13-100609;4
SCIty of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2807 Fax. (253) 835-2809
Project Name: BALL
cEleetrical
Permit #: 13 -100609 -00 -EL
VMM2 r11 11 k Inspection Request Line: (253) 835-3050
Project Address: 3327 SW 323RD ST
Project Description: Install transfer switch for permanent standby generator
Parcel Number: 873190 0870
Owner
ARplican
Contractor
GIGI BALL
DICK'S HEATING AND A/C INC (GENERAL)
DICK'S HEATING AND A/C INC
3327 SW 323RD ST
1516 45TH ST E UNIT 200
(ELECTRICAL)
FEDERAL WAY WA 98023-2525
SUMNER WA 98390
DICKSHA915JL (4/13/13)
1516 45TH ST E UNIT 200
SUMNER WA 98390
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes
Alt. Serv./Feeder: 0 to 200 amps (F 1
Is Use Educational or Institutional?.......................No
Electrcal Fixtu€es'�
CONDITIONS:
A permanently installed generator is not allowed to be placed within required yards (setbacks). See Bulletin
#150 for placement details.
PERMIT EXPIRES Tuesday, August 6, 2013
Permit Issued on Thursday, February 7, 2013
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the u e will be in ccordance with the laws, rules and regulations'of the State of Washington
and t e City of Federal Way.
Owner or agent: Date: 7-/3
-� 9-�� Lp It ir // 3
CITY OF 7
Federal Way
PERMIT #:
Project:
THIS CARD ISTO MAIN ON-SITE
Construction I ection Record
INSPECTION RETS: (253) 835-3050
13 -100609 -00 -EL Address: 3327 SW 323RD ST
GIGI BALL FEDERAL WAY, WA 98023-2525
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.
E]
LIFER Ground (4295)
Ditch cover (4030)Slab
Temporary Power (4275)
Concrete Floor (4255)
n
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
E]
Pool Bonding (4195)
1:1Approved
Temporary Power (4275)
n
Service (4235)
By
Approved
By
Approved
By
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
B Date a
Rough Electrical
Approved
1:1Approved
Final Electrical
n
Right of Way
Approved
By
Date
By
Date
By
Date
�„� A 0 ELICTRICAL
Federal Way PERMIT APPLICATION
_ (� _ Q O RECEIVED
PERatrr NUMB= 19
-- ------ -- FEB 47 2013
SITE ADDRESS: t��+�---
3 3 S, Aill.3od- — s/ CITY
suITE/UNIT/SPACE #
F FEDERAL WAY
rDS
PROJECT
/U//7
TAX/PARCEL #
-
-
CURRENT/PROPOSED USE
PRODECTNAME
PROJECT
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
TA/S q'
PROPERTY OWNER
NAME
(
PRffiARY PHONE
(� `�) _
3 3 o2- , h/,
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ZIP
( ) FAX
ELECTRICAL
CONTRACTOR
NAME � �
) PRIMARY PHONE
(a3)s s
MAILING ADDRESS
�
Irl -MAIL
CITY/r
J m
0
p
FAX
( ) -
WA STATE CONTRA R'8 LICENSE 8 4XPIRATION DATE
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FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME
I
PRIMARY PHONE
MAH. G ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NSE
PRIMARY PHONE
(.2S
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.
[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 qlainj arises out oL the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied city as a p this application.
-�T
SIGNATURE: DATE
PRINT NAME:
Bulletin #160—January 1, 2013 Page 1 of k:\Handouts\ElectricalPermitApplication