19-105286 t 4'
Electrical
City of Federal Way Permit #:19-105286-00-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 GARAGE 1
Project Address: 31000-A 6TH LN SW Parcel Number: 555790 TR-A
Project Description: Service and wiring for new detached garage.
Owner Applicant Contractor
WILLIAM MCCAFFREYMIRROR LAKE ADVANCED HEATING&ELECTRICAL ADVANCED HEATING&ELECTRICAL
HIGHLAND LLC SOLUTIONS LLC(ELECTRICAL) SOLUTIONS LLC(ELECTRICAL)
30929 37TH PL SW PO BOX 1004 ADVANHS840IN(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.application9 Yes
. }'nit P �ttr�.7' a `� `� FM
. 43 ���� �Y �� 1. �}3 .�� . .' � i
.- f ,- . ��., ;aRt i....�, . �
Outbuilding/Garage(Residen I
PERMIT EXPIRES Saturday,31 October,2020
Permit Issued on Friday,November 1,2019
I hereby certify that the above,-ormation is .*ect and that the construction on the above described property
and the occupancy an. ? e use willI ccordance with the laws, rules and regulations of the State of
/7„,
and •
the Cityof Federal Way. _
Owner or agent: Date: / / I -17
Fl
a
-ktATHIS CARD IS TO REMAIN ON-SITE
"r"or Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 105286 00 Address: 31000-A 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.
® UFER Ground(4295) 1 ❑ Ditch cover(4030) 1•® Slab/Concrete Floor(4255) ,
Approved Approved Approved to place concrete
Date
.BY 4By Date ; By Date
• •
•
0 Pool Bonding(4195) 0 Temporary ryPower(4275) 0
Service(4235)
Approved Approved Approved
By Date
By Date By Date L..-
❑ Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020)
Approved Approved / Approved
By Date / ••-•/•• � By 4 Date f`- By Date
El Final-Electrical(4055)
Approved /� I�
By /e Date I%.4-sz i
❑ Rough Electrical ❑ Final Electrical ❑ Right of Way
Approved Approved Approved
By Date By Date By Date .
......_ _4„...... RECEIVED ELECTRICAL
CITY OF IIP
Federal Way Nov 01 2019 PERMIT APPLICATION
GiN OF-EDERAL WAY
„OMMI!�JITY DEVELOPMENT /
PERMIT NUMBER /9 -
D - &--
SUITE/UNIT/SPACE#
--SUITE/UNIT/SPACE#
SITE ADDRESS: �,
,3 A u" �n ,_s
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ / 00 55s790 - R.
PROJECT NAME ((oy t oLe_ 1 i-' • V L(Tenant or Homeowner Last Name) )kit ; i a;lk d
lr' 1 .l- def-6_61u2_,.-16.- , ate _c.4 atiale 1
PROJECT DESCRIPTION \ -
Detailed description of work to
be included on this permit only
NAME /7 n /0.e ^i,^Ls „f 14 0 PRIMARY PHONE
PROPERTY OWNER �.V-�- >�a FF�Zy L� ( ) -
MAILING
0 (ESS
�/` ( 3 7 [t/ na-ce_
\ 5-u0
/ v`/ E-MAIL
CITY '/�+ STATE ZIP FAX
+ ( )
`�N
/ NAME PRIMARY PHONE
1,9 1a c-,i ac'ilcA=a\ —."t.) (1 kr- 1 s Verkk &3) (0S 1- 3,10
MAILING ADDRESS E-MAIL
ELECTRICAL l`- B p)( 7 Wit -'
CONTRACTOR CITY STATE ZIP FAX
r:"2--T \1'V(,v V\) �V3(.2 D ( ) -
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 ( )
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 c •.- ),which may be m•de by any person, including the undersigned, and filed against the city,
but only where such claim arise of the relia -"o . e city, including its officers and employees, upon the accuracy of the
information supplied to the city a part of this • •plic ion.
AO. J ) 1 _/ Q.
SIGNATURE: /''_d�� I DATE // /
PRINT NAME: e'n 1.=4"\.)} l .c S.
Bulletin#160—April 14,2016 Page 1 of 1 k:\I-iandouts\Electrical Permit Application