13-102308F I7
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: BRUSH
Project Address: 5005 SW 314TH PL
Project Description: ADD - Installation of a new Solar PV system
Electrical
Permit #: 13 -102308 -00 -EL
Inspection Request Line: (253) 835-3050
/ o'D
Parcel Number. 189870 0060
Owner
Anolicant
Contractor
PETER BRUSH
PRO -STAT ELECTRIC
PRO -STAT ELECTRIC
5005 SW 314TH PL
8122 NE 91ST ST
PROSTE'890ON (9/15/13)
FEDERAL WAY WA 98023-2033
VANCOUVER WA 98662
8122 NE 91ST ST
VANCOUVER WA 98662
Additional Permit Information
Is this an Online or O.T.C. application?................No Is Use Educational or Institutional? ....................... No
Electrical Fixtures
Alt. Serv./Feeder. 0 to 200 amps (F 1
PERMIT EXPIRES Wednesday, November 20, 2013
Permit Issued on Wednesday) June 5, 2013
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: a ` 13
y
CITY CW
VAi�
Federal Way
PERMIT #:
Project:
• THIS CARD IS TO ON-SITE
'Construction In ection Record
INSPECTION REQ TS: (253) 835-3050
13 -102308 -00 -EL Address: 5005 SW 314TH PL
PETER BRUSH FEDERAL WAY, WA 98023-2033
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.
LIFER Ground (4295)11
Ditch cover (4030)
E]Slab/Concrete
Floor (4255)
1:1Approved
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
Temporary Power (4275)
1:1Approved
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
Final - Electrical (4055)
Approved
By
Date IQ`rL
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date
' 0
`RECEIVED
MAY 2 4 2013 ELECTRICAL
cy" of: 1A � tai ay CITY OF CDSRAL WAY PERMIT APPLICATION
PERPArr NUMB=
SITE ADDRESS:'�lllo�
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PROJECT VALUATIONABSESSOWS
$ C�.
TAR ARCRt. #
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CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeoumer Last Name)
PROJECT DESCRIPTION
Detailed descn]ption, of work to
be included on this permit only
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PROPERTY OWNER
N;,,\,.�MAXEMOADDRM
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ELECTRICAL
CONTRACTOR
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APPLICANT
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PROJECT CONTACT
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I cartify under penalty o f perjusy that I am the properly owner or authorised agent of the property owner. I cert(& that to the best
of my knowtedge, the information submitted in support of this permit application is true and corr€ct. I eertVY that I will eempty with
all applicable City of Pedeeral Way regulations pertaining to the work authorised by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responstbit#ty ,for cotnpHance 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 Halal (including costa, expensed and attorneys' fees incurred in
the investigation and defense of such cla(m), which may be made by any person, including the undersigned, and l« against the city,
but on4j where such claim artses out of the reliance of the city, iactuding its vj7kers and employee; upon the accuracy of the
inJbrmation supplied tQ the stay as apart of this application.
SIGNATURE:
PRINT NAVY -
Bulletin #160 -January 1, 2013 Page t of 2 k:iHandouv4%Elrx uical Permit Application
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