19-102716 Electrical
City of Federal Way Permit #:19-102716-00-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: ROSENBERG
Project Address: 30802 18TH AVE S Parcel Number: 785360 0122
Project Description: Replace service strike and weather head.
Owner Applicant Contractor
CHARLES A ROSENBERG WILLIAM REMICKEASY DOES IT EASY DOES IT ELECTRIC INC
29838 3RD AVE SW ELECTRIC INC EASYDIE044LQ(6/18/20
FEDERAL WAY WA 17712E 2ND ST
98023 LAKE TAPPS WA 98391 17712E 2ND ST
LAKE TAPPS WA 98391
Additional Permit Information
Is this an Online or O.T.C.application9 Yes
1=ixbu tes: 1 ted ,ith"tfilatr n nitb
PERMIT EXPIRES Friday,5 June,2020
Permit Issued on Thursday,June 6,2019
•
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy and the use will be in accordance with the laws, rules and regulations of the State of
Q Washington and the City of Federal Way.
Owner or agent: LC/ Date: gg./6-1/p
4ATHIS CARD IS TO REMAIN ON-SITE "
Feclera•Wa Construction Inspection Record •
y INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 102716 00 Address: 30802 18TH AVE S
Project: SANG JU ROSENBERG FEDERAL WAY WA 98003-4906
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) 0 Ditch cover(4030) El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
® Pool Bonding(4195) ED Temporary Power(4275) ® Service(4235)
Approved Approved Approved
By Date By Date By ege Date 6
Q Feeders/Sub-panels(4045) ® Rough Electrical(4225) 9❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
ill Final-Electrical(4055)
By //PProved /y
•
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
_41k RECEIVED ELECTRICAL
art oF
Federal WayJUN 0 2019 PERMIT APPLICATION
CITY OF FEDERAL.br' `r' Gj _ ) O ( I `� _ 5
COMMUNITY DEVELOP IT NUMBER I V
SUITE/UNIT/SPACE
SITE ADDRESS: 3 a, 3AA_ #
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ �d •dv -7 8 5 3 O _o ► Z
PROJECT NAME
(Tenant or Homeowner Last Name)
� -1)1-4141- P Sea-occe. ST724 4 Aega---ttAe/L-k-0,0 d
PROJECT DESCRIPTION 134M A a (P-412 s L d-mac 42- h 4--s No Pd cf./p4 Z4 r 'e ,
Detailed description of work to
be included on this permit only
NAMEPRIMARY PHONE Qq
PROPERTY OWNER 5�A-,t1C( SG�c beR ($a.5) 3 -'-4? f'
MAILING ADDRESS E-MAIL
0-47- ed, rty c)Agi7
CITY j� „� STATE IP FAX
¢mS �pfs{� W Fg99 ( )
NAME PRIMARY PHONE
MAILING ADT RES31)t e �'� R` . et-etc �d9�4s-6
L
ELECTRICAL j`7 f/y a`NI) -
CONTRACTOR CITY STATE ZIP FAX
La,�c� Tag 101.0 (4, 9'83 psi) 4q7- So
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
Ei cy .) J 044 L cp 0� / /> /
NAME ✓ PRIMARY PHONE
APPLICANT MAILING ADDRESS ( ) E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
PROJECT CONTACT TO N ���1� ( a- :9 c o'/4
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 a part of this application.
SIGNATURE: 0.
iJ.,`Lfiu Pv t k I� ��� -cls DATE D Oh/19
PRINT NAME: 'wt`/t 4C- Re(I✓l-Li
Bulletin#160-April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application