14-105891 •
electrical
City of F&EEcon.
Way Permit #: 14-105891-00-EL
Community con.Dev.Services ,�
•
33325 8th Ave S
Federal Way,WA 98003 L - ns Iectlon Request Line: 253
Ph:(253)835-2807 Fax:(253)835-2609 p ( )835-3050
Project Name: SKAGER
Project Address: 2836 SW 349TH PL Parcel Number: 502946 0130
Project Description: Wiring for kitchen remodel.
Owner Applicant Contractor
JOHN CHARLES SKAGER CRYSTAL ELECTRIC CRYSTAL ELECTRIC
SHIRLEY SKAGER 2805 PIONEER WAY CRYSTE*948PF(10/6/16)
2836 SW 349TH PL TACOMA WA 98404 2805 PIONEER WAY
FEDERAL WAY WA 98023 TACOMA WA 98404
Additional Permit Information
Is this an Online or O.T.C.application9 Yes Is Use Educational or Institutional? No
Electrical Fixtures
Circuits-Residential 6
PERMIT EXPIRES Monday, May 11, 2015
Permit Issued on Wednesday, November 12, 2014
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
-nd the ity of Federal Way.
Owner or agent %G - Date: <ih 2-//
r , THIS CARD IS TO MAIN ON-SITE
CITY Of �MA • ti
Federal WayConstruction In ection Record
INSPECTION REQ TS: (253)835-3050
PERMIT#: 14-105891-00-EL Address: 2836 SW 349TH PL
Project: JOHN CHARLES SKAGER FEDERAL WAY, WA 98023-3089
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) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
❑ Pool Bonding(4195) ❑ Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
o Feeders/Sub-panels(4045) 0 Rough Electrical(4225) CI Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
El Final-Electrical(4055)
Approved
By �``�1.. Date `^a L-\
•
❑ Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
•CEIVD
E CTRICAL
CITY OF
Federal Way NOV 12 2014 PERMIT APPLICATION
CITY OF FEDERAL WAY j
PERMIT NUMBER J4.71 _ / y1 _ I L
SITE ADDRESS: C ffc,7 3 SUITE/UNIT/SPACE#
2- 36 3 v q r' Oa CE- 5-.._\.-1/-__ F4cra t,,.,,
PROJECT VALUATION AS SOR'S TAX/PARCEL# / CURRENT/PROPOSED USE
$ 2,c? CO� C L{ (-) - 0 ( SI c
PROJECT NAME / _ `C— k'� .
(Tenant or Homeowner Last Name) ..L ---% ici if J ( flS >
PROJECT DESCRIPTION 1 ► ih e h Pe mcc/F I
Detailed description of work to
be included on this permit only
(NAME ,, PRIMARY
EPRIMARY PHONE
PROPERTY OWNER Cc4 -J /jam/f J If CO ll (253 )26/ - `173
MAILING ADDRESS E-MAIL
6-D'% "c/ kct,St,v
CITY STATE ZIP FAX
Fedi eKa / t4/aI wai glgCG,3 ( ) -
-. NAME ,-- / ..... F.. PRIMARY PHONE
.-- -- ' -- C75M FIeCir '? 3)2, 0 - 6:c1-17
MAILING ADDRESS - E-MAIL
ELECTRICAL 22c7 E 6fft,f f e_
CONTRACTOR CITY STATE ZIP FAX
T t t,1/4 g5Lfcil ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
C r yif `1 113 r F )c/ 6 • 17 0 -/°Z�cI-OC-5'L ___
NAL PRIMARY PHONE
APPLICANT C/ S ru" _l 1 eC- r c Cl ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME � PRIMARY PHONE
PROJECT CONTACT �V)�i.:Tc-kc l i i (.0 ')
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: V 5 il, i DATE )Yi 2:// /
PRINT NAME: ,,P -- 6-2 i - ..,S h I 1/6.-_-_l 1
Bulletin#160—January 1,2013 Page 1 of 2 10Handouts\Electrical Permit Application