11-104925 Electrical
City Federal Way •
Putt #: 11-104925-00—EL
Commune &Econ.Dev.Services
33325 8th Ave S
Federal Way,Fax
98003
Ph:(253)835-2607 Fax(253)835-2609• InspectionRequest Line:
(253)835-3050, .:,
Project Name: ENGEL i d
Project Address: 3703 SW 313TH ST Parcel Number: 873198 1330
Project Description: Adding/altering(3)circuits for tankless water heater install
•
Owner Applicant Contractor
DELMAR 0 ENGEL DIVERSIFIED ELECTRIC SERVICE DIVERSIFIED ELECTRIC SERVICE
3703 SW 313TH CT 23626 112TH PL W DIVERES946L1(6/21/12)
FEDERAL WAY WA EDMONDS WA 98020 23626 112TH PL W
98023-4010 EDMONDS WA 98020
Is Use Educational or Institutional9 No
Circuits-Residential 3
PERMIT EXPIRES Wednesday, December 12, 2012
Permit Issued on Tuesday, December 13, 2011
I hereby certify that the - we in • /b.,/,'correct and that the construction on the above described property and
the occupancy .•• the -e will ,- -• • •-nce with the laws, rules and regulations of the State of W/1'11
shington
,d he City of Federal Way.
Owner or ag-nt: .J Lr� Date: /z ! 7
7
P/i/1/4
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THIS CARD IS TO MAIN ON-SITE
n
c, OF 11.111.14 • Construction I ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
imik
PERMIT#: 11-104925-00-EL Address: 3703 SW 313TH ST
Project: DELMAR 0 ENGEL . FEDERAL WAY, WA 98023-4018-
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
o Pool Bonding(4195) 0 Temporary Power(4275) ❑ 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
0 Final-Electrical(4055)
Approved
B / Date cZ. ((
0 Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
....A. ill f fLt04 -
CITY OF - -
Federal Way ELECTRICAL RECEIVED
PERMIT APPLICATION DEC 13 `,,4 :
**Most electrical permits may be obtained on-line at www.c6454/664rwkef} 1. WAY
PROPERTY INFORMATION CDS
SITE ADDRESS: '7o '5‘.....-) l 3-1m
SUITE/UNIT/SPACE• ASSESSOR'S TAX/PARCEL S CURRENT/PROPOSED USE
PROJECT INFORMATION - -
PROJECT NAME y�
(Tenant or Homeowner Last Name) tZ 1,160c___
PROJECT DESCRIPTION
tz-
Detailed description of work to CJ' `7 ��
be included on this permit only 15.1.--31G 1-4-Fo 14-4--r7
PEOPLE.
NAME PRIMARY PHONE
PROPERTY OWNER ..rrY V,)6-� (453) 92-7- 0741
MAILING
7m3 .,...ifr3 i h ST delb i9RR
CITY STATE ZIP /f.,�_FEZ
Ft � y wA ) - '
NAME PRIMARY PHONE
r o (ZO ) 76'- 119
MAXIM ADDRESS E-MAII
ELECTRICAL Zzj L Z� 1 allla_ l t ) [ws T
CONTRACTOR CrrY STATE ZIP FAX
LA-Ik 59O'ZO (Zra)Zbo- i 4tg''r
WA STATE CONTRACTOR'S LICENSES EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE/
rV 694(9L-I ' to I>i-
NAME PRIMARY PHONE
APPLICANT ( )MAILING ADI]RESS It-MAIL
CITY ( `� ZIP FAX
( ) -
NAME PRIMARY PHONE
PROJECT CONTACT ( ) _
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 la.1 f Way as to any claim(including costs,expenses,and attorneys'fees incurred in
the investigation , , def of such c , f► 7,, be made by any person,including the undersigned,and filed against the city.
but only w • ci 7 ,arises ou , � Jr, ,J the city, Including its officers and employees, upon the accuracy of the
information ,pi'-, bity as aT i ,n.
rA
L:41 J1i Z 41
SIGMA DATE
'AME: . *EA.-
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