14-105145City 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: HARRIS
FILE
Project Address: 2422 SW 317TH ST
Project Description: Upgrade service panel.
`"Electrical
Permit #: 14 -105145 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 193840 0260
Owner
Applicant
Contractor
DARRYL W HARRIS
DARRYL W HARRIS
OWNER IS CONTRACTOR
VALERIE N HARRIS
2422 S 317TH ST
2422 SW 317TH ST
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes
Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 amps (F 1
Is Use Educational or Institutional?.......................No
PERMIT EXPIRES Wednesday, April 1, 2015
Permit Issued on Friday, October 3, 2014
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy apdthe use will be in a0pirdance wi the laws, rules and regulations of the State of Washington
=eral Way. �1 �I
Owner or agent: Date: -3 (1 C f 0X L l
I
CITY OF
Federal Way
THIS CARD IS TO ON-SITE
Construction In ection Record
INSPECTION REQ TS: (253) 835-3050
PERMIT #: 14 -105145 -00 -EL Address: 2422 SW 317TH ST
Project: DARRYL W HARRIS FEDERAL WAY, WA 98023-2202
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)
Approved
By Date
Temporary Power (4275)
Approved
By Date
Feeders/Sub-panels (4045) Rough Electrical (4225)
Approved Approved
By Date By Date '1
Final - Electrical (4055)
Approved
By Date
11
LIFER Ground (4295)Ditch
By
cover (4030)
Final Electrical
Approved
Slab/Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
Approved
By Date
Temporary Power (4275)
Approved
By Date
Feeders/Sub-panels (4045) Rough Electrical (4225)
Approved Approved
By Date By Date '1
Final - Electrical (4055)
Approved
By Date
11
Service (4235)
Approved
By
Date 1
Final Electrical
Approved
Ceiling Cover (4020)
Approved
By
Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way �^
Approved
By
Date
By
Date
By
Date
CITY OF
Federal Way
RECEVED
OCT 0 3
2014 E C'TRICAL
CITY OF FEDERAL WAY PERMIT APPLICATION
CDS
PERMIT NUMBER- q
_ / O / q� _
SITE ADDRESS' / <
SUITE/UNIT/SPACE #
PROJECT VALUATION
o &
A33 OR'S TAR/PARCEL #
y 0
CURRENT/PROPOSED USE
PROJE NAME
(Tenant or Homeowner Last Name)
12 R i
Z
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
A i r�
PRIMARY PHONE
) (,J
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
NAME
( PRIMARY PHONE
l ) —
MAILING ADDRESS
E-MAIL
ELECTRICAL
CITY
STATE
ZIP
FAX
CONTRACTOR
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME / f
] 4 Q Q l / A 1.2 W i
PRIMARY PHONE
( ) -
MAILING ADDRESS !n � j Y Lk
!f
E-MAIL
CITY -
STATE
ZIP] ZIP
FAX
PROJECT CONTACT
NAME
� � � �
PRIMARY PHONE
e ) e t
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 Ajay 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 tif"ity as apart of this, application.
SIGNATURE:
PRINT NAME:
')0Cf ?,,r
Bulletin # 160 — January 1, 2013 Pagel of 2 Ul-iandoutsUectrical Permit Application