19-100444 r
r
Electrical
City of Federal Wry Permit #:19-100444-00-EL
Community Development DeptFa q P a.
33325 8th Ave S
Federal Way,WA 98003Inspection 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: Electrical work to include adding(5)circuits,move boxes,switches,outlets adding outside post
lights.
Owner Applicant Contractor
EILEEN STAUSS STEVE ANDERSONSJA ELECTRICS B B B ELECTRIC
32636 7TH AVE SW ELECTRIC INC BBELEBE950P1(10/22/19)
FEDERAL WAY WA 98023-4901 17404 MERIDIAN E UNIT PMB 274
PUYALLUP WA 98375 17404 MERIDIAN E
PUYALLUP WA 98375
Additional Permit Information
Is this an Online or O.T.C.application's Yes
Circuits-Residential 5
PERMIT EXPIRES Tuesday,28 January,2020
Permit Issued on Monday,January 28,2019
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
Washin on and the City of Federal Way.
Owner or agent: /.1.'e / Date: SL f
THIS CARD IS TO REMAIN ON-SITE
« Construction Inspection Record
Federal Wt' / INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 100444 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 my of the inspections or the inspection sequence. On-going inspections are logged on the back of this card.
1❑ LIFER Ground(4295) El Ditch cover(4030) 12 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
® Pool Bonding(4195) ® Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
El Feeders/Sub-panels(4045) ® Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved ApproVed
By Date By ._ Date 2—v o By Date
2] Final-Electrical(4055)
,By depproved
Date -zi.--,2,
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
CITY OF �"`1-� RECEIVED
ELECTRICAL
Federal Way PERMIT APPLICATION
JAN 282019
CITY OF FEDERAL WAY RMIT NUMBER J oL
COMMUNITY DEYELOPMEI (' _ - C� - "
SUITE/UNIT/SPACE#
SITE ADDRESS: 4o6 .til) `j J / s-r
PROJECT VALUATION ASSESSOR'S ITAX/PARCELI # CURRENT/PROPOSED USE
$ di6v0 5 5 5 9 z c _ 'b 2 :. 0
PROJECT NAME
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION 0411tO de"( cJ-/- i 13"q-P
Detailed description of work to ja 4 4ivk CSV C L 1�1-- _5be included on this permit only ll
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NAME PRIM Y PHONE
PROPERTY OWNER V i P�-0 ( ) -
MAILING ADDRESS E-MAIL
`fU( W 31 (C c,-�--
CITY \ STATE ZIP FAX
NAME i PRIMARY PHONE
3'c�� k /&-4 rr' c- ( ) -
LING ADDRESS /''-' E-MAIL
ELECTRICAL rl 0 .29'4 1")'4 out oleir,d. 4" 4i
CONTRACTOR r�7,I7-1�Y Jt STATE ZIP 3 FAX
WA STATE CNbIACTOR'S LICENSE# 1/4,04 �EX EXPIRATION ATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME ,o / r PRIMARY PHONE
APPLICANT J"l e ) 1_ �ei !SU-- ,S itbh G.)lJ Gc (�5,3) g)-6- (9914.
MAILING ADDRESS E-MAIL
iNte ,,es5 - a, _-
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 ap, 1 ation.
f
SIGNATURE: -4 , DATE t j.ui/i,
PRINT NAME: 4f ecie_ 1 Y•L e. 1-.‘: ,-..
Bulletin#160—April 14,2016 Page 1 of 1 k:\HandoutsTlectrical Permit Application