15-104155 t.
Electrical
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, 'Gity'ef Federal Way ,//,�� alb&Econ.Dev.Services Permit : 15-104155-00-E L
33325 8th Ave S
Federal way,WA 98003 Ins ection Re uest Line: 253 835-3050
Ph:(t53)835-2607 Fax:(253)835-2609
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°4 Project Name: FULCHER
Project Address: 2012 SW 353RD PL Parcel Number: 926975 0890
Project Description: Installation of roof-mount PV system.
• ,
Owner Applicant Contractor
RYAN J FULCHER SOLTERRA SYSTEMS SOLTERRA SYSTEMS
DANIKA M FULCHER 3220 1ST S SOLTES*895MR(10/9/16)
2012 SW 353RD PL SEATTLE WA 98134 3220 1ST S
FEDERAL WAY WA 98023 SEATTLE WA 98134
Additional Permit Information
Is this an Online or O.T.C.application? No Is Use Educational or Institutional? Yes
Electrical Fixtures
Circuits-Residential 6
PERMIT EXPIRES Wednesday, March 16, 2016
Permit Issued on Friday, September 18, 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: 711/14.14 � Date: IF _Ceti-, 2a/S'
II THIS CARD IS TO REW�ON-SITE , i
v of Construction Inspe ion Record =- =
u-ederal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 15-104155-00-EL Address: 2012 SW 353RD PL
Project: RYAN J FULCHER FEDERAL WAY, WA 98023-6928
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.
o LIFER Ground(4295) 0 Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
. I . . .
El Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) 0 Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date BGS Date_az_( � *By Date
o Final-Electrical(4055) 'Rc.,V7 S i,. Ler )
Approved
By Q._ "- Date p1 3 e-t a
❑ Rough Electrical * 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
.C;TMOF • ECTRICAL
Federal Way AUG 17 2015 PERMIT APPLICATION
CITY OF FEDERAL WAY
PZRMIT NUMBER _ 1
5 / 1 ci / rs _
L L.....-
9 ,{
SITE ADDRESS: ZD / 2 S W 3533 SUITE/UNIT/SPACE#
Pl, �elenl '✓,.y, W� If
PROJECT VALUATION ASSESSOR'S TAR/PARCEL# CURRENT/PROPOSED USE
s 2 5, 00 0 / Z G q 7 5 _ O S �' O si11.516 d y
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PROJECT NAME
(Tenant or Homeowner Last Name) r L—U I e A e r So`/Q r
PROJECT DESCRIPTION I ns}a )1 !1' 7 G k W ?U s ys fern On Apo.
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER Ryan FtIc4er (204) ZSG—3054/
2MAILING ADDRESS
3534 Pl tj-F@cPoI;no,hei-
STATE ZIP FAX
Feder.,1 Way WA q80 23 ( ) -
NAME --- PRIMARY PHONE
50 l Terra .5ys7em s ( SAD) $'655- yaps--
MAILING ADDRESS E-MAIL
ELECTRICAL 3220 )r Ore S di g CO in fo ar So/e,'t, Coal
CONTRACTOR CITY STATE ZIP FAX
seafHp W4 R8134/ - 0041-5(10) 8%5-
WA STATE CONTRACTOR'S LICENSE 0 EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE k
I
NAME u I De (1Cq ��//errq /02 PRIMARY PHONE
11.1 t'R J ( ` ) $)3 66OG
APPLICANT MAILING ADDRESS E-MAIL
3220 /54-Ave S � 8'Oo ad ejka@Solierra .rte
C STATE ZIP FAX
364 ff1e. km- `r ' /3t (goo )SGS-o0ys
N E 1 PRIMARY PHONE
PROJECT CONTACT
I yS R De jk� ( `ioZ $)3 - GGoc
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.
7 r
SIGNATURE: ` DATE U� S Za/�
PRINT NAME: #1-I 4/S 1 a D e j Ica
BuIletn l#160—January 1,2013 Page 1 of 2 k.\Handouts\Electnca]Permit Application