19-100986 •
Electrical
City of Federal Way Permit #:19-100986-00-EL
Community Development Dept
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: NELSON
Project Address: 1408 SW 296TH ST Parcel Number:062104 9036
Project Description: Upgrade existing panel to a 225A and install a 14.4kW solar photovoltaic system on roof of
single family residence.
Owner Applicant Contractor
SUSAN NELSON LYUDMILA ARSENLYPUGET SOUND PUGET SOUND SOLAR LLC
• 1600-B SW DASH POINT RD PMB 277 SOLAR LLC PUGETSS920RH(12/8/20)
FEDERAL WAY WA 98023 805 RAINIER AVE S
SEATTLE WA 98144 805 RAINIER AVE S
SEATTLE WA 98144
Additional Permit Information
Is this an Online or O.T.C.application9 No
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Circuits-Residential I
PERMIT EXPIRES Wednesday, 18 March,2020
Permit Issued on Tuesday,March 19,2019
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy andthe II be in acco • •nce with the laws, rules and regulations of the State of
ashingto nd e City of Federal Way.
Owner or agent: ___- � '' Date: •2 /9/
9
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IATHIS CARD IS TO REMAIN ON-SITE
Federal Wa Construction Inspection Record
y INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 100986 00 Address: 1408 SW 296TH ST
Project: SUSAN L NELSON FEDERAL WAY WA 98023-3411
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.
0 UFER Ground(4295) El Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
Pool Bonding(4195) 1 0Temporary Power(4275) tiService(4235) ,
Approved Approved Approved
By Date By Date By Date
Feeders/Sub-panels(4045) ® Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
El Final-Electrical(4055)
By1Approved
// Date i-I":"/ J
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date •
110' ,
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ak
RECEIVED ELECTRICAL
Federal Way MAR 01 2019 PERMIT APPLICATION
CITY OF FEDERAL WAY / 1 - -i
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COMMUNITY DEVELOPM�IlgRMIT NUMBER / k
• C Qt�'�2}3 SUITE/UNIT/SPACE#
SITE ADDRESS
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PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ 2 I S2 o o o - b L{ 1
PROJECT NAME
(Tenant or Homeowner Last Name) 'N e k.S o.,
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PROJECT DESCRIPTION 0'1\ S F g- e-kij
Detailed description of work to ,S,; c }f Yh o U vo�10:v1.\-S' 1Vtd�l i - C WO ..,, 4 -;O
be included on this permit only
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NAME PRIMARY PHONE
PROPERTY OWNER S L.k f l F.\Soy''- (Z5 3 )9 Lo - 06,L
MAILING ADDRESS E-MAIL
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CITY STATE ZIP FAX
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NAME CJ PRIMARY PHONE
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MAILING ADDRESS E-MAIL
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CONTRACTOR CITY STATE ZIP U FA� / ,) ((,( (}‘
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WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
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NAME PRIMARY PHONE
APPLICANT
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ING ADDRESS
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NAME PRIMARY PHONE
PROJECT CONTACT Ll ud M'1 I A Acs-eil P-O( ) 614 - 3 1 �'
I certify under penalty of perjury that I am the property owner or authorizedthagent 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 a part of this application.
SIGNA - . . `01 \ - ) DATE 3) II i CJ
PRINT NAME:L u c\ ''" i Gl r 1Y�(--::)
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Bulletin#160-April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application