15-102967r
T � Electi ical
q of Federal way Permit #: 15 -10290 -6 -0 -EL. -
Community &Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
1r .
Project Name: NORWOOD
Project Address: 3916 SW 317TH ST Parcel Number: 873198 2060
Project Description: Extend existing 20amp circuit and move existing 30amp circuit.
Owns
AURlicant
Contractor
LISA M NORWOOD
PACIFIC SUN SERVICES LLC
PACIFIC SUN SERVICES LLC
3916 SW 317TH ST
4408 S 282ND ST
PACIFSS945RC (12/12/16)
FEDERAL WAY WA 98023
AUBURN WA 98001
4408 S 282ND ST
AUBURN WA 98001
Additional Permit Information
Is Use Educational or Institutional?.......................No
Electrical Fixtures
Circuits - Residential ...................... 2
PERMIT EXPIRES Tuesday, December 15, 2015
Permit Issued on Thursday, June 18, 2015
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: Gc 2 Date: �'l _Fz��
FINALED-,
THIS CARD IS TO I&KAIN ON-SITE
CITY oP _'V�
Federal WayConstruction Inspection Record -
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 15 -102967 -00 -EL Address: 3916 SW 317TH ST
Project: LISA M NORWOOD FEDERAL WAY, WA 98023-2134 j
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
LIFER Ground (4295)Ditch
cover (40 0)
Service (4235)
Pool Bonding (4195)
Approved
Approved
Approved
By
Date
By
Date
By
Date
0
Temporary Power (4275)11
Service (4235)
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
By
Date
By
Date
0
0
Rough Electrical (4225)
Ceiling Cover (4020)
Final - Electrical (4055)
Approved
Approved
Approved
By
Date
By
Date
By
Date r7
Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
cirY of A
EL%C'T'RICAL
Federal Way PERMIT AP10i11¢iTION
PERMIT NUMBER / JUN 18 2015
1 � _ J_�,+ _ � � _ _ _ CITY OF FEDERAL WAY
SITE ADDRESS: /�
SU IT/SPACE #
PROJECT VALUATION
ASSESSOR'S TAX/PARCEL #
CURRENT/PROPOSED USE
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PROJECT NAME
(Tenant or Homeowner Last Name)
/
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M d19 -e— . 5 A?, � cc t ccs
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
PRIMARY PHONE
9944
MAILING ADDRESS
E-MAIL
CITY
FIFO
STATE
ZIP
FAX
NAME
PAPA GI c 5t,'i S-F-Jv/ c_e5
PRIMARY PHONE
(z 53) 6,53 - 9io 3,P
MAILING ADDRESS
44O G 5 . � � �n � S7
E-MAIL
- c,� e
ELECTRICAL
CITY
�qvr3vvlj
STATE
I u1 A—
ZIP
9 gee,/
FAX
c ) —
CONTRACTOR
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
rr
o, S-5 1�SiC I Z� I Z
NAME
PRIMARY PHONE
01u r ✓ `7 't90 ,-1 A -S
3 ) - 91, j
APPLICANT
MAILING ADDRESS
E-MAIL
c/
440
CITY I
Au
STATE I
W&
ZIP
�
FAX
PROJECT CONTACT
NAME
PRIMARY PHONE
( )
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 issuanceof a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for -compliance with local, state, or federal taws 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: 01 o^^ -c {
PRINT NAME:
6/1,w/ 1s
Bulletin # 160 — January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application