18-100532City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 8355-2607 Fax (253) 8352609
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Electrical
Permit #:18 -100532 -00 -EL
Inspection Request Line: (253) 835-3050
Project Name: MOORE
Project Address: 29713 24TH AVE S
Project Description: Installation of service and wiring for new single family residence.
Parcel Number: 941480 0150
Owner
Applicant
Contractor
PAUL M MOORE
PAUL M MOORE
OWNER IS CONTRACTOR
718 S 50TH ST
718 S 50TH ST
RENTON WA 98055
RENTON WA 98055
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
New Service: Residential 1 Tbermostat 1
PERMIT EXPIRES Saturday, 2 February, 2019
Permit Issued on Friday, February 2, 2018
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: Date: 0
THIS CARD IS TO REMAIN ON-SITE
Federal Way Construction Inspection Record
INSPECTION REQUESTS: (253) 835,3050
PERMIT #: 18100532 00 Address: 29713 24TH AVE S
Project: PAUL M MOORE 98003
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 Chedc 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)
9 Ceiling Cover ( 20)
ID
Ditch cover (4030)
3❑
Slab/Concrete Floor (4255)
Service (4235)
Approved
Approved
Date
Date _ i.
Approved
Approved
Date
Approved to place emcrete
By
Date
By
Date
By
Date
®
Pool Bonding (4195)
9 Ceiling Cover ( 20)
®
Temporary Power (4275)
Approved
®
Service (4235)
By
Approved
Date
Date _ i.
By
Approved
Date
Approved
Date
0 Feedera/Sub-panels (4045)
® Rough Electrical (4225)
9 Ceiling Cover ( 20)
Approved
Approved
Approved
By Date
Date _ i.
By Date
o 7anal - Electrical (4055)
Approved
By:3�(
atNJ
F1 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date G By Date
CITY Of A
Federal Way
RECEIVED
FEB 0 2 2018
CITY OF FEDERAL WAY
COMMUN(iY DEVELOPMENT
ELECTRICAL
PERMIT APPLICATION
PERMIT NUMBER J-7 — �
SITE ADDRESS: . I ZH 4- �<VE
SUITE/UNIT/SPACE #
PROJECT VALUATION
ASSESSOR'S TAR/PARCEL # /
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
T-rZ t- putF S' rA P
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
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PROPERTY OWNER
NAME
P�I W C-R /'j E7:f
PRIMARY PHONE _
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MAILING ADDRESS
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CITYSTATE
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ZIP
FAX
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ELECTRICAL
CONTRACTOR
NAME ,r.
PRIMARY PHONE
MAILING ADDi%
E-MAIL
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME
L_
PRIMARY PHONE
(2 S-31) Z
MAILING ADDRESS
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E-MAIL
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NAMEPRIMARY
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PROJECT CONTACT
PHONE
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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 q(ty as a part of this application.
SIGNATURE:
PRINT NAME:
Bulletin # 160 —April 14, 2016 Page 1 of 1 k:\Handouts\Electrical Permit Application
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