19-105498 t t ti
Electrical
City of Federalpmay Permit #:19-105498-00-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: MARTIN
Project Address: 30105 4TH AVE S Parcel Number: 692860 0010
Project Description: Installation of generator interlock kit and PB30 inlet.
•
Owner Applicant Contractor
KENNETH MARTIN COMPREHENSIVE ELECTRICAL COMPREHENSIVE ELECTRICAL
30105 4TH AVE S SERVICES LLC SERVICES LLC
FEDERAL WAY WA 98003 18011 2ND ST E COMPRES882MW(7/17/20)
LAKE TAPPS WA 98391 18011 2ND ST E
LAKE TAPPS WA 98391
Additional Permit Information
Is this an Online or O.T.C.application? Yes
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Circuits-Residential 1
CONDITIONS:
A permanently installed generator is not allowed to be placed within required yards(setbacks).See
Bulletin #150 for placement details.
PERMIT EXPIRES Saturday, 14 November,2020
Permit Issued on Friday,November 15,2019
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy and the us will be in accordance with the laws, rules and regulations of the State of
ashington and the City of Federal Way,
Owner or agent: Date: /1/ /co)
(/ 1
l
i 4 f
THIS CARD IS TO REMAIN ON-SITE
CITY Coy
Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 105498 00 Address: 30105 4TH AVE S
Project: KENNETH MARTIN FEDERAL WAY WA 98003-3673
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.
UFER Ground(4295) ' 0 Ditch cover(4030) `'® Slab/Concrete Floor(4255) ,
Approved Approved Approved to place concrete
By Date By Date . By Date
Pool Bonding(4195) El Temporary Power(4275) ® Service(4235)
Approved Approved Approved
.By Date By Date By Date
No
0 Feeders/Sub-panels(4045) I ® Rough Electrical(4225) ' ® Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
E Final-Electrical(4055)
roved /�
By /C ieDate eZ9
0 Rough Electrical 0 Final Electrical E Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
CITY OF
-4k ELECTRICAL
iii Federal Way NOV 15 2019 PERMIT APPLICATION
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT
PERMIT NUMBER / 47 _ o.f% _ c rte`
SUITE/UNIT/SPACE#
SITE ADDRESS: No
3 h I ll f l'1- (lvc S
PROJECT VALUATION I _I� ASSESSOR'S TAX/PARCEL# ' CURRENT/PROPOSED USE
$ cc,U , 00e7 A _' - _Do Lc , d),
PROJECT NAME .rAl
C �_t(Tenant or Homeowner Last Name) r
11:-) 5111) 1 rn- 1 -1411ipck kt
PROJECT DESCRIPTION & V'1 or 16 Lr, ) e-)
Detailed description of work to
be included on this permit only
NAME 1 ) PRIMARY PHONE
PROPERTY OWNER t V\r _/ fv1a( -t) . ( d 0) ) 61 cp
MAILING ADDRESS / AveEMAIL
1610 c y f� c S .
CITYSTATE ZIP FAX
14��4,4 W y 14 TVP3 ( ) -
NAMk,V�' Ic, in ) ?v` ( ii) (Ai \ f�1 r ii.) (.)S-'3
5 3) PRIMARY- s-CO
MAILI G ADD S /. J f E-MAIL
ELECTRICAL S �� Y S� �= K1 i L kP f r, (aS e j,",/,(0
CONTRACTOR gIT� 1 � a��� ��T� zIP�v� ,�' FAX
WA STATE CONTRAC OR'S LICENSE# E3 IIRATION DATE FEDERAL WAY BUSINESS LICENSE#
C om� pesU'd M U;j G1/ 1 id b
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS ( ) E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
PROJECT CONTACT /
7 k'-.0 i.
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 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 • part of this application.
SIGNATURE: // DATE //// C/i 1
PRINT NAME:
( . C /et IL
Bulletin#160-April 14,2016 Page 1 of 1 k:\-landouts\Electrical Permit Application