19-103600 Electrical
City
ofFederal Way Permit #:19-103600-00-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: TOPPANO
Project Address: 854 S MARINE HILLS WAY Parcel Number: 515296 0780
Project Description: Add(I)circuit for hot tub.
•
Owner Applicant Contractor
TOPPANO DAVID&FARMER ANNE TOPPANO DAVID&FARMER ANNE OWNER IS CONTRACTOR
854 S MARINE HILLS WAY 854 S MARINE HILLS WAY
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
Additional Permit Information
Is this an Online or O.T.C.application9 Yes
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Circuits-Residential 1
PERMIT EXPIRES Saturday,25 July,2020
Permit Issued on Friday,July 26,2019
I hereby certify that the above information is correct and that the construction on-the aboVe�escribed property
and the occupan = • l e use wi • accordance with the laws,Fiiles and regulations of the State of
Washing •n and the Ci 1 % ederal Way.
Owner or age : Date: 2a q.' r
crn arf to&• THIS CARD IS TO REMAIN ON-SITE •
Construction Inspection Record
Federau Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 103600 00 Address: 854 S MARINE HILLS WAY
Project: TOPPANO DAVID& FARMER ANN FEDERAL WAY WA 98003
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) 0 Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
0 Pool Bonding(4195) ' 0 Temporary Power(4275) ® Service(4235)
Approved Approved Approved
By Date By Date By Date
0 . Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
El Final-Electrical(4055)
pproved
By j� Date 7e1
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED ELECTRICAL
CITY OF 111111
Federal WayAUL 2 6 2019 PERMIT APPLICATION
CITY OF FEDERAL WAY
COMMUNITY DEVELONEMEr NUMBER q _ ' b 3 lJ 0 () _ Zc
, L.-
SUITE/UNIT/SPACE#
SITE ADDRESS: 9 S C./ S uvl 't 01.,t \S J
PROJECT VALUATION V (( ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ /5 G , o G 5 1 5- 2 5 - CJ 7 b /46A—Tufo
PROJECT NAME
(Tenant or Homeowner Last Name) 0 PP A-1-NG
PROJECT DESCRIPTION e/e Jr: Cc- 1Jo 4-,..31, c....) or-,,,...„..
Detailed description of work to
be included on this permit only
N E PRIMARY PHONE
PROPERTY OWNER .s , (j 60O cr(- (2& )G7? - (SCg
MAILING ADDRESS E-MAIL
S6L S G✓<✓-( Hilts c,-)c-_, -ptoe n A -0 Ol''.sn,COkr..k
CITY STATE ZIP FAX
Fe c)e{c..1 L)c \ L 1 8 003 ( ) -
NAME PRIMARY PHONE
0. , piesr— ( )
MAILI ADDRESS E-MAIL
ELECTRICAL
CONTRACTOR CITY STATE ZIP FAX
( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME `r PRIMARY PHONE ,6
APPLICANT ` b /ow at,6 (.766) Gly - 84.5
MAILING ADDRESS E-MAIL
I S f `r,v..L dciks /,,,),6- rp. 0w..,th. c0,--
CI,Y STATE ZIP FAX
4-c.ce ( c.,(�/,\ w ps 9 23 00 3 ( ) -
N E / , \ - PRIMARY PHONE
PROJECT CONTACT 40 i /i;ep C'- C),41? - )/36- 8
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 de • - • such claim), •ich may be made by any person,including the undersigned,and filed against the city,
but only where sue, claim aris out of t eliance of the city, including its officers and employees, upon the accuracy of the
information suppl'-d - - city as • part , is application. .„/
SIGNATURE: _ — DATE _7/..1 C// /
PRINT NAME: u i o A �`^-25
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application
y
«rYaF Property Owner
Federal Way Electrical Work Permit Application
- ' Applying For YoElectrical Permit - ,
- - 1
In Washington, only licensed electrical contractors may perform electrical work. Property owners t
may apply for an exemption from these requirements by completing this application and signing s
the affidavit below before beginning electrical work.
As authorized under RCW 19.28.261, I, (-) 0 16p p c.-' hereby apply
(Printed name of property owner,renter,or lessee)
for an exemption from the electrical licensing and certification requirements of RCW 19.28 by
submission of this affidavit.
ii
.
Whic -statement describes you? (Mark only one_if none apply,you may not take out this permit) -,:,E
i _- . _ - — i
I own this property. r
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.
I0 I rent or lease this property.
.t We need a copy of your rental agreement showing you have permission to perform electrical work.
o I am an officer for a 501(c)(3)nonprofit corporation,or a nonprofit religious organization. i
i The total market value of electrical work must be$30,000 or less and all electrical work must be done by a s
non-compensated appropriately certified electrician.
I Select your property.type.(Mark only one.If none apply,you may not take out this permit) . -
i
1 ❑ 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. 1
❑ New 2,3,or 4 unit residential building,owned by me,that is intended for rent, sale, or lease. I
E will be living in one of the units for at least 24 months after completing electrical work. I, 1
personally, and/or a regularly employed employee(s),will be doing the electricalwork. )
5
1 0 New place of business,farm,or other property: Any new structure that is not intended for rent,
e, e,or lease. I,personally,and/or a regularly employed employee(s),will be doing the electrical work. 4
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 www cityoffederalway.com 2s.permitcenter ancityoffederalway-com
Bulletin#080—June 6,2018 Page 1 of 2 k-\I-landoutsl 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 of s.vit is u= and accura •. I
understand that if I make false statements or misrepresentations, ay be asse ed penaltie
Printed Name of Property Owner,Renter,or Lessee = Signature
7)247/ 7
Date
_ roperty Omer a pect>lo i`Sifie ri o nat on - _
I app0 , •
civ
Property Owner's Name(Last,First)or Company Name
i ft S Jecgl coca, C.✓ 7 �>
ailing Address - Unit/Apt.# City State Zip
• C3 .7 7 - �C5 � ►.,._s ti
yti e Phone Email Address
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)
(Jr-cult Cif lb
DEPARTMENT OF COMMUNITY DEVELOPMENT/33325 8TM AVENUE SOUTH/FEDERAL WAY,WA 98003-6325
253-835-2607 zs www.cityoffederalway corn zs permitcenter@cityoffederalway corn
Bulletin#080-June 6,2018 Page 2 of 2 k:U-Iandoutsl Property Owner Electrical Work Application