17-105825 1.0
Electrical
City of Federal Way Permit #:17-105825-00-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: STAUSS
Project Address: 406 SW 316TH ST Parcel Number:555920 0250
Project Description: 0-200 AMP SERVICE AND ALTERING(6)CIRCUITS FOR LIVING ROOM REMODEL
Owner Applicant Contractor
EILEEN STAUSS WALTHERS ELECTRIC WALTHERS ELECTRIC
32636 7TH AVE SW 13023 PIONEER WAY S WALTHE•154BA(10/30/19)
FEDERAL WAY WA 98023-4901 ORTING WA 98360 13023 PIONEER WAY S
ORTING WA 98360
Additional Permit Information
Is this an Online or O.T.C.application Yes
Alt.Serv./Feeder:0 to 200 am] 1 Circuits-Residential 6
PERMIT EXPIRES Wednesday,5 December,2018
Permit Issued on Tuesday,December 5,2017
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy and the use will be in accordance with the laws, rules and regulations of the State of
Washington and the City of Federal— Way.
4
Owner or agent: `J , •.1..Asa- - _i�., • Date: /J . -J8 -/
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411. 4
Electrical
Community nevel Permit #:17-105825-00-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: STAUSS
Project Address: 406 SW 316TH ST Parcel Number:555920 0250
Project Description: 0-200 AMP SERVICE AND ALTERING(6)CIRCUITS FOR LIVING ROOM REMODEL
Owner Applicant Contractor
EILEEN STAUSS WALTHERS ELECTRIC WALTHERS ELECTRIC
32636 7TH AVE SW 13023 PIONEER WAY S WALTHE'154BA(10/30/13)
FEDERAL WAY WA 98023-4901 ORTING WA 98360
13023 PIONEER WAY S
ORTING WA 98360
Additional Permit Information
Is this an Online or O.T.C.application Yes
Alt.Serv./Feeder:0 to 200 ami I Circuits-Residential 6
PERMIT EXPIRES Wednesday,5 December,2018
Permit Issued on Tuesday,December 5,2017
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy and the use will be in accordance with the laws, rules and regulations of the State of
'�
J/ l Washington a • the City of Federal Way. �1
Owner or agent k1 w� ' Date: .l. _'Cr'/7
I
"� ' 'HIS C g TU REMAIN ON-SITE' d .
CITY os
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Construction Inspection Record
way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 105825 00 Address: 406 SW 316TH ST
Project: EILEEN STAUSS FEDERAL WAY WA 98023-4633
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) El Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
® Pool Bonding(4195) El Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date : tl` Date _ _ f
0 Feeders/Sub-panels(4045) ® Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date By a Date . t`` DateID
Final-Electrical(4055)
eie Approved
By Date�2-3 -AO
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
cit.(OF ELECTRICAL
Federal Way RECEIVED PERMIT APPLICATION
DEC 0 5 2017 _
CITY OF FEDERAL WAY PERMIT NUMBER i ) 0 5 >23
COMMUNfTY DEVELOPMENT — — — -
406:7
'_ ✓` , y.277-f-
f •�' SUITE/UNIT/SPACE#
SITE ADDRESS: -/�(�C/l C-"lV,��// ..1�' 1
PROJECT VALUATION ASSF�30TAX/PARC F�L�# z 0 _ � � o CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name) SrQ v5 5
PROJECT DESCRIPTION t")✓i /QrV^ c r; � Ur Or �. �� � 'j�J/
Detailed description of work to C Cit'j .w f f '1 L7J N
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER ‘1 r ,t) S"1/4u.sS (— )1(?,- 4 b
MAILING ADDRESS E-MAIL
000 5 t ) .5>bTh 5r eiiAril . ..a..wer-
CITY STATE ZIP FAX
f edcn.vit, WA y wig- _ ( ) -
NAME PRIMARY PHONE
(4)0-1-141r5 -(3e0)g�l - A/ 5"
MAILING ADDRESS / E-MAIL
ELECTRICAL 130 13 p,0„„, r A41 E 1,4,144eptik tviv(q f 4�i/aft-
CONTRACTOR CITY S E ZIP FAX J
Oro/" mkt f 33I() ( ) -
WA STATE CO CTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
4C file- i S it 4 .BA 7 / 3 X40 .1017 l 0A1 a co 1iL
NAME (� P Y PHONE
APPLICANT let--, �)"i ao )q7-
Q t L(5-
MAILING ADDRESS E-MAIL
E-MAIL
)3O2 / J0 ��j`'��✓ STATE
CITY ZIP FAX
Dri+ tAk I• 0 ( ) -
NAME PRIMARY PHONE
PROJECT CONTACT
1W1 41 tri (36D ) sti-Z(Li s
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 assapart of this application.
SIGNATURE: 7 7/4'd,/ DATE I til.- .0 -- 17
PRINT NAME: i<1;1% W(jfher.5.
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application
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