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19-100010 U' - Electrical City of Federal Way Permit #:19-100010-00-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 tl " 110 Project Name: JOLLEY Project Address: 823 SW 313TH CT Parcel Number: 555990 0160 Project Description: Installation of 5kw solar PV system. • Owner Applicant Contractor KRIS&JENNIFER JOLLEY KRIS&JENNIFER JOLLEY OWNER IS CONTRACTOR 823 SW 313TH CT 823 SW 313TH CT FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 Additional Permit Information Is this an Online or O.T.C.application9 No <x - ' '„• 1 lectrielti Fi)ixtura ;, . Circuits-Residential 1 PERMIT EXPIRES Saturday, 15 February,2020 Permit Issued on Friday,February 15,2019 I hereby certify that the abtve 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: -/51-1 6 /(‘ ) pc r, ti 4sA, THIS CARD IS TO REMAIN ON-SITE �^��!'dI THIS Inspection Record F@INSPECTION REQUESTS:(253)835-3050 PERMIT#: 19 100010 00 Address: 823 SW 313TH CT Project: KRIS&JENNIFER JOLLEY FEDERAL WAY WA 98023 Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD.'Inspections aro 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 my 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 0 Service(4235) [B Feeders/Sub-panels(4045) ED Rough Electrical(4225) Approved Approved Approved By Date By Date By Date Q Ceiling Cover(4020) ® Final-Electrical(4055) Approved pproved By Date By Date? 7'" • Rough Electrical 0 Final Electrical 0 Right of Way Approved Approved Approved r By . Date By Date By Date V • 4 '�,'•.1 14\: .� 7, • • . •I i .► k. 1 m ...' 1" 4N„,, ., , ,Q,1 ,,, „ ...... , . `‘-; ' cN. ii. 41. ‘,‘ 'k .1 , ts [>, 1 f 2 7 RECEIVED CITY OF ___4_,.. ELECTRICAL Federal Way JAN 0 2 2019 PERMIT APPLICATION CITY OF FEDERAL WAY COMMUNITY DEVELOPMENT /l PERMIT NUMBER / - / O V O ( O f / SUITE/UNIT/SPACE# SITE ADDRESS: 313` 7— `c.,»f li/y 7�y 9Us'-3 PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE $ /e.'(V . 1:7 ? 1 C - a f c PROJECT NAME (Tenant or Homeowner Last Name) I)'1C'_r_ 7�slv,eA- 5 ,mow So% pi/ srf44,1 tyi PROJECT DESCRIPTION LL Detailed description of work to S i7v 1 kk 4-1t1 ?OVA A be included on this permit only NAME PRIMARY PRONEE PROPERTY OWNER !-'p iS *:..Seri I iEa (4&i) 'f2.3 -Sl,)6, MAILING g.23 ADDRESS SLS 3/3d-cr 4,sk (4). V,1/1t141'\ CITY STATE ZIP FAX -_ �1 �(Ydr bJ'�� 11; CAW3 ( ) - NAME - PRIMARY PHONE ->AVit( 4 5 a464/-( ( ) MAILING ADDRESS E-MAIL ELECTRICAL CONTRACTOR crrY STATE ZIP FAX ( ) - WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# / / NAME PRIMARY PRONE APPLICANT r��1 Of 440 1.( ( ) - MAIIdNG ADDRESS E-MAIL CITY STATE ZIP FAX ( ) - NAME PRIMARY PHONE PROJECT CONTACT l J 0 (v2 6& ) LW-SSC I certify under penalty of perjury that I am the property owner or authorised 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: � e �/ DATE �'.%' / rr / I PRINT NAME: / ./f '1'iidZLy // PERMIT CENTER 4 33325 8th Avenue South+ Federal Way,WA 98003-6325 253-835-2607+FAX 253-835-2609 +permitcentena citvoffederalway.com Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application HtUtIVtu A - . if- ZOO opo JAN 022019 CITY OF FEDERAL WAY COMMUNITY DEVELOPMENT' CITY OF 1 Allik Property Owner Federal Way Electrical Work Permit Application - . Applying For:Your Electrical Permit -- .. Y• 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 the affidavit below before beginning electrical work. .,,7-7,k ' .,.. ..... .. -... . -1-7.•:7"'.''''.'71:'''.7"''':"'' .. f,..7: E Affidavit - ,>,, As authorized under RCW 19.28.261, 1, ik)5 iI� hereby apply! (Printed name of property fwner,renter,or lessee) for an exemption from the electrical licensing and certification requirements of RCW 19.28 by I • submission of this affidavit. Which statement describes you? (Mark only one.If none apply,you may not take out this permit.) .----6 own this property. i Your name or your company's name must be shown on the deed to the property.Real estate agents'property management companies, relatives, etc. cannot purchase permits for the property owner. I ❑ I rent or lease this property. £ { We need a copy of your rental agreement showing you have permission to perform electrical work. a ❑ I am an officer for a 501(c)(3)nonprofit corporation,or a nonprofit religious organization. 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.) pfr—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 work. . ❑ New 2,3,or 4 unit residential building, owned by me,that is intended for rent, sale, or lease. I i will be living in one of the units for at least 24 months after completing electrical work. I, 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, d -,or lease. I,personally,and/or a regularly employed employee(s),will be doing the electrical work. r► isting residential property,place of business,or farm.I,personally,and/or a regularly 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 li,.www.cityofiederalway.com zs permitcenter@cityoffederalway.com Bulletin#080—June 6,2018 Page 1 of 2 k:\Handouts\Property Owner Electrical Work Application • • i 0 501(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 " understand that if I make false statements or misrepresentations, I may be assessed penalties. KRIS Printed Name 'f Property Owner,Renter,or Lessee ':nature k.2-/ Date Property Owner and inspection SiteInformation. SOI K-i S 1 Property wner's Name(Last,First)or Company Name X23 Sw 313j11 c � J 10a.g la ft 0923 Mailing Address Unit/Apt.# City State Zip ‘,2o6- 1-423-5/ft Daytime Phone Email Address Inspection Site Address(if different) Unit/Apt.# City State Zip ps6 County Electrical Power Company/Serving Utility Description of work being done(Example:adding outlets in the kitchen,second floor break area,etc.) 7/JSq s eliv 5014E-i'' 19// -Sp4-0 DEPARTMENT OF COMMUNITY DEVELOPMENT/33325 8TH AVENUE SOUTH/FEDERAL WAY,WA 98003-6325 253-835-2607 zs www.cityoffederalway.com permitcenterRcityoffederalway.corn Bulletin#080—June 6,2018 Page 2 of 2 k:\Handouts\Property Owner Electrical Work Application