11-100014 41
City of Federal Way * _ Electrical
Permit #: 11-100014-0
Community Development Services
P.O.Box 9718 LE 11-100014-00-EL
0
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: MCCLEOD
Project Address: 4113 SW 329TH PL Parcel Number: 873204 0490
Project Description: Alteration of(2)circuits for basement fire damage repair.
Owner Applicant Contractor
DENNIS MCLEOD MARKSTAN HOMES LLC RAINIER ELECTRIC LLC
MICHELLE MCLEOD 1757 57TH ST NE RAINIEL948JE(04/05/10)
TACOMA WA 98422 5308 S ISLAND DR E
BONNEY LAKE WA 98391
Is Use Educational or Institutional? No
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Circuits-Residential 2
PERMIT EXPIRES Wednesday, January 4, 2012
Permit Issued on Tuesday, January 4, 2011
I hereby certify '7 e ab• e information is correct and that the construction on the above described property and
the occupancy ahe u - 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: 1 ( LI (((
‘ S) 4 (1 IN
THIS CARD IS TO REMAIN ON-SITE
Crr,roF111.1
• Construction Iection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 11-100014-00-EL Address: 4113 SW 329TH PL
Project: DENNIS MCLEOD FEDERAL WAY, WA 98023-2631
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.
El LIFER Ground(4295) ❑ Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
El Pool Bonding(4195) e❑ Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
El Feeders/Sub-panels(4045) Rough Electrical(4225) '❑ Ceiling Cover(4020) '
Approved Approved Approved
By Date By C�• Date i_ `�^,� i By Date
0 Final-Electrical(4055) ' _ �P�-'
Approved
Date . (_ ((
El
Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
•
CITY OP , - I 0 0 0 ��
ELECTRICAL
JAN 0 ZQ11 PERMIT APPLICATION
CITY OF FED F-ghl-WAY
ost electrical permits mi be obtained on-line at www.ci o ederalway.com**
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SITE ADDRESS: 1.I 11 3 �` k) Sal Pt- � /i ,C qfgo?-3
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PROJECT NAME ,
(Tenant or Homeowner Last Name) '"' ✓�'� rr ik
DA- 1 L (h aCC SeJ1/`Q-1^r F ? CA/^Ct ,( ice
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
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PHONE
PROPERTY OWNER ' (S c I V vc�(l t M Teo
I (015'3)836- 7L/f 2--
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
) -
NAME PRIMARY PHONE
co eu e_,/- OtartC, ( ) -
MAILING ADDRESS E-MAIL
ELECTRICAL
CONTRACTOR CITY STATE ZIP FAX
WA ST
amCOZ IN DATE. WAY BUSINESS LICENSE
' CAL- 9XIC LI/
5 /1v lo— l� q
NAME
PRIMARY WORE
APPLICANT ( )
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
(
1 )
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 •• to hold harmless the City of Federal Way as to any claim/including costs,expenses,and attorneys'fees incurred in
the investigati, • d defense of such claim),which may be made by any person,including the undersigned,and filed against the city,
but only w ch 1• arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information •li-it t city as • part of this application.
SIGNATURE:/ I �- DATEI 11411
PRINT NAME: .L� t_` v -"
33325 8'"Avenue South♦PO Box 9718♦Federal Way•WA♦98063-9718•253-835-2607 1 fax:253-835-2609♦www.cityoffederalway.com
Bulletin#160-April 9,2010 Page 1 of 2 k:\Handouts\Electrical Permit Application