19-103020 4 :o• 4
Electrical
City of Federal Way Permit #:19-103020-00-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: BEMILLER
Project Address: 2623 S 304TH ST Parcel Number:092104 9073
Project Description: Install a 7.32KWDC rooftop PV system.
Owner Applicant Contractor
STEPHEN G BEMILLER DICKSON HARDINGS M E INC OF S M E INC OF SEATTLE(EL 01)
2623 S 304TH ST SEATTLE SMEINS*066DB(3/2/20)
FEDERAL WAY WA 98003-4811 828 POPLAR PL S
SEATTLE WA 98144 828 POPLAR PL S
SEATTLE WA 98144
Additional Permit Information
Is this an Online or O.T.C.application? No
� � .:., .,, �
p ?'S t�otirrtii'.� �€ �t�` f, �A��..,i. `�': , � • •�•.x��y:,:":t, 4:. � i �,_,.
Circuits-Residential 1
CONDITIONS:
18"setback is required at the ridge for fire department purposes.
PERMIT EXPIRES Saturday, 11 July,2020
Permit Issued on Friday,July 12,2019
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
W--hin.ton a s the City of Federal Way. //
/ /
Owner or agent: fWk1 Date: VI 2- 4/
•
• 'IM1�1� THIS CARD IS TO REMAIN ON-SITE
uTr a
Federal Wa Construction Inspection Record
y INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 103020 00 Address: 2623 S 304TH ST
Project: ELIZABETH R BEMILLER FEDERAL WAY WA 98003-4811
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 atr}nv iiiate. 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) Q Ditch cover(4030) El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date * By Date . By Date
' '
❑ Pool Bonding(4195) El Temporary Power(4275) 1 ® Service(4235)
Approved Approved I Approved
By Date By Date I By Date
❑ Feeders/Sub-panels(4045) $ RoughElectrical(4225) ♦ 9 CeilingCover 4020
P ❑ ❑ ( )
Approved Approved Approved
By Date By Date By Date
El Final-Electrical(4055)
Approved
By ca Date ZS/daft L t
•
0 Rough Electrical ❑ Final Electrical ❑ Right of Way
Approved Approved Approved
By Date By Date .By Date .
•
W
cl
� r -
i
M
FJ a
Z
14,A 'Piz
U �
7
RECEIVED ELECTRICAL
CITY OF
Federal Way JUN 21 2019 PERMIT APPLICATION
CA IT OF FEDERAL WAY
DEVELOPMENT It 3 02 - t
EIT NUMBER � -
SUITE/UNIT/SPACEIf
SITE ADDRESS: 2623 S 304th ST, Federal Way, WA 98003
PROJECT VALUATION ASSESSOR'S TAX/PARCEL* CURRENT/PROPOSED USE
5,000.00
PROJECT NAME
Stephen BeMiller
(Tenant or Homeowner Last Name)
Install a 7.32KWDC rooftop PV system.
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER Stephen BeMiller
( 253 ) 941 0822
MAILING ADDRESS E-MAIL
2623 S 304th ST Betsy2resolve@msn.com
CITY STATE ZIP FAX
Federal Way Wa 98003 ( ) -
NAME PRIMARY PHONE
NW Wind 6 Solar - Division of SME Inc of Seattle 206 ) 391 - 2603
MAILING ADDRESS E-MAIL
ELECTRICAL 828 Poplar Place S dicksonh@nwwindandsolar.con
CONTRACTOR CITY STATE ZIP FAX
Seattle Wa 98144 ( 206 ) 726 - 8160
WA STATE CONTRACTOR'S LICENSE S EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE M
SMEINS*066DB 03 / 02 / 20 19-95-103611-OOBL
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS ( ) E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
PROJECT CONTACT Dickson Harding - NWWS Project Manager ( 206 ) 391 - 2603
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 4/2-i`//�
l
PRINT NAME: D' son Harding
PERMIT CENTER+33325 8th Avenue South + Federal Way,WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenter@,cityoffederalway.com
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application