19-100132P
ctiry of Federal Way
Applicant
Contractor
Community Development Dept.
F1Federal
r7r'z—z
33325 8th Ave S
SERVICES
247ELES850R2 12/22/19
Way,WA 98003
"
„•
ft
Ph: (253) 835-2607 Fax (253) 8352609
11106 SE 225TH CT
Project Name: KLICK
Project Address: 33421 33RD PL S
Electrical
Permit #:19 -100132 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 614360 0312
Project Description: Install (2) bath fans, Relocate (3) switches, Relocate (1) outlet and Relocate (1) light.
Owner
Applicant
Contractor
CONSTANCE A KLICK
ANDREI PINZARI24/7 ELECTRICAL
24/7 ELECTRICAL SERVICES
33421 33RD PL S
SERVICES
247ELES850R2 12/22/19
FEDERAL WAY, WA 98001
11106 SE 225TH CT
11106 SE 225TH CT
KENT WA 98031
KENT WA 98031
Is this an Online or O.T.C. application? .................. Yes
PERMIT EXPIRES Wednesday, 8 January, 2020
Permit Issued on Tuesday, January 8, 2019
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:
erry op V&
Federal Way
PERIVUT #:
Project:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3059
19100132 00 Address: 3342133RD PL S
CONSTANCE A KLICK FEDERAL WAY WA 98001-%47
Scheduled inspections may be failed if this cmd is not an -site. DO NOT LOSE THIS CARD. Iapecdoos are listed as clow to sequential order as possible
(read left to right, top to bottom). Please schedule inspections as appropriate. Work moat not be covered until it is approved. Check with your inspectac if
you aro unsure about any of the inspections or the inspection sequeaae. On-going inspections are logged on the back of this card.
0 LIFER Ground (4295)
® Ditch cover (4939)
Slab/Concrete Floor (4255)
Approved
]By
Approved
Approved to peace sonde
Illy
By Date
Date
Date
® Pool Bonding (4195)
®
Temporary Power (4275)
®
Service (4235)
Approved
]BY
By Date
Approved
By Date
Approved
By Date
Date
By
Date
FeederuSub-panels (4945)
s❑ Ron& Electrical (4225)
G1 Ceiling Cover (4620)
Approved
ApproNed
113y
Approved
By Date
Date
By Date
Fhaal - Electrical (4055)
Approved
By /G f/` Date �'"•�✓�✓
Rough Electrical
❑
Final Electrical
0
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
RECEIVED
CITY OP
Federal Way JAN 0 8 2019
ELEC'T'RICAL
PERMIT APPLICATION
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT
PERMIT NUMBER
SITE ADDRESS: S3 � Z/ ZZ 4 L
SUITE/UNIT/SPACE #
PROJECT VALUATION
$
ASSESSOR'S TAX/PARCEL # /
L 2
CURRENT/PROPOSED USE
PROJECT NAME
Tenant or Homeowner Last Name)
SBO /� w� t/iyH Oi l
PROJECT DESCRIPTION
Detailed description of work to
144 7 F`'s
P4,Gs (n9[f akc S
be included on this permit only
n
ctok
/kcW / //1 i�
/
PROPERTY OWNER
N E
/1 n j �e, cl /f l jl
PRIMARY PHONE
( ) -
MAILING ADDRESS'S
E-MAIL
a
0,,' (�C�
CITY
STATE
ZIP
FAX
( )
NAME
y �% D,//�
( PRIMARY PHONE /
MAILING ADDRESS
0 SE z V4 cT
E-MAIL
ELECTRICAL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #� � EXP TION DATE
7 L S 8S
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME
PRIMARY PHONE
MAILING ADDRESS
CT
E-MAIL
CITX -
11//
STATrE_
ZIP 6
y 3
FAX
( ) -
PROJECT CONTACT
NAME
PRIMARY PHONE
( )
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 t he city as apart of this application. m
SIGNATURE: DATE
PRINT NAME: 19j /C (h -CA
Bulletin # 160 —April 14, 2016 Page 1 of 1 k:\Handouts\Electrical Permit Application