16-101992City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Electrical
Permit #: 16 -101992 -00 -EL
Inspection Request Line: (253) 835-3050
Project Name: ARBUCKLE
Project Address: 31309 41ST PL SW Parcel Number: 873199 0150
Project Description: Install 100 -amp subpanel, run wires from sub -panel to outlets for range, dishwasher,
refrigerator, garbage disposal, floor heat, washer/dryer and general use outlets - total of 14
circuits.
Owner
AWNicant
Contractor
TODD & ELVIRA ARBUCKLE
BRUCE & LINELL ARBUCKLE
OWNER IS CONTRACTOR
BRUCE & LINELL ARBUCKLE
31309 41 ST PL SW
31309 41ST PL SW
FEDERAL WAY WA 98023-2114
FEDERAL WAY WA 98023-2114
Additional Permit Information
Electrical Work Valuation?....................................5000 Is this an Online or O.T.C. application? ................. Yes
Is Use Educational or Institutional? ....................... No
Electrical Fbftres
Alt. Serv./Feeder: 0 to 200 amps (F 1 Circuits- Residen# V. 14 %L
NOTE: Connection to main panel will be
I hereby certify that the
the occupancy and the use
Owner or agent:
S Wed
on Tue.,
(tion is correct
accordance w
and them
)kyc
CV
6+4
licensed Nor- f contractor on separate permit.
April 26, 2017
iril 26, 2016
rhe construction on the above described property and
s, rules and regulations of the State of Washington
Federal Way.
Date: 6 6
THIS CARD IS TO REMAIN ON-SITE ,
ern �'''" y THIS
Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 16 -101992 -00 -EL Address: 31309 41ST PL SW
Project: TODD & ELVIRA ARBUCKLE FEDERAL WAY, WA 98023-2114
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed asclose 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.
UFER Ground (4295)Ditch
cover (4030)
Final Electrical
Slab/Concrete Floor (4 55)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
Temporary Power (4275)
Final Electrical
Service (4235)
By
Approved
Approved
Date
Approved
By
Date
By
Date
By
Date
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
$
Date �—lid
Date
By
Date
Final - Electrical (4055)
Approved
By
Date
Rough Electrical
Approved
1:1Approved
Final Electrical
Right of Way
Approved
By
Date
By
Date
By
Date
`C1W OF
Federal Way
CORRECTION NOTI(
ADDRESS: 13 PERMIT#: -
z. aoo.
tn
8-- ding Division
33325 Ei Avenue South
Federal ay, WA 98003-6325
Phone 253-83 607 Fax 253-835-2609
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I
cD . M IZM - 7. e- .%..:1. IiACI, �a �.i �_...� e �. -LA _ <<_
V' �G1,•L� iM 1/�H—t Y O bt 1 7 '
IF Y U HAVE QUESTIONS CAL a (2533) 835- �(p 2 Q
HEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS.
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE PageOf
CITY OF *& ELECTRICAL
RMIV
Federal Way ED PERMIT APPLICATION
APR 2 6 2016
CITY OF FEDERAL WAY PERMIT NUMBER
CDS 1 /
SITE ADDRESS: 31 O ct PL
SUITE/UNIT/SPACE #
PQ.ROJECT VALUATION
AS�S7TAARCEL N ^` 1� -
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
+-Q l SLA b PAu c l d 6 4M r w i f r 'S(4b PA -
i s y r - 1) 9A 04-e a D i 36 W44 1t e r 3 ZT P 1
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
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PROPERTY OWNER
NAME r
Brut -e �1 tiles I( lv�d �l/ r6u �kl�
PRIMARY PHONE
(�53) 5/7 - 8 /1
MAILING ADDRESS
31 ao rcf 101
E-MAIL
CITY
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STATE
W of
ZIP
FAX
-
NAME
& w erg
PRIMARY PHONE
-
MAILING ADDRESS
E-MAIL
ELECTRICAL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE A EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE k
APPLICANT
NAME�/�
rLkel-� Y4y,6-t�(
PRIMARY PHONE
( 3):i -7 /J
MAILING
MAILING ADDRESS
/36 7 ylat rL sW
E-MAIL
CITY
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STATE
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ZIP
1-b 2-3
FAX
PROJECT CONTACT
NAME
A re A� ) e, A,, -7-
PRIMARY PHONE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. 1 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 to the city as a part of this application.
SIGNATURE:
PRINT NAME: r u e `e A r b g e k( e
Bulletin 4160 — April 14, 2016 Page 1 of 1 k:\Handouts\Electrical Permit Application
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