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18-100288 fit Electrical City of Federal Way Permit #:18-100288-00-EL Community Development Dept. 33325 8th Ave S 2 Federal Way,WA 98003 + Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax(253)835-2609 Project Name: KLEMMER Project Address: 3900 SW 321ST ST Parcel Number:873190 2510 Project Description: Adding(2)circuits&can lights for associated master bath and bedroom remodel. Owner Applicant ontractor DENNIS KLEMMER DAVID THOMPSONTAI-IOMA TAHO CAL SERVICES 3900 SW 321ST ST F.T.FCTRICAL SERVICES TIME 33D1(3/27/19) FEDERAL WAY WA 98023-2412 3900 SW 321ST ST 00p C AVE S SUITE 101 FEDERAL WAY WA 98023 a COMA WA 98444 Additional Permit Information Is this an Online or O.T.C.application? Yes f- I Circuits-Residential 2 PERMIT EXPIRi u ,ay,17 ary,2019 Permit Issued on led lay,J _ 17,2018 I hereby certify that the above inform itr an e construction on the above described property and the occupancy and the use will b 'n -- •rdancevi the laws, rules and regulations of the State of Washing • and the CCii of Federal Way. Owner or agenN . s- Date: 1 it g/1 • • c 11' 40A, THIS CARD IS TO REMAIN ON-SITE crrr w Federal Construction Inspection Record Way INSPECTION REQUESTS:(253)835-3050 PERMIT#: 18 100288 00 Address: 3900 SW 321ST ST Project: TERRI L KLEMMMER FEDERAL WAY WA 98023-2412 Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE TIES 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. 1❑ UFER Ground(4295) 0 Ditch cover(4030) 0 Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date El Pool Bonding(4195) 0 Temporary Power(4275) © Service(4235) Approved ApprovedApproved By Date By Date By Date El Feeders/Sub-panels(4045) El Rough Electrical(4225) El Ceiling Cover(4020) Approved Approved Approved By Date B«r Date I ( I By Date an Final-Electrical(4055) Approved By Date 0 Rough Electrical 0 Final Electrical Right of Way Approved Approved Approved By Date By Date By Date CITY OF �/ RECEIVED ELECTRICAL Federal WayJAN 17 2018 PERMIT APPLICATION coli u°in DEv o MEKr ( F - ( `O C 2e) B _ op PERMIT NUMBER SITE ADDRESS: ,3 0 S 1 3.2y� SUITE/UNIT/SPACE# PROJECT VALUATION ASSESSOR'S TAX/PARCEL _L CURRENT/PROPOSED USE $... /.5---e:=) p 7 PROJECT NAME (Tenant or Homeowner Last Name) 1 K.INN v.-1Q,..-4, PROJECT DESCRIPTION BA "ro o i 'P.-1,10,.„,k;0,„ k cA^ 1 ,y llt" Add; -.-.'0`,) Detailed description of work to a t,, c't v1 , )rS be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER pe, n%5 k 1,Q, ..„v.-,.trC ( ) - MAILING ADDRESS E-MAIL 3 q ,o s t-J 3i . - •) CITY STATE ZIP FAX Fee( r0 'Ja j v414, q toa 3 ( ) - NAME PRIMARY PHONE TeA ‘16•r Pi E )2.GV-1`k CO St,ry:ve 5 Rs" ) 6.20 - W1) MAILING ADDRESS ae E-MAIL ELECTRICAL ? cD.? Pc, 0`�L . S S}�= 1 d) D c�Ta 60-0)11 ES.Cor^► CONTRACTOR CITY STATE ZIP FAX 1"$%(....40,,n 01 kA ct6149 ( ) - W_E C.- TE TA.In ACTOR'S e AES NSE#833 p.�1. 3 �2 7 EXPIRATION D/ °( FEDERAL�AY$ITSINF�4S LICENSE# (��IJCClr-13__/-WW1 NAME PRIMARY PHONE APPLICANT gCp`v` -----\\c....-- ....§o.,. ("S.? ) eta- - 3,11 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 •�..�_ DATE 1 /)6//6- PRINT NAME:' C.\' \ INea-,\'.�mr Bulletin#160-April 14,2016 Page 1 of 1 k:AHandouts\Electrical Permit Application