15-104690 Electrical
City of&Fc = Permit #: 15-104690-00-EL
Community Econ.
Dev.v.Services
ervices
33325 8th Ave S • _ t,
Federal Way,WA 98003 2
Ph:(253)835-2807 Fax:(253)835-2809 Inspection Request Line: (253)835-3050
Project Name: ANDERSON
Project Address: 400 SW 327TH PL Parcel Number 926491 0160
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Project Description: Installation of a 9.90 kw new solar panel photovoltaic system
Owner Applicant Contractor
KENNETH A ANDERSON PUGET SOUND SOLAR LLC PUGET SOUND SOLAR LLC
400 SW 327TH PL 805 RAINIER AVE S PUGETSS920RH(12/8/16)
FEDERAL WAY WA SEATTLE WA 98144 805 RAINIER AVE S
98023 SEATTLE WA 98144
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Additional Permit information
_ Is this an Online or O.T.C.application? .. No Is Use Educational or Institutional? No
Service greater than 999 Amps? No
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Electrical Fixtures
Circuits-Commercial 1
PERMIT EXPIRES Sunday, March 20, 2016
Permit Issued on Tuesday, September 22, 2015
I hereby certify that the above i •rm-;on is core and that the construction on the above described property and
the occupancy and the use 'I be i' a •r• •" ith the laws, rules and regulations of the State of Washington
nd a City of Federal Way.
Owner or agent Date: 9 5
roF • THIS CARD IS TO RE ON-SITE
aConstruction Inspe ion Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 15-104690-00-EL Address: 400 SW 327TH PL
Project: KENNETH A ANDERSON FEDERAL WAY, WA 98023-5643
i
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) '❑ Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
❑ Pool Bonding(4195) ❑ Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) ' 0 Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
o Final-Electrical(4055)
Approved
By > Date ANL"f`--1 & ,
❑ Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
.
11,
1 " • 111111
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.•� ELECTRICAL
CITY OF
Federal Way PERMIT APPLICATION
RECEIVED
PIT NVQ— — t 04 (0 Cif)goo SL
SITE ADDRESS: Viiiiittlb
SEP 15 2015
) 3fl P�-- I e�c�.I W0.(, W 9eo / CDSt" ! WAY
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ (?5 c °a -
PROJEfCT NAME
(Tenant or Homeowner Last Name) At,c� Sr - hi rr,s- J 1
SA,ct.\1 c,A CJ,A vt' 0. 9, 5 s oi..r p\--A o'l c ci..j c Z Cm ,...-). 11 b.
PROJECT DESCRIPTION MS-0\Qr. c,., r' A S'w 1e. ti -\CC-�r;L ro``Dm• Hncc.4S COr`y+s`}
Detailed description of work to �R C3�,Tk Q j.' "�s W CS.) AQ w�e s A.VJ Ike.Y` Y1tt ?a
be included on this permit only / \ � ��o� 1+ C
3��u�'� ll)�+� rte. � .- . l.. I.:„ l A VOA
NAME Kt-1r=
PRIMARY PHONE
PROPERTY OWNER �\t \i\ ktYJ UPSon (��1 lbb) Ivy' 7788
WALLING ADD
JOD SW 3)0 fL Sc rmiti7,),E.,16„4,,,,OW\
CITY STATE ZIP FAX
FeAzy\A1 i,Jt W{\ goa ( )
-
NAME PRIMARY PHONE
p&�.1 RES$Jo&4 Stloo. (abe)7DL19131
MAILELECTRICAL Ros 11a; iW k,2..S COh�ti�t'1, f1il a,,n)sbic,,„
CONTRACTOR crac
AI L A ZSTATE I�G I / C� )
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
pikA CSS 9 o (.\\Th 1 /z)� /16NAME MARY PRONE
APPLICANT II n'S �� hn;n ( O - b7bt�
RING ADDRESS 1 U E-MAIL
O ag RCA,1N')GE-` v C`c'►hfA V111 I va� c�,�S sD�u r
CITY /� � STATE ZIP �� ��� 1��,D:•y)
lSCCAA 1 Wit 9
NAME A
nIS �B (�p�) a 12 PRIMARY- ONE7 6 trr
,
PROJECT CONTACT CA (,nr�,/, .
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 authorised by the issuance of a permit. I understand that the
issuance of this permit does not remove the wner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless he City o ederal Way as to any claim(including costs, expenses, and attorneys'fees incurred in
the investigation and defens of s h claim), ich may be made by any person, including the undersigned,and filed against the city,
but only where such claim aris out 2 t reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to th city •- a p.. ., t is application.
.. q - JE- - ) s
SIGNATURE: DATE
PRINT NAME: ail) S �dh�n 1,7,'+-i b r
Bulletin#160-January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application