19-102984 17ectiical
City
unuy Dederal Way Permit #:19-102984-00-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: WOLFE
Project Address: 1104 S 299TH PL Parcel Number:515160 0490
Project Description: Installing generator kit for future USA generator.Kit will be wired into panel.
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Owner Applicant Contractor
RUSSELL WOLFE RUSSELL WOLFE OWNER IS CONTRACTOR
1104 S 299TH PL 1104 S 299TH PL
FEDERAL WAY WA 98003-3751 FEDERAL WAY WA 98003-3751
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Additional Permit Information
Is this an Online or O.T.C.applications Yes
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PERMIT EXPIRES Thursday, 18 June,2020
Permit Issued on Wednesday,June 19,2019
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
of Washington and the City of Federal Way.
Owner or agent: Date: V ��
THIS CARD IS TO REMAIN ON-SITE
F'CITY OF
Federal , Construction Inspection Record
Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 19 102984 00 Address: 1104 S 299TH PL
Project: IRIS H WOLFE FEDERAL WAY WA 98003-3751
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.
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.
UFER Ground(4295) �.a Ditch cover(4030) +'i•❑ Slab/Concrete Floor(4255) ,
Approved Approved Approved to place concrete
By Date `By Date By Date
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Pool Bonding(4195) El Temporary Power(4275)
® ®
Service(4235)
Approved Approved Approved
-By Date >A By Date By Date
El Feeders/Sub-panels(4045) ® Rough Electrical(4225) 8
l; ❑ Ceiling Cover(4020)
Approved Approved
Approved
By Date ,.By Date By Date
El Final-Electrical(4055)
By aApproved C�
Dated--a?-1(1C�-I
❑ Rough Electrical
0 Final Electrical ❑ Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
CITY oF JUN 1 9 2019
ELECTRICAL
Federal Way cm,OF- FEL r ALWI-Sr PERMIT APPLICATION
COMMUNITY DEVELOPMENT r 1
PERMIT NUMBER 1 1
SUITE/UNIT/SPACE#
SITE ADDRESS: //O �c �'I'7`J( /4 9,
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ /?4 ' 4°S;t"- -
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PROJECT NAME
(Tenant or Homeowner Last Name)
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PROJECT DESCRIPTION .zT�-�G� ,- r
Detailed description of work to �/�
be included on this permit only i ����:� /y'�n Q4) -5-X
NAME (� PRIMARY PHONE
PROPERTY OWNER GI�,EGE- (2.53 ?6( /(
MAILING ADDRESS (7g/7 c_FrI IL
// . z G ./f:2A4C.F5 , T
CITY STATE ZIP FAX
NAME PRIMARY PHONE
( )
MAILING ADDRESS E-MAIL
ELECTRICAL
CONTRACTOR CITY STATE ZIP FAX
( )
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PRIMARY PHONE
APPLICANT Zia C.-14 ( )
MAILING ADDRESS
//9% S Z977
(3
STAT ZIP
( FAX
)
NAME n PRIMARY PHONE
PROJECT CONTACT ss / � r"3126' -2‘//
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. /G}
SIGNATURE: DATE C // —/9
PRINT NAME: #sem `•t/ 7�l'`�
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application
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CITY C3. `•^.mow->` Property Owner
Federal Way Electrical Work Permit Application
Applying For Your Electrical Permit - - ,L
In Washington, only licensed electrical contractors may perform electrical work. Property owners
may apply for an exemption from these requirements by completing this application and signing F
the affidavit below before beginning electrical work. F
1f1(l�vit
As authorized under RCW 19.28.261, I, 6,135 EGL 64,11:76.44-1hereby apply
. (Printed name of property owner,renter,or lessee) t
for an exemption from the electrical licensing and certification requirements of RCW 19.28 by
submission ofthis affidavit.
I
Which statement describes you? (Mark only one. If none apply,you may not take out this permit) -
7 I own this property. t
Your name or your company's name must be shown on the deed to the property.Real estate agents'property l
management companies, relatives, etc. cannot purchase permits for the property owner.
ElI rent or lease this property. x
t We need a copy of your rental agreement showing you have permission to perform electrical work.
❑ I am an officer for a 501(c)(3)nonprofit corporation,or a nonprofit religious organization. x
The total market value of electrical work must be$30,000 or less and all electrical work must be done by a
non-compensated appropriately certified electrician.
.
Select your property type(Mark only one.If none apply,you may not take out this permit)
❑ New single family residence that is not intended for rent, sale,or lease,where I will be living for
at least 24 months after completing the electrical work. I will be personally doing the electrical
s. work. i
❑ New 2,3,or 4 unit residential building,owned by me,that is intended for rent,sale, or lease. I l
will be living in one of the units for at least 24 months after completing electrical work. I, t
personally,and/or a regularly employed employee(s),will be doing the electricalwork.
❑ New place of business,farm,or other property: Any new structure that is not intended for rent,
sale,or lease. I,personally,and/or a regularly employed employee(s),will be doing the electrical work. ,
i7&
Existing residential property,place of business,or farm.I,personally,and/or a regularly i
employed employee(s),will be doing the electrical work.
DEPARTMENT OF COMMUNITY DEVELOPMENT/33325 8TH AVENUE SOUTH/FEDERAL WAY,WA 98003-6325
253-835-2607 N.www.cityoffederalway.com N permitcenter@cityoffederalway.com
Bulletin#080—June 6,2018 Page 1 of 2 k:\Handouts\Property Owner Electrical Work Application
' ❑ 501(c)(3) or nonprofit religious organization owned property:The total market value of the
electrical work must be$30,000 or less,and all electrical work will be performed by appropriately '
certified electricians,or certified and properly supervised trainees,who are volunteering and not
being compensated for the electrical work per RCW 19.28.091(7).
:Your signature is required below:
I believe I should be exempt from the requirements to obtain an electrical license,or use a certified .
electrician, as provided under RCW 19.28.261.
By signing below,I certify the information I am providing on this affidavit is true and accurate. I
under nd that if I make false statements or misrepresentations,I-ma be a sessed penalties.
-.5.1 6.(-L"'"--Zije9 611- ...-_ /# 6. .„,-/ !
Printed Name of Property Owner,Renter,or Lessee S, .. ure
:. a ____, ..-q_
Date .
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_ . . - Property Owner and Inspection^Site Informatiolu -'.
&r
Property Owner's ame(Last,First)or Company Name
. //c' ' 5, , - 741 - fEagieli)*64,4- cd
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Mailing Address Unit/Apt.# City ate Zip
2c3,1�-A. s7/ 4c - t2L---
I Daytime Phone Email Address
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Inspection Site Address(if different) Unit/Apt.# City State Zip
County Electrical Power Company/Serving Utility `
Description of work being done(Example:adding outlets in the kitchen,second floor break area,etc.)
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DEPARTMENT OF COMMUNITY DEVELOPMENT/33325 8TH AVENUE SOUTH/FEDERAL WAY,WA 98003-6325
253-835-2607 zs www.cityoffederalway.com Is.permitcenter(a�cityoffederalway.com
Bulletin#080-June 6,2018 Page 2 of 2 k:\Handouts\Property Owner Electrical Work Application