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19-102085
r Electrical City of Federal Way Permit #:19-102085-00-EL Community Development Dept. 33325 8th Ave S Federal Way,WA 98003 Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax:(253)835-2609 Project Name: MIRROR LAKE HIGHLAND LOT 4 Project Address: 31106 6TH LN SW Parcel Number: 555790 0040 Project Description: Wire 1100 square foot home. Owner Applicant Contractor WILLIAM MCCAFFREYMIRROR LAKE DENNIS ROSSADVANCED HEATING& ADVANCED HEATING&ELECTRICAL HIGHLAND LLC ELECTRICAL SOLUTIONS LLC SOLUTIONS LLC 30929 37TH PL SW PO BOX 1004 ADVANHS8401N(4/25/20) FEDERAL WAY WA 98023 ORTING WA 98360 PO BOX 1004 ORTING WA 98360 Additional Permit Information Is this an Online or O.T.C.application? Yes � Y L I C2 "Y e%� h3 8 , -"Atli, 3 P ' 01:1 v 4 .' New Service:Residential 1 PERMIT,EXPIRES Thursday,30 April,2020 Permit Issued on Wednesday,May 1,2019 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and use will be'• -1"cordance with the laws, rules and regulations of the State of -: in• •n and the City of Federal Way. Owner or agent: / Date: '-' 1 ? THIS CARD IS TO REMAIN ON-SITE • • . . CITY o, s Federal Wa Construction Inspection Record y INSPECTION REQUESTS:(253)835-3050 PERMIT#: 19 102085 00 Address: 31106 6TH LN SW Project: WILLIAM J MCCAFFREY FEDERAL WAY WA 98023 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) 1 El Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date 1 By Date •• 4❑ Pool Bonding(4195) 0 Temporary Power(4275) © Service(4235) Approved Approved Approved By Date By Date By Date `- 4,--/ 0 Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020) Approved Approved Approved By Date .;"'"—/5" By Date _2 /2 By Date El Final-Electrical(4055) Approved By r Date/0`' Pi/ 0 Rough Electrical 0 Final Electrical ❑ Right of Way Approved Approved Approved By Date By Date By Date RECEIVED ELECTRICAL CITY OF NIP— Federal Way MAY 01 2019 PERMIT APPLICATION CITY OF FEDERAL WAY COMMUNITY DEVELOPMENT I 9 - I b 2 d g PERMIT NUMBER SUITE/UNIT/SPACE# SITE ADDRESS: ‘`°Lit S 11J PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE co ems_ce____ 5 5 5 1 I 0 - 0 0 1-/ PROJECT NAME (Tenant or Homeowner Last Name) Ly, e-E 1 X00 Scv /FT HSE PROJECT DESCRIPTION Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNERI4J i�.�C tJ$ s ru,p/ )701- 3 79.7 MAILING ADDRESS E-MAIL CITY STATE ZIP FAX ( ) _. _. NAME .._ PRIMARY PHONE itvrA 14r• N-Eya-'nntk, _t_fmcStCOL(25?)MI - 54Y1 MAILING ADDRESS E-MAIL ELECTRICAL C {oX 1Ob1 CONTRACTOR CITY STATE ZIP FAX OF—T)N(o `iil3t4, O ( ) - WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# NAME PRIMARY PHONE APPLICANT MAILING ADDRESS ( ) E-MAIL CITY STATE ZIP FAX ( ) NAME PRIMARY PHONE PROJECT CONTACT -Pt0•5 (257) Cog - 21-hr) 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 clai• ), which may • made by any person,including the undersigned, and filed against the city, but only where such claim arises • . of the rel f the city, including its officers and employees, upon the accuracy of the information supplied to the ci • part of thi ler •tion. SIGNATURE: •"'K-- e INK"' DATE PRINT NAME: r l4J )< ` 0 g Bulletin#160-April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application