15-103061 10 .. I Electrical
Community&ty Econiif .Del vay
.Services F I LE Permit #: 15-103061-00-E L
33325 8th Ave S
Federal way,WA 98003
Inspection Request Line: 25
Ph:(253)835-2607 Fax:(253)835-2609 q ( 3)835-3050
g
Project Name: BURNS/O'BRIEN
Project Address: 2314 SW 350TH PL Parcel Number: 176110 0330
Project Description: Replace existing 200 amp FPE panel with a new 200 amp panel.
Owner Applicant Contractor
H LEE BURNS VINCE ROSCELLI EDGEWOOD ELECTRIC INC
JANICE A OBRIEN EDGEWOOD ELECTRIC INC EDGEWEI950CW(2/16/17)
2314 SW 350TH PL 11925 43RD ST CTE 11925 43RD STREET CT E
FEDERAL WAY WA 98023 EDGEWOOD WA 98372 EDGEWOOD WA 98372
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Electrical Fixtures
Alt.Serv./Feeder:0 to 200 amps(F 1
PERMIT EXPIRES Monday, December 21, 2015
Permit Issued on Wednesday,June 24, 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
an City of Feder y.
Owner or agent: t 9/,\A•t-31-0 /61/1._t Date: 1
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FINALED
THIS CARD IS TO RE ON-SITE
•
CITY OFA
Construction Insp tion Record r .
, Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 15-103061-00-EL Address: 2314 SW 350TH PL
Project: H LEE BURNS FEDERAL WAY, WA 98023-3084
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) Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
0 Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
o Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
.❑ Final-Electrical(4055)
Approved
By (/v4 Date 7r(, ((c-
D • Rough Electrical * El Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
• •
ELECTRICAL
CITY OF
Federal Way PERMITRA RLICATION
PERMNUSBER
A. 5 _ ` 03 0 _ b o JUN 242015
IT
CITY OF FEDERAL WAY
A CDS SUITE/UNIT/SPACE#
SITE ADDRESS: 319 SW 350 pi, Fid e rg l Wci vJ ci iS G z 3
PROJECT VALUATION ASSESSOR'S TAX/PARCEL S CURRENT/PROPOSED USE
$ tSOD \ co a _ 33o
PROJECT NAME
(Tenant or Homeowner Last Name) Burns
1Ztec)kkce 7OOrrnp FIDE Fa,eA LA)
PROJECT DESCRIPTION 2.0o Am P c`(lc(
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER 730,ntce 0' lrieir1 FS. Le,. turns (ZS s)7o9 - i7(F5
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
F1-- ( ) -
NAME PRIMARY PRONE
Edge. oc)ok Ekec4cic, Tnc. (7.S5)97 - SOI,
MAILING ADDRESS E-MAIL
ELECTRICAL t 1 9`S `t 3ra V CT E vroscet t ereAAtzacri
CONTRACTOR
Ee: d STATE ZIP
t PAX
37 z ( )
dac d
WA STATE CONTRACTOR'S LICENSE• EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE if
EOGEWEI.9SOC\I,/ Z / I b / i7
NAME PRIMARY PHONE
SOVAPPLICANT ''e' 0 S COn i-f'c•Cod' ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
PROJECT CONTACT U►n c.e 1ioSr� l l i (as 3)1$7- ciot 3
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 authorised 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: nom,+'' 1?-1" ✓ ,/ DATE [� y
PRINT NAME: i n Cent € t t
l
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application