13-104762City of Federal Way
Community & Econ. Dev. Services .� Permit #: 13-10476 - i
33325 8th Ave S
Federal Way, WA 98003
3) 835-2607 Fa. (253) 835-2609 'LIMInspection Request Line: (2
53) 835-3050Ph: (25
Project Name: JOLLEY CONSTRUCTION '27 1 o1i g
Project Address: 1514 SW 320TH PL Parcel Number: 010450 0450
Project Description: Meter replacement, new grounding and bonding.
Owner
ARRlican
Contractor
JOLLEY CONSTRUCTION
THE RUNNERS LLC
THE RUNNERS LLC
916 NE TILLAMOOK ST
12819 SE 38TH ST BOX 379
RUNNERL915RH (12/3/13)
PORTLAND WA 97212
BELLEVUE WA 98006
12819 SE 38TH ST BOX 379
BELLEVUE WA 98006
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes Is Use Educational or Institutional? ....................... No
Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 amps (F 1
PERMIT EXPIRES Wednesday, April 23, 2014
Permit Issued on Friday, October 25, 2013
1 hereby certify thabove information is correct and that the construction on the above described property and
the occupancy nd th use will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way. _$ r
Owner or agent. Date:�� 1 f
Lne l� $oy, Cour 3ww{; o n side oo�r . 1-ey wWLS �Vbt 4 D o e v.
351 to
r
• THIS CARD IS TO MAIN ON-SITE'
ciConstruction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 13 -104762 -00 -EL Address: 1514 SW 320TH PL
Project: JOLLEY CONSTRUCTION FEDERAL WAY, WA 98023-5428
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
UFER Ground (4295)
0
Ditch cover (4030)
❑
Slab/Concrete Floor (4255)
0
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
0 Final - Electrical (4055)
Approved
By Date I r l g
Pool Bonding (4195)
Temporary Power (4275)
0
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
❑
Rough Electrical (4225)
Ceiling Cover (4020)
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
By
Date
By
Date
0 Final - Electrical (4055)
Approved
By Date I r l g
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
RIPEIVED
EL.PCTRICAL
CITY OF OCT 2 5 2013
Federal Way PERMIT APPLICATION
CITY OF FEDERAL WAY
` CDS
PERMIT NUMBER ld _ Z / / —V —74 j;-- _
SIT ADDRESS: 5W �20 t� P I�ZO QJ��� ( (/� 1 t I
l "I J
SUITE/UNIT/SPACE #
PROJECT VALUATION '\
$'
ASSESSOR'S TAX/PARCEL #
0 o_ � J 0
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
r'e �c1C TO � ��`1G � �'► tt"1G
PROPERTY OW
NAME�ll
�NER * I� Con 54.4 4G+?Oy)
PRIMARY PHONE
(503 ► 70 -
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
. ?� �cl
0 ELECTRICAL
CONTRACTOR
NAME �-�.
( Z66 , 78 y PHONE ()
ADDRESS
MAILING
/1
E-MAIL
CITY
I0ev e-
STATE
11jj14,
ZIP
cgo4
FAX
c , -
WA STATE CONTRACTOR'S LICNSE # EXPIRATION DATE
IlAuoev-
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
/ FAX
l � -
PROJECT CONTACT
NAME
L j ewe N
PRIMARY PHONE
(,20;) 3A -0901
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. Z 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 suj~ to the city as apart of this application.
TE " "V O c1b
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Bulletin # 160 — January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application