15-105749.aR 0
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: PERYOSE
Project Address: 1214 SW 317TH ST
Project Description: 10 -circuit generator transfer switch.
'`Electrical
Permit #: 15 -105749 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 416796 0020
Owner
A olt� *cant
Contractor
RENNY J PHILIPOSE
MIKE LINDER
LINDER ELECTRIC INC
JASMINE PHILIPOSE
LINDER ELECTRIC
LINDEEI426M8 (1/31/17)
1214 SW 317TH ST
7004 180TH AVE NE
7004 180TH AVE NE
FEDERAL WAY WA 98023
REDMOND WA 98052
REDMOND WA 98052
Additional Permit Information
Is this *an Online or O.T.C. application? ................. es Is Use Educational or Institutional? ....................... No
Electrical Fixtures
Circuits - Residential ...................... 10
CONDITIONS:
A permanently installed generator is not allowed to be placed within required yards (setbacks). See Bulletin
#150 for placement details.
PERMIT EXPIRES Tuesday, May 10, 2016
Permit Issued on Thursday, November 12, 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: d Date: L/4,a!/Z'
THIS CARD IS TO REW ON-SITE
CITY.: THIS
Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 15 -105749 -00 -EL Address: 1214 SW 317TH ST
Project: RENNY J PHILIPOSE FEDERAL WAY, WA 98023-4737
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.
Rough Electrical Final Electrical Right of Way
Approved 1:1Approved 1:1Approved
By Date By Date By Date
UFER Ground (4295)Ditch
cover (4030)
Temporary Power (4275)Service
Slab/Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Rough Electrical Final Electrical Right of Way
Approved 1:1Approved 1:1Approved
By Date By Date By Date
Pool Bonding (4195)
Temporary Power (4275)Service
(4235)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By
PV; Date 11113 1�
Rough Electrical Final Electrical Right of Way
Approved 1:1Approved 1:1Approved
By Date By Date By Date
CITY OR .&
' Federal Way
RECEIVED
NOV 12 2015 ELECTRICAL
CITY OF CDS FEDERAL
WAY PERMIT APPLICATION
PERMIT NUMBER 15 _1_0 �5 ,/Y-2 _ O 0-
SITE ADDRESS: t a 19 vJ ( -7 'f't' S 7-
SUITE/UNIT/SPACE #
P ALUA
ASSESSOR'S TAX/PARCEL #
CURRENT/PROPOSED USE
(Tenant or Homeowner Last Name)E�N
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
Tt
PROPERTY OWNER
NAME /�� I L Pam
(ADDRESS
) PHONE
sn, - 6Op
O d
MAILING
i2t�t sW 317'x''' ST
E-NiAIL
CITY
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STATE
(ZIP
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I
FAX
( -
ELECTRICAL
CONTRACTORCITY
NAME
PRIMARY PHONE
MAILING ADDRESS
1 b p (Fol AA)G7 AJ E
E --"MAIL
t (li a (� RA cO / 0 U�-*C to
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STATE
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ZIP
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FAX
(0 Am - X74,/
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
bIAfpcz VA e)
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME� W,^�
�E V
���
PRIMARY PHONE
(�� k6� -1-fq7
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
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PROJECT CONTACT
NAME
t;T � - W S� �.
PRIMARY PHONE
Na-� T 7SY ,7 31S
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 city as a earl of this application.
SIGNATURE:
PRINT NAME:
W / K'V L;
Bulletin #160 -January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application
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