11-104819 • `. Electrical
City of Federal Way * r.
Community&Econ Dev.Services Permit #: 11-104819-00-EL
33325 8th Ave S
Federal Way,WA 98003 r ` Inspection Request Line: (253) 835-3050
Ph.(253)835-2607 Fax (253)835-2609 Fly
Project Name: TAYLOR
Project Address: 35662 15TH AVE SW Parcel Number: 713780 0085
Project Description: Replacing the existing 200 amp service with a new 200 amp service panel.
Owner Applicant Contractor
MARGARET TAYLOR BRENNER ELECTRIC LLC BRENNER ELECTRIC LLC
504 S 310TH PL 22233 120TH AVE SE BRENNEL893BK (1/14/13)
FEDERAL WAY WA 98003 KENT WA 98031 22233 120TH AVE SE
KENT WA 98031
: •mss; r. ,.
�11 ..' '!rtil't']t11 ; t1tt?tllt8t , ,� z ,
Is Use Educational or Institutional? No
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Alt. Serv./Feeder: 0 to 200 amps(F 1
•
PERMIT EXPIRES Wednesday, December 5, 2012
Permit Issued on Tuesday, December 6, 2011
l hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the u e will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: 14 I` '4/Ut z vlitetK b." Date: (Z /i
•
A
//V
THIS CARD IS TO REMAIN ON-SITE _
coF +��' • Construction Rection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
O.
PERMIT#: 11-104819-00-EL Address: 35662 15TH AVE SW
Project: MARGARET TAYLOR FEDERAL WAY, WA 98023-7245
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 Service(4235) 0 Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
❑ Final-Electrical(4055)
Approved
B Date ( 2 " (I
•
❑ Rough ElectricalEl Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
i
W1circ o 11 - ± .3 L
Federal.Way E. LECTRICAL �,-,u,y� IT APPLICATION
**Most electrical permits ma be obtained on-line at www.ci ojederalway.com**
SITE ADDRESS: 3S 4C, Z 1 Sth /-r ve 5k) Feder,,l1tii y 4(..)4. '/g02 3
SUITE/UNIT/SPACE# ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
7 1 3 7 g1D _ O 0 8 S
PROJECT NAME /
(Tenant or Homeowner Last Name) "1"- y(b r
A I-Ierec1 /See'VI(e — Rep/4(e es-isii it f I1t /
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME/'t ', PRIMARY PHONE
PROPERTY OWNER 4 ry a PC T /et//O ir= (25`3) 83y- 9/470
MAILING ADDRESS E-MAIL
5-14 5. 30i 310441 P
CITY F deeri,(WAy 44(I FZIP Az
r 'o0 3 ( )
NA% PRIMARY PHONE
7){r)ZZSJorem vie✓- EleG v1L LLC (2.93) `37 - $ e3
MAILING ADDRESSE� E-MAIL
ELECTRICAL P O. LJ nx /5-6 3 G t ir.S 6 6K/Kee-dee/Y/2_1 ei c f
CONTRACTOR CITY,/ ;7E ZIPAe. FAX
e.-/
l / WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
`J BRFNNE1- 853 B � , / P4 1203
NAME. PRIMARY PHONE
APPLICANT C kri S &�Fl vle✓ (253) 5.57' - 5S'2 3
MAILING ADDRESS E-MAIL
Pot Sox 1 S-63 cL,'S &bvertne d tv'lc,,iel
CITY Ke�t Skbt 150 5_ ( )NE ZIP FAX
NAME ,Q PRIMARY PHONE
PROJECT CONTACT ( IA r! , �J leL ki G1 e ( 253) F/S7 - SS-2 3
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.
Ifurther 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 thhecity as a part of this application.
SIGNATURE: //liras6.4,-444/teDATE T 2-A'/f
20 1/
PRINT NAME: CIA✓','S J . LJ V`-,e kin e r-
33325 8`"Avenue South♦Federal Way♦WA♦98003-6325♦253-835-2607♦fax:253-835-2609♦www.cityoffederalway.com
Bulletin#160—January 1,2011 Page 1 of 2 k:\Handouts\Electrical Permit Application