15-100033 • *Electrical
City of FEcon.
al Dev. y ermit #: 15-100033-00-EL
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 F I L.EPInspection Request Line:
Ph:(253)835-2607 Fax:(253)835-2609 p q (253)835-3050
•
Project Name: MEEKS
Project Address: 1014 SW 339TH ST Parcel Number: 957850 0760
Project Description: 20-amp,120-v circuit with GFI protected outlet.
Owner Applicant Contractor
JAY MEEK D&A ELECTRIC LLC D&A ELECTRIC LLC
1014 SW 339TH ST 33410 30TH AVE SW DELEC*E897D5(4/5/15)
FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 33410 30TH AVE SW
FEDERAL WAY WA 98023
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Electrical Fixtures
Circuits-Residential 1
PERMIT EXPIRES Saturday, July 4, 2015
Permit Issued on Monday, January 5, 2015
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 Washington
and the City of Federal Way.
Owner or agent Date:
- THIS CARD IS TO MAIN ON-SITE
"n'OF '• • Construction In ection Record s
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 15-100033-00-EL Address: 1014 SW 339TH ST
Project: JAY MEEK FEDERAL WAY, WA 98023
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) ❑ Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
El Pool Bonding(4195) 0 Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
El Feeders/Sub-panels(4045) % ❑ Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
• '
CI Final-Electrical(4055)
Approved
By 4,.. 1 JOr�� Date 1 ` ...1_ g
.
❑ Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
-- AVM 1Vb3a••OA13 EICTRICAL
.
CITY OF V
Federal Way stOZ 5 o NV1 PERMIT APPLICATION
/
02AraDali
PERMIT NUMBER S- / 0 0 0. 3 3 -
SUITE/UNIT/SPACE•
SITE ADDRESS: 1
PROJECT VALUATION ASSESSOR'S TAX/PARCEL I CURRENT/PROPOSED USE
$ g<I3q C--' 9 3 7 2- .> 0 - 0 7 6 0
PROJECT NAME
(Tenant or Homeowner Last Name) inee.
PROJECT DESCRIPTION 7C, Z�>vG I-><- C 11n'i4 i u , \ �'11 �- 2i
Detailed description of work to (��-4('('fe CP
be included on this permit only 1
NAME PRIMARY PHONE
PROPERTY OWNER 'Tr- (, ) J(i (c,O)3C13 - (o e -
MAILING A DRESS E-MAIL
1(1q (,c_.2 .3739-
CITY STATE ZIP FAX
/-&fera.ly 9 Z_ 3 ( ) -
NAME PRIMARY PHONE
04-4- /erirt�_ (7S-3 ) 76/Sym
MAILING ADDRESS E-MAIL
ELECTRICAL -
33(-//C> `3r L � `S(l
CONTRACTOR CITY STATE ZIP FAX
i . 11 Lc/ 9 3 ( ) -
WA STATE CONTRACTO 'S LICENSE N EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE N
Dil EC_ w 7,QK
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS ( )
E-MAIL
CITY STATE ZIP / FAX
l ) -
NAME PRIMARY PHONE
PROJECT CONTACT Q, ir\ Pcxr G... (23.3)6
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: / _'' /� DATE /-6`!5
; b
PRINT NAME: 1 1n L Gtr i/.!....
Bulletin#160-January 1,2013 Page 1 of 2 k:\Handouts'Electrical Permit Application