16-1003034 . l
City of federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
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Permit #: 16 -100303 -00 -EL
FILEInspection Request Line: (253) 835-3050
Project Name: STEPHENS
Project Address: 2301 SW 323RD ST
Project Description: Installation of a 8.83 KW new solar photo -voltaic system
Parcel Number: 8731801130
Owner
U S BANK NATIONAL ASSOCIATI
ARglicant
PUGET SOUND SOLAR LLC
Contractor
PUGET SOUND SOLAR LLC
3701 REGENT BLVD .
805 RAINIER AVE S
PUGETSS920RH (12/8/16)
.
IRVING, TX 75063
SEATTLE WA 98144
805 RAINIER AVE S
SEATTLE WA 98144
Additional Permit Information
Is this an Online or O.T.C. application?.................No Is Use Educational or Institutional?....................... No
Service greater than 999 Amps? .............................No
Electrical Fixtures
Circuits - Residential ...................... 1
PERMIT EXPIRES Wednesday, February 8, 2017
Permit Issued on Tuesday, February 9, 2016
I hereby certify that the abov informatio correct and that the construction on the above described property and
the occupancy and the use ill in rdance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date: 16
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THIS CARD IS TO FAMIAIN ON-SITE .1
Federal Way 0191,4111 Construction Ins ction Record
y INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 16 -100303 -00 -EL Address: 2301 SW 323RD ST
Project: U S BANK NATIONAL ASSOCIATI FEDERAL WAY, WA 98023-2559
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)Ditch
11
cover (4030)
Final Electrical
Approved
Slab/Concrete Floor (4255)
n
Approved
(4235)
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
F1
Final Electrical
Approved
n
Temporary Power (4275)Service
(4235)
Date
Approved
By
Date
Approved
By
Date
Approved
By
Date
By
Date
By
Date
E]
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By
IMI; Date 3 I I L
Rough Electrical
Approved
F1
Final Electrical
Approved
n
Right of Way --�
Approved
By
Date
By
Date
By
Date
CITY OF ��
Federal Way
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ELECTRICAL
PERMIT APPLtgok, DN
PERMIT NUMBER l 00 v _� f
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_ JAN 21 2016
SITE ADDRESS: 23-01 -;�7va ` �
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PROJECT VALUATION
$ .Say OD
ASSESSOR'S TAX/PARCEL#
6 -T � � L -�O
CURRENT/PROPOSED USE
PROD CT NAME
(Tenant or Homeowner Last Name)
pv �s 1 r l
PROJECT DESCRIPTION
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i o�
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
PRIMARY PHONE
MAILING ADDRESS
sN,,)
E-MAIL
Arm
CITY STATE ZIP
r-eAe-r-\-
FAX
NAME � � ^ �
(�1 p
(ao PRIMARY PHONE
�
MAILING ADDRESS
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E -MAD.
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ELECTRICAL
CONTRACTOR
CITY
STATE
ZIP
fAX
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
Or' 'ta ic►� iib
FEDERAL WAY BUSINESS LICENSE #
�o �,-)034ig-00�3L
APPLICANT
NAME
P 7166
MAD.ING ADDRESS hh
E-MAIL
rrA cc-,
CITY
STATE
Z
PROJECT CONTACT
NAME
PRIMARY PHONE
6
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I certify under penalty of perjury that I am the property owner or authorised 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 harmle he C of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation and defense of h cl i , which may be made by any person, including the undersigned, and filed against the city,
but only where such claim a e ou o t reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the ci a a o his applic on.
SIGNATURE: DATE
PRINT NAME: l�li� is —30ic%VVA I A
Bulletin #160 — January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application
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