14-100762r IR tt
0 0 Electrical
City of Federal Way /�
Community & Econ. Dev. Services Permit #. 14 -100762 -00 -EL
33325 8th Ave S
Federal Way, WA 98003 = Inspection Re uest Line: 253 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609�LE p q
Project Name: WALLACE
Project Address: 5426 SW 315TH ST Parcel Number: 321020 0024
Project Description: Replace 200 amp panel
Owner
Applicant
Contractor
ROBERT C WALLACE
TED THAYER
COTTAGE ELECTRIC INC
5426 SW 315TH ST
COTTAGE ELECTRIC INC
COTTAEI474N4 (5/31/14)
FEDERAL WAY WA 98023
16206 161 AVE NE
16206161 AVE NE
WOODINVILLE WA 98072
WOODINVILLE WA 98072
Additional PermitInformation
Is this an Online or O.T.C. application?.................Yes Is Use Educational or Institutional? ....................... No
Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 amps (F 1
PERMIT EXPIRES Monday, August 18, 2014
Permit Issued on Wednesday, February 19, 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
and the City of Federal Way.
Owner or agent: 434eDate: Z�/ ! Se
` THIS CARD IS TOMAIN ON -ST _E
CITY OF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 14 -100762 -00 -EL Address: 5426 SW 315TH ST
Project: ROBERT C WALLACE FEDERAL WAY, WA 98023
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.
Pool Bonding (4195) 0 Temporary Power (4275)Service (4
UFER Ground (4295)13
Approved
Ditch cover (4030)
Approved
Slab/Concrete Floor (4255)
Approved
Approved
Date
Approved
Date
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195) 0 Temporary Power (4275)Service (4
Rough Electrical
Approved
Approved
Approved
Approved
By
Date
By
Date
By
Date
Feeders/Sub-panels (4045) Rough Electrical (4225) Ceiling Cove
By
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By
Date
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date
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CITY OF A
Federal Way
PERMIT NUMBER (o 0 7("7"
("7' _ cc)
ELECTRICAL
PERMIT VAICATION
FEB 19 2014
Vj1T VI'r
SITE ADDRESS: 2i K S , ` C �TE/UNIT/SPACE i
J 7
PROJECT VALUATION
$ L/ Z(jo.
ASS`ESSOR'S TAX/PARCEL i CURRENT/PROPOSED USE
0 Z 0 _ 0 0 2
— — — — — —
PROJECT NA ME
— —
(Tenant or Homeoluner Last Name)
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PROJECT DESCRIPTION
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Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
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PRIMARY PHONE
{ y26,
MAUMG ADDRESS
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5 Z S GJ 3 % %
E-MAIL
CITY
STATE
ZIP
FAX
4147,
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9F o0 3
( ) -
NAME
PRIMARY PHONE
ELECTRICAL
MAILING ADDRESS
. O • %� 3 S
E-MAIL
f'%Ict =C e-0044
CONTRACTOR
CI'T'Y
STATEZIP
FAX
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WA STATE CONTRACTOR'S LICENSE i EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE i
a 1"AC /
NAME
PRIMARY PHONE
APPLICANTMAHJNG
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(2h.6 ) s / 7
ADDRESS
/
E-MAIL
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STATE
ZIP/
/ FAX
PROJECT CONTACT
NAME
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PRIMARY PHONE
(G�) y - / 9 ?
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 o- 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:
PRINT NAME:
Bulletin # 160 - January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application