16-101999ti
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax (253) 835-2609
Project Name: WAGNER
Project Address: 32649 91M PL S
Electrical
Permit #: 16 -101999 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 326070 0300
Project Description: Relocate meter base, change panel and wire addition. Add up to 3 circuits.
Owner
JEFFERY WAGNER
ARRHcant
J W ELECTRIC
Contractor
J W ELECTRIC
32649 9TH PL S
9625 DEKOVEN DR SW
JWELEE'934JW (4/27/17)
FEDERAL WAY WA 98003-5921
LAKEWOOD WA 98499
%25 DEKOVEN DR SW
LAKEWOOD WA 98499
Additional Permit Information
Electrical Work Valuation?....................................3500 Is this an Online or O.T.C. application? ................. Yes
Is Use Educational or Institutional?.......................No
Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 amps (F 1 Circuits - Residential ......................I
PERMIT EXPIRES Wedn da ril-2 2017
Permit Issued on Tues v. .2016
I hereby certify that the above information is correct and that
the occupancy and the use will be in accordance with the la,
and the Cy10„p
Owner or agent:
above described property and
s of the State of Washington
Date: y OL 06 -
CITY of N�r� ....
THIS CARD IS TO REMAIN ON-SITE _
Federal Way Construction Inspection Record
y INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 16 -101999 -00 -EL Address: 32649 9TH PL S
Project: JEFFERY WAGNER FEDERAL WAY, WA 98003-5921
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 (42 5)
Ditch cover (4030)
Temporary Power (4275)
lab/Concrete Floor (4255)
Approved
Service (4235)
Approved
Approved
Approved to place concrete
By
Date
By
Date
By .
Date
Pool Bonding (4195)
0
Temporary Power (4275)
Right of Way
Approved
Service (4235)
Date
Approved
By
Date
Approved
By
Date
Approved
By
Date
By
Date
By
Date
0
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
L&4 Date 4'1 (o ( It.
By
Date
Final - Electrical (4055)
Approved
By
Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
t ..
CITY OF Building Division
� 33325 Eighth Avenue South
Federal Way, WA 98003-6325
FederaI Way
Phone 253-835-2607 Fax 253-835-2609
CORRECTION NOTICE
ADDRESS: :3 2(,,e+ -q gilt P,—• S - PERMIT#: 1 b' 101 44 4 — 0 -
1 •l NIG %t t, -%A_( t4) — Fyw d,L i-5 -'i 1 IC, V'ott,VA Br�✓ T'Gt/W-ONG 15 CA V% 4t --''L
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ptKd P Ubw �ytc1�-w I�oL1.s Skull Iws-4u11,c�i .
IF YOU HAVE QUESTIONS CALL Vv-& (253) 835- 26 7_3
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.
DATE
INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
CITY of AReCEWW ELEC'T'RICAL
Federal Way " ) 2 6 2016 PERMIT APPLICATION
CITY OF FEDERAL WAY
CDS !�-1 6 / 2-�
PERMIT NUMBER
SITE ADDRESS: ,3 � 6 k'I I G � r� P S ,
ti�
SUITE/UNIT/SPACE #
PROJECT VALUATION
$. 0
ASSESSOR'S TAR/PARCEL #
3 Q -7 D- (D2O d
CURRENT/PROPOSED USE
PROJECT NAME
�f %
(Tenant or Homeowner Last Name)
VV CA 21%
PROJECT DESCRIPTION
e ° C 1"'` ` r
Oq S
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Detailed description of work to
be included on this permit only
Ci�(Cc..•�1'
PROPERTY OWNER
NAME
PRIMARY PHONE
MAILINGADDRESS
_3,716 9q q r_`� P) S
E-MAIL
CITY I
Ft 1"', ( W
STATE
Wa
ZIP
FAX
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NAME /
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PRIMARYPHONE
MAILING
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5a{ e q -:73,11 -Jr
ELECTRICAL
CONTRACTOR
CITY
STATE
ZIP
y�lfy
FAX
(�s3 )04- 67 L
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERALWAY BUSINESS LICENSE #
��- - 03?-�
NAME ��
PRIMARY PHONE
APPLICANT
C, -
MAILING ADDRESS
1
E-MAIL
( �
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STATE
ZIP
// FAX
PROJECT CONTACT
NAME , _ /
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PRIMARY PHONE
( )
I certify under penalty of perfury 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 Iaws.
I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fess 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 of and employees, upon the accuracy of the
information supplied to the city as as part of this application.
r(� I
SIGNATURE: L DATE q—)6
C
PRINT NAME: J O / � V, I
Bulletin # 160 —April 14, 2016 Page 1 of I k:\Handouts\Electrical Permit Application