: Replace service panel.
0 e E ectrical
Permit #: 14-101171 -00-EL
Inspection Request Line: (253) 835-3050
/y�tiJzj� l
Parcel Number: 112103 %9081
Owner
JONATHAN & JESSICA KERCHER
Al2oiicant
JONATHAN & JESSICA KERCHER
Contractor
OWNER IS CONTRACTOR
4343 S 304TH ST
4343 S 304TH ST
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
Additional Permit Information
Is this an Online or O.T.C. application? ................. es
Electrical F
Alt. Serv./Feeder. 0 to 200 amps (F 1
Is Use Educational or Institutional?.......................No
PERMIT EXPIRES Saturday, September 13, 2014
Permit Issued on Monday, March 17, 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
the City of Federal Way.
Owner or agent4��9;eDate:
CITY. V& '
Federal Way
PERMIT #:
THIS CARD IS TO MAIN ON-SITE
Construction In Mon Record `
INSPECTION REQ TS: (253) 835-3050
14 -101171 -00 -EL Address: 4343 SW 307TH ST
Project: JONATHAN & JESSICA KERCHER FEDERAL WAY, WA 98003
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
UFER Ground ( 95)0
Ditch cover ( 030)
0
Slab/Concrete Floor (4255)
1:1Approved
Approved
0
Approved
Approved to place concrete
By
Date
By
Date
By
Date
0
Pool Bonding (4195)
Approved
By
Date
1:1Approved
Right of Way
0
Feeders/Sub-panels (4045)
Approved
By
Date
By
Date
Final - Electrical (4055)
Approved
Byy
Date
❑
Temporary Power (4275)
Approved
By
Date
1:1Approved
Right of Way
0
Rough Electrical (4225)
Approved
By
Date
Rough Electrical
Approved
1:1Approved
Final Electrical
1:1Approved
Right of Way
By
Date
By
Date
By
Date
CITY of 1A
Federal Way
RKenrtn
*AR 17 2014
CITY OF FEDERAL WAY
CDS
EL'ECTRICAI.
PERMIT APPLICATION
PERMIT NUMBER / y _ / / 7 / _ 0 U
SITE ADDRESS: y3 y3 -3O 7 - -- s-'
SUITE/UNIT/SPACEi
PROJECT VALUATION
�, v&
ASSESSOR'S TAR/PARCEL i
!f --0 3
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAMEPRIMARY
.J.KFC 114 `'N li? e ���.e�
PHONE
( Zo6) -3,3y- 6956
MAILING ADDRESS
y3 Y3
E-MAIL
CITY
dtrA\ W- y
STATE
vA
ZIP
geoz
FAX
) _
ELECTRICAL
CONTRACTOR
NAME
/ PRIMARY PHONE
1 ) -
MAH.HNG ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
t ) -
WA STATE CONTRACTOR'S LICENSE i EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE i
APPLICANT
NAME
f, «" P�
PRIMARY PHONE
(ZvC) 33q - 615
MAILING ADDRESS
E -MAH.
CITY
STATE
ZIP
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 the city as a part of this application. J�
SIGNATURE: Tf r> ( DATE 3 — � 7—, /
PRINT NAME:
Bulletin # 160 — January 1, 2013 Page 1 of 2 Ul-landoutsTlectrical Permit Application