20-100402 •
Electrical
City of Federal Way Permit #:20-100402-00-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: CONACHAN
Project Address: 522 S 288TH LN Parcel Number: 515293 0220
Project Description: Re-hook heat pump and furnace
Owner Applicant Contractor
JACK CONACHAN CRAIG LONGHURSTWATTS ELECTRIC WATTS ELECTRIC SERVICE INC
522 S 288TH LN SERVICE INC WATTSES1760K(12/9/19)
FEDERAL WAY WA 412 S STATE ST
98003-3186 SUMNER WA 98390 PO BOX 46410
SEATTLE WA 98106
,
Additional Permit Information
Is this an Online or O.T.C.application? Yes
F`'''fi mv b7,-:�'41441', E � ... . ,0 ,,� -` § ft h�:�
PERMIT EXPIRES Friday,29 January,2021
Permit Issued on Thursday,January 30,2020
I hereby certifyat the above information is correct and that the construction on the above described property
and the occup ncy and the use will be in accordance with the laws, rules and regulations of the State of
Washing nd the ity of Federal Way.
Owner or agent: � Date:-
/--,?U- 20 cJ
THIS CARD IS TO REMAIN ON-SITE
`m OF Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 20 100402 00 Address: 522 S 288TH LN
Project: GLADYS CONACHAN FEDERAL WAY WA 98003-3186
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) ID Ditch cover(4030) ® Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date 1 By Date �'�By Date
'
Pool Bonding(4195) ® Temporary Power(4275) ® Service(4235)
Approved Approved j Approved
Date
By '`By Date By Date
•
® Feeders/Sub-panels(4045) ® Rough Electrical(4225) '�El Ceiling Cover(4020)
Approved I Approved Approved
`By Date ..By Date By Date
ID Final-Electrical(4055)
Approved
By 2� Dat.Z .
El Rough Electrical ❑ Final Electrical E Right of Way
Approved Approved Approved
By Date By Date By Date
AIL
RECEIVED
CITY OF ~" JAN s U 2020 ELECTRICAL
Federal Way PERMIT APPLICATION
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT / L-�
PERMIT NUMBER 2 v(� _ ' V(� �✓ 1 v a /�
SITE ADDRESS: SUITE/UNIT/SPACE#
Se a g e - z_teli
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ 09. - 5 1 5 z 1 3 - o z Z o
PROJECT NAME
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION 1 41-' ( 41 ,� ' ` ,M4
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER /9}0(__ (44J% 0d (2s)) 9w- 323k
MAILING ADDRESS E-MAIL
‘c 2-2- Sv. '— (4t"
CITY STATE ZIP FAX
W4 91-654 -3 ( ) -
NAME PRIMARY PHONE
(/J1- 77 b-41' c- 1C (Z) a1-S/(I
11' NG ADDRESS E-MAIL
ELECTRICAL e5)g 4 16 T,d
CONTRACTOR CIT STATE Z FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
ii(A4-7 ic? 5/76 oK iZ / 9 /2/
NAME � , PRIMARY PHONE
APPLICANT - T�� ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAMEn PRIMARY PHONE
PROJECT CONTACT Off/4
/ �� �_�� . p a„+._ 066 ) 70577
/
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 lied to the city as a 'art oft —pplication.
IN
SIGNATURE: c-.. ` / i /( (� DATE / —�V'Z t/20
PRINT NAME:--ti l 0 ( c)4 i-/ ' 'c ` S f
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application