18-100762 1 RECEIVED
CITY OF
FEB 2 0 2018 ELE TRICA
Federal WayCITY OF FEDERAL WAY PERMIT APPLICATION
COMMUNITY DEVELOPMENT /
PERMIT NUMBER ( ( 0 0 62
SUITE/UNIT/SPACE#
SITE ADDRESS:420 SW 368th Street
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ Electrical 1400.00 3021049106 _ SFR
PROJECT NAME
(Tenant or Homeowner Last Name) Nichols Solar
Adding one dedicated 60 amp breaker for solar pv system.
PROJECT DESCRIPTION Upgrading existing breaker panel to a CH42-225-PVPN Panel
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER Mike Nichols ( 206 ) 948 - 2352
MAILING ADDRESS E-MAIL
420 SW 368th Street wapilot@comcast.net
CITY STATE ZIP FAX
Federal Way WA 98023 ( ) -
NAME PRIMARY PHONE
West Seattle Electric and Solar ( 206 ) 459 - 8442
MAILING ADDRESS E-MAIL
ELECTRICAL 6921 34th Ave SW amy@westseattleelectric.com
CONTRACTOR CITY STATE ZIP FAX
Seattle WA 98126 ( 206 ) 274 - 4962
WA STATE CONTRACTOR'S LICENSE* EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE
WESTSSE831PW -eer/a�A /-4a
NAME oz V let PRIMARY PHONE
APPLICANT West Seattle Electric and Solar ( 206 )459 - 8442
MAILING ADDRESS E-MAIL
6921 34th Ave SW amy@westseattleelectric.com
CITY STATE ZIP FAX
Seattle WA 98126 ( 206 ) 274 - 4962
NAME PRIMARY PHONE
PROJECT CONTACT Amy Beaudoin ( 206 ) 261 - 6654
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 oft s application.
SIGNATURE: DATE 2/12/18
PRINT NAME: Amy Bea in
PERMIT CENTER+33325 8th Avenue South+ Federal Way,WA 98003-6325
253-835-2607+FAX 253-835-2609+permitcenter@cityoffederalway corn
Bulletin#160—April 14,2016 Page 1 of 1 k:\Iandouts\Electrical Permit Application
+ RESUBMITTED
DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES
MAR 21 2018 33325 86 Avenue South
Federal Way,WA 98003-6325
CITY OF error 253-835-2607;Fax 253-835-2609
Federal WaY0OraITYFFEMWAY www.cityoffederalway.com
RESUBMITTAL INFORMATION
This completed form MUST accompany all resubmittals.
**Please note: Additional or revised plans or documents for an active project will not be accepted
unless accompanied by this completed form. Mailed resubmittals that do not include this form or that
do not contain the correct number of copies will be returned or discarded. You are encouraged to
submit all items in person and to contact the Permit Counter prior to submitting if you are not sure
about the number of copies required. **
ANY CHANGES TO DRAWINGS MUST BE CLOUDED.
Project Number: 1 S - 1 0 0 7 1 2 - 0 C) -
Project Name: Mt IkOt 5
Project Address: 4-12z $W 360' 5-1 r zeEe"ek Vai GZd 2
Project Contact: X9-4-1-k�� Phone: -6 --6b5
RESUBMITTED ITEMS:
#of Copies** Detailed Description of Item
RooT_�s `k p 3 [ar -,r -I' t te��,t- cs
2- rcac� w dted32d wet #
�• of lalrockc�re—
2— leitAcro `nom+'`,✓' d& 5(114—
�. Klp,0142. )16‹ Stiafx 14'(e ouc,ti Strbc1,-4A-Y4€-
**
Always submit the same number of copies as required for your initial application.**
Resubmittal Requested by : Letter Dated:
(Staff Member)
f= i-;_.,.. OE WE• ONLY •
•
RESUB#: I Distribution Date: 3 2 /1 By: 2t
Dept/Div Name # Description
)( Building CAAUtIL ill I
Planning
PW
Fire
Other
Bulletin#129—January 1,2011 Page 1 of 1 k:\Handouts\Resubmittal Information