15-105028City 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: KAY
Project Address: 2419 SW 316TH ST
Project Description: Wire and install spa, adding/altering (1) circuit
Electrical
Permit #: 15 -105028 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 179000 0080
Owner
A Ip iv cant
Contractor
JAY KAY
SOLARSIDE ELECTRIC LLC
SOLARSIDE ELECTRIC LLC
2419 SW 316TH ST
218 125TH ST S
SOLAREL8650Q (9/18/16)
FEDERAL WAY WA 98023
TACOMA WA 98444
218125TH ST S
TACOMA WA 98444
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes Is Use Educational or Institutional? ....................... No
Electrical Fixtures
Circuits - Residential ...................... 1 Spa ................................................. 1
PERMIT EXPIRES Wednesday, March 30, 2016
Permit Issued on Friday, October 2, 2015
I hereby certify that the above information is correct and thbt 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. J
Owner or agent: ` Date:
THIS CARD IS TORE ON-SITE
C�� , Construction Ins 'Xion Record
Federal way INSPECTION REQ TS: (253) 835-3050
PERMIT #: 15 -105028 -00 -EL Address: 2419 SW 316TH ST
Project: JAY KAY FEDERAL WAY, WA 98023-2215
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 Final - Electrical (4055)
Approved
B DateWel//s--
(
®
UFER Ground (4295)
0
Ditch cover (4 3)
❑
Slab/Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
0 Final - Electrical (4055)
Approved
B DateWel//s--
(
®
Pool Bonding (4195)
Temporary Power (4275)
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
0
Ceiling Cover (4020)
Rough Electrical (4225)
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
By
Date
By
Date
0 Final - Electrical (4055)
Approved
B DateWel//s--
(
®
Rough Electrical
Approved
Final Electrical
Approved
Right of Way —^
Approved
By
Date
By
Date
By
Date
0
CITY OF
Federal Way
PERMIT NUMBER is _ l 3 t 020 _
ELECTRICAL
PERMIT APPLICATION
RECEIVED
OCT 012015
SITE ADDRESS: t� �yv 3 f� �- �-� �� drl
I
SUITE UNIT SPACE#
iN F DS RAL WAY
ECT VALUATION
�
�4D
ASSESSOR'S TAR PARCEL # (J _ Q \
1 �L
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
+/n
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
o F6, SPS Y'uP
PROPERTY OWNER
NAME
PRIMARY PHONE
.135- 55a-�
MAILING ADDRESS
x419 sw 3(4:� S+
E-MAIL
CITYSTATE
FW60L
WA
ZIP
I 98 03
FAX
( ) -
ELECTRICAL
CONTRACTOR
NAME
Sowglos �j "11G 1�
PHONE
(Z�17) / ;b PRIMARY ��3d
MAILING ADDRESS E
6307 `7 a
E-MAIL
CITY
'T1�Co�l �l
STAT
1N
ZIP
98 443
FAX
WA STATE CONTRACTOR'S LICENSE # ERPIRATION DATE
S0LA497-L s(10 5 ()q
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME
C -o NTS -Acts i2
PRIMARY PHONE
( ) -
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
/ FAX
)
PROJECT CONTACT
NAMEPRIMARY
f KU l�( �� S
PHONE
(;2a3)9 70 - $ 9 3 -D-
Z
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 cityart oft ' application.
SIGNATURE:1��� DATE (v/0�
PPINT
NAME:
Bulletin # 160 — January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application