Loading...
18-101362 Electrical Community el Permit #:18-101362-00-EL 33325 8th Ave S Federal Way,WA 98003 Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax:(253)835-2609 Project Name: DARBYSHIRE Project Address: 628 SW 294TH ST Parcel Number: 119600 1896 Project Description: Remodel bathroom,laundry room&rec room.Electrical work to include relocating wiring and adding(5)new circuits. Owner Applicant Contractor LAWRENCE DARBYSHIRE ROBERT WINKELMANBOBCAT BOBCAT F.I.FCTRIC INC 628 SW 294TH ST ELECTRIC INC BOBCAEI952JG(4/7/19) FEDERAL WAY WA 98023 1407 S TYLER ST TACOMA WA 98405 1407 S TYLER ST TACOMA W. 05 Additional Permit Information Is this an Online or O.T.C.application Yes Circuits-Residential 5 PERMIT EXPIRES Tsd ,28 c 019 Permit Issue l ne :y,Ma ,2018 I hereby certify that the above informa e. -nd tha he co traction on the above described property and the occupancy and the use wi • •ance laws, rules and regulations of the State of Wa gto - d the City ederal Way. Owner or agent: PAP' Abb. O Date: 3-2Z-20 1 NIP Ne) • C � v OP-�% r THIS CARD IS TO REMAIN ON-SITE coy Construction Inspection Record Federal Way INSPECTION REQUESTS:(253)835-3050 PERMIT#: 18 101362 00 Address: 628 SW 294TH ST Project: LAWRENCE DARBYSHIRE FEDERAL WAY WA 98023-3541 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. D UFER Ground(4295) D Ditch cover(4030) D Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date •® Pool Bonding(4195) D Temporary Power(4275) © Service(4235) Approved Approved Approved By Date By Date By Date D Feeders/Sub-panels(4045) ® Rough Electrical(4225) El Ceiling Cover(4020) Approved Approved Approved By Date Dat-. 70 t j By Date an Final-Electrical(4055) Approved By Date 0 Rough Electrical 0 Final Electrical 0 Right of Way Approved Approved Approved By -Date By - Date - By Date CITY of RECEIVED ELECTRICAL Federal Way MAR 2 s 2018 PERMIT APPLICATION CITY OF FEDERAL WAY RMIT NUMBER ] �) / O I 3 ce 2 COMMUNITY DEI.ELOPtEtr I 1S — — C� L SUITE/UNIT/SPACE# SITE ADDRESS: co 2 $ 56,,, a. / (OIL' !- PRO$ JECT VALUATION �- ASSESSOR'S TAJL�PARCt # c) \ - / fI CURRENT/PROPOSED USE PROJECT NA``ME 1 "� /C/ 0U (Tenant or Homeowner Last Name) 1 I` f 7- O!Vl ct4 L/ PROJECT DESCRIPTION Z42_on god 2I b o f t b a J / I a (A-Y1roc) AA d'' Detailed description of work to i2-t- ' - © Q //v-7 ,e be included on this permit only .� NAMErr _ PRIMARY PHONE PROPERTY OWNER T' f Al 1 Deka /P- (L53)cI'1 - 7 S 5D MAILING ADDRESS E-MAIL CRs`8' 5.(..k./ Z cr-A�'{{{33[[[��� 5 CITY STATE ZIP FAX F eft.) wig. L10 93'07 3 ( ) - - t---- NAME j3ab Ca- Eiie-c-+7', a 1 (753 ) --?'S9 PRIMARY-PHONE - MAILING ADDRESS (� -.1-- )e-r- be ` j E-MAIL ELECTRICAL T�� /4J )e r C�d6�►�/Pc:t/'1 C P )cpyvi CONTRACTOR CITYSTATE ZIP FAX 'Ta(D vh.a- Cid 94f65- )7s9 - 3/2:7 WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# 6a8CA 95Z:5-c- 9 /7-0 / 'O NAMEPRIMARY PHONE APPLICANT Q!n 1..C, a 5 �� Gd ( ) _ MAILING ADDRESS E-MAIL CITY STATE 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 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 of this application. SIGNATURE: J"LAZA\ [t " /L DATE -7 3 PRINT NAME: F---01).tri" ("./! 'lb-1 kY t cr r Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application