15-100975electrical
City of Community & E Sem Permit #: 15-100975-00-E L
33325 8th Ave S
Federal Way, WA 98003 Ins tion Request Line: 253 8
Ph: (253) 835-2807 Fax: (253) 835-2809 P� eQ ) 35050
FILE
Project Name: BORRELLI
Project Address: 4326 SW 307M ST Parcel Number. 112103 9059
Project Description: Power from existing panel to sewer pump. Installing generato with GTD . Replacing
existing fixtures.
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes Is Use Educational or Institutional? ....................... No
Electrical fixtures
Circuits - Residential ...................... 14
PERMIT EXPIRES Saturday, August 29, 2015
Permit Issued on Monday, March 2, 2015
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:
F,NpLE4
Owner
JOE BORRELLI
BORRELLI REAL ESTATE INVESTMENT
O,O,plicant
JOE BORRELLI
BORRELLI REAL ESTATE INVESTMENT
Contractor
OWNER IS CONTRACTOR
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes Is Use Educational or Institutional? ....................... No
Electrical fixtures
Circuits - Residential ...................... 14
PERMIT EXPIRES Saturday, August 29, 2015
Permit Issued on Monday, March 2, 2015
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:
F,NpLE4
THIS CARD IS TO REMAIN ON-SITE
Construction In ction Record'
Federal Way INSPECTION REQ TS: (253) 835-3050
PERMIT #: 15 -100975 -00 -EL Address: 4326 SW 307TH ST
Project: JOE BORRELLI FEDERAL WAY, WA 98023-2127
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 (4295)
0
Ditch cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
0
Approved
By
Approved
Approved to place concrete
By
Date
By
C � Date - S
By
Date
Final - Electrical (4055)
Approved
By 1U4/1 Date
Pool Bonding (4195)
0
Temporary Power (4275)
0
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
❑
Ceiling Cover (4020)
Rough Electrical (4225)
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By 1U4/1 Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
0
CITY OF
Federal Way
PERJUT NUMBER I�-
ELECTRICAL
PERMIT APPLICATION
WelVeD
AA t,0 n,2 2015
SUITE/UNIT/SPA E i
SITE ADDRESS: CITY OF VEDEPAL WA
PROJECT VALUATION
ASSESS '8 TAX/PAR L i NT/PROPOSED USE
0 `2-
PROJECT NAME
(Tenant or Homeowner Last Name)
,o
PROJECT DESCRIPTION''`'
Detailed description o work to
� � f
be included on this permit only
� � S
PROPERTY OWNER
NAME
f i�'�iC �(� P L e .
PRIMARY PHONE
( 06) 9'402- .76 8 Z
MAIIdNG ADDRESS
.iois.s AeA0
E-MAIL
CITY
8TATE
ZIP
( FAX
l ) -
NAME
PRIMARY PHONE
MAILING ADDRESS
WMAM
ELECTRICAL
CITY
"ATE
zip
FAX
CONTRACTOR
WA STATE CONTRACTOR'S LICENSE N EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE i
APPLICANT-
NAME
PRIMARY PHONE
MAZIANG ADDRESS
&MAIL
CITY
STATE I
ZIP
FAX
PROJECT CONTACT
NAME
PRIMARY PRONE
) _
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: 'S '� " ' R fit" DATE
PRINT NAME: 0.5 CSR e2.,—.
Bulletin #160—January 1, 2013 Page 1 of 2 Ul-iandoutsTlectrical Permit Application