16-101551. - . flectrical
City of Federal Way
Community & Econ. Mv. Services Permit #: 16-101551-00-E L
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Ph: (253) 835-2607 Fax: (253) 835-2609 pecti q t Line: 253 835-3050
Project Name: MACKEY
Project Address: 28840 23RD AVE S Parcel Number: 422250 0190
Project Description: Install (5) can lights, outlets in kitchen, relocated stove and dishwasher. ***WORK
PREVIOUSLY DONE***
Owner
ABpilcan
Contractor
RICHARD L MACKEY
SHARON M MACKEY
OWNER IS CONTRACTOR
SHARON M MACKEY
28840 23RD AVE S
28840 23RD AVE S
FEDERAL WAY WA
FEDERAL WAY WA
98003-7922
98003-7922
PERMIT EXPIRES Th
Permit Issued on Wedi
I hereby certify that the above information is
rrect a cohat the
the occupancy and the use will be in accordan the la
•a ity of F
ZJ
Owner or agent:
PC
IAarch 30 017
, MaV#6
on on the above described property and
regulations of the State of Washington
IT 9 •/� . 1
1� Federal Way
Building Division
33325 Eighth Avenue South
Federal Way, WA 98003-6325
Phone 253-835-2607 Fax 253-835-2609
CORRECTION NOTICE
ADDRESS: 01$ 8 )An f4�SN PERMIT#: j 1e t S S 1 1J
0
R_ .
IF YOU HAVE QUESTIONS CALL
(253) 835- 26 2!j
WHEN 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.
3t-1 1d 'Lult—
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
CITY OF -10
Federal Way
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 16 -101551 -00 -EL Address: 28840 23RD AVE S
Project: RICHARD L MACKEY FEDERAL WAY, WA 98003-7922
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.
UFER Ground (4295)13
Ditch cover (4030)
Temporary Power (4275)El
Slab/Concrete Floor (4255)
1:1Approved
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
Temporary Power (4275)El
1:1Approved
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
0
Final - Electrical (4055)
Approved
By
Date
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date
CITY OF 4;&�
Federal Way
PERMIT NUMBER l
ELECTRICAL
PERMIT PLIQ"ON
I _ 00 MAR 3 0 2016
CITY OF FR1)1=QAi WAXI
SITE ADDRESS: a 40 2 �3 rj � S, t" eOu.ra ( w
1$_D 6S
SUITE/UNIT/i6y�CE #
I.IJJ
PROJECT VALUATION
$ /?b C)
SOR'S TAX/PARCEL # _
ASS 2 2 2 EC)-�0
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
b
PROPERTY OWNER
NAME
Q-kow,,Cj
PRIMARY PHONE
c 63) 9q I - 3371
MAILING ADDRESS
age L
E-MAIL
CITY
,r I V
STATE
ZIP
FAX
ELECTRICAL
CONTRACTOR
NAME/
( PRIMARY PHONE
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME
PRIMARY PHONE
)
MAILING ADDRESS
E-MAIL
CITY
STATE
I ZIP
// FAX
1 ) -
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 to the city as apart of this application.
SIGNATURE:
PRINT NAME:
30 A, -r Zo ► (,o
Bulletin # 160 — January 1, 2013 Page 1 of 2 k:\Ilandouts\Electrical Permit Application