13-100081r r
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: ORY
Project Address: 5320 SW 315TH ST
Electrical
Permit #: 13 -100081 -00 -EL
Inspection Request Line: (253) 835-3050
Project Description: Intallation of transfer switch for portable generator
Parcel Number: 321020 0058
Owner
A n�
Contractor
ROB ORY
SAM HENDERSON
AZTEC ELECTRICAL SERVICES LLC
5320 SW 315TH ST
AZTEC ELECTRICAL SERVICES LLC
AZTECES021DT (3/30/14)
FEDERAL WAY WA 98023
25314 45TH AVE S
25314 45TH AVE S
KENT WA 98032
KENT WA 98032
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes Is Use Educational or Institutional? ....................... No
Electrical Fixtures
Circuits - Residential ...................... 1
PERMIT EXPIRES Saturday, July 6, 2013
Permit Issued on Monday, January 7, 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 t e City of Federal Way.
Owner or ageZF�a-'- 's, (�
Date: 7 3
CITY OF
Federal Way
R*EIVED
1 AN U 7 2013
CITY of FEDERAL WAY
CDS
E&CTRI'CAL
PERMIT APPLICATION
PERMIT NUMBER 0 3 _ / 0 O O R / - � Z--,
SITE ADDRESS:2 % D
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SUITE/UNIT/SPACE •
PROJECT VALUATION
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ASSESSOR'S TAR/PARCEL i
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CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
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PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
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PROPERTY OWNER
NAMEPRIMARY
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PHONE
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MAILING ADDRESS
20 Sw 4
E-MAIL
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ZIP
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FAX
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ELECTRICAL
CONTRACTOR
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PRIMARY PHONE
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MAILING ADDRESS
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WA STATE CONTRACTOR'S LICENSE M EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE N
APPLICANT
NAME
PRIMARY PHONE
( )
MADJNG ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
( )
PROJECT CONTACT
NAME
PRIMARY PHONE
I cert(fy under penalty of perjury that I am the property owner or authorised agent of the property owner. I certgy that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I cert(fy that I will comply with
all applicable City of Federal 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 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 as a part oft is application.
SIGNA DATE
PRINT NAM .
Bulletin #160 — January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application
THIS CARD IS TO REMAIN ON-SITE '
r Construction In ection Record
Federal Way INSPECTION REQU TS: (253) 835-3050
PERMIT #:
Project:
13 -100081 -00 -EL Address: 5320 SW 315TH ST
ROB ORY FEDERAL WAY, WA 98023-2034
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.
13
LIFER Ground (4295)
Ditch cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
13
Pool Bonding (4195)
Temporary Power (4275)
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
ILI]
Final - Electrical (4055)
Approved
Date\ _ 1
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date