Loading...
19-100179! ' • City of Federal Way Commmuty Development Dept. 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax (253) 835-2609 Project Name: GRIFFEY Project Address: 31402 12TH AVE SW Project Description: Add lighting and outlets for addition. Electrical Permit #:19 -100179 -00 -EL Inspection Request Line: (253) 835-3050 Parcel Number: 416810 0230 Owner Applicant Contractor HAROLD GRIFFEY C M E ELECTRIC LLC C M E ELECTRIC LLC 31402 12TH AVE SW 30262 225TH AVE SE CMEELEL865QE (11/520) FEDERAL WAY WA BLACK DIAMOND WA 98010 30262 225TH AVE SE 98023-4505 BLACK DIAMOND WA 98010 Additional Permit Information Is this an Online or O.T.C. application? .................. Yes Circuits - Residential 2 PERMIT EXPIRES Friday, 10 January, 2020 Permit Issued on Thursday, January 10, 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 Washinaton and the City of Federal Way. Owner or agent: Date: /G V cer w Federal Way PERMIT #: 1910017900 THIS CARD IS TO REMAIN ON-SITE Construction Inspection Record INSPECTION REQUESTS: (253) 835-3058 Address: 3140212TH AVE SW Project: HAROLD E GRIFFEY FEDERAL WAY WA 98023-4505 Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE TMS CARD. Inspections are listed as close to sequential ender as possible (read left to right, top to bottom). Please schedule inspections as appropriate. Wait must not be covered until it is approved. Check with your inspector if you are unsure abort any of the inspections or the iffipection sequence. On-going iospectiens are logged on the back of this card. ® UFER Ground (4295) Q Diteh cover (4030) ® Slab/Concrete Floor (4255) Approved Approved Approved By Date Approved to place cone By Date By Date By Date ® Pool Bonding (4195) © Temporary Power (4275) ® Service (4235) Approved Approved 1BY Approved By Date Date By Date 7❑ Feeders/Sub-panels (4045) ® Rough Electrical (422JBy 0 Ceiling Cover (4020) Approved Approved Approved By Date By Date Date ® Final - Electrical (4055) Approved By Date Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date CITY OF 'A Federal Way RECEIVED JAN 10 2019 CITY OF FEDERAL WAY COMMUNITY DEVELOPMENT ELECTRICAL PERMIT APPLICATION PERMIT NUMBER —/ I _ 0 f 1 _-1 L SITE ADDRESS: 3 SUITE/UNIT/SPACE# VALUATION PROJECTCDW--( J () ' ASSESSOR'S TAR/PARCEL # 1 -1 -�2 "s, -1l.J%� 1 - 0 f71 -3 Q CURRENT/PROPOSED USE i V I1 PROJECT NAME (Tenant or Homeowner Last Name) � { ` �- lJ Lp C--7 -R—Mr— F PROJECT DESCRIPTION Detailed description of work to be included on this permit only PROPERTY OWNER NAME PRIMARY PHONE - MAILING ADDRESS 0Z E-MAIL CITY STATE ZIP FAX ELECTRICAL19<5X CONTRACTOR NAME CM LCLT22 C PRIMARY PHONE (mac. ) 7A I- 'z�s r MAILING RE83 —70 E-MAIL - GM Lt 4-E c'r�mC AL FA CITY T�I��MD STATE W1A ZIP q 0 t a FAX G.{ Wte1 ( ) - WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE # APPLICANT NAME PRIMARY PHONE ( ) MAILING ADDRESS E-MAIL CITY STATE ZIP 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 flied 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 city as apart of this application. SIGNATURE: PRINT NAME: CA,is TE Bulletin #160 -April 14, 2016 Page 1 of I k:\Handouts\Electrical Permit Application