12-103724 • • * "Electrical
Community
City
&Econ.Deof Federalv.aServices -...1112 Permit #: 12-103724-00-EL
33325 8th Ave S
Federal Way,WA 98003 rs
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: UMBINETTI
Project Address: 29226 13TH PL S Parcel Number: 720560 0040
Project Description: Install 0-200 amp service for permanent generator.Mechanical portion to be applied by
separate contractor
Owner Applicant Contractor
EARL M UMBINETTI HANSEN ELECTRIC HANSEN ELECTRIC
LOIS R UMBINETTI 11110 22ND ST SE HANSEEI012PA(10/1/13)
29226 13TH PL S LAKE STEVENS WA 98258 11110 22ND ST SE
FEDERAL WAY WA LAKE STEVENS WA 98258
98003
Additional Permit Information
Is Use Educational or Institutional? No
Electrical Fixtures
Alt.Serv./Feeder:0 to 200 amps(F 1
CONDITIONS:
A permanently installed generator is not allowed to be placed within required yards(setbacks). See Bulletin
#150 for placement details.
PERMIT EXPIRES Sunday, February 10, 2013
Permit Issued on Tuesday, August 14, 2012
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
911LEAfand the City of Federal Way.
Owner or agent: Date: 61:7/Y2-
4,___
1:7 L
THIS CARD IS TO MAIN ON-SITE w'�
4IA*
Federal Way • Construction In ection Record '
INSPECTION REQ TS: (253)835-3050
PERMIT#: 12-103724-00-EL Address: 29226 13TH PL S
Project: EARL M UMBINETTI FEDERAL WAY, WA 98003-3743
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) ❑ Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
. •
❑ Pool Bonding(4195) ❑ Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
• ,
o Feeders/Sub-panels(4045) % El Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
❑ Final-Electrical(4055)
Approved
By 45z..A._ Date cz_SSv,.a
El Rough ElectricalEl Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
•
• t 0
CITY OF
Fede ELECTRICAL
AUG 14 2012 PERMIT APPLICATION
CITY OF FED.1 A ,WAYI
•
*most electrical permits may be obtained on-line at www cityo ederalway com**
SITE ADDRESS: 2 9 2 2 6 13 $ PL S
SUITE/UNIT/SPACE i ASS TAX,/PARCEL i - o O CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name) ON //J
_claw �(
7 trL 6 d",- f /jf,NeL .l- f7l off v,'
PROJECT DESCRIPTION G 1: FTa"-
Detailed description of work to
be included on this permit only
t 5zzt, �
NAME PRIMARY PHONE
PROPERTY OWNER 6=194 (- t/--t a/c t=t% t (253) 9 yi - 7'9
MAILING ADDRESS E-MAIL
2922. 6 /31'Ii PL 5
CITY STATE ZIP FAX
D C/1411,_ 1,./7 y t ✓' 9 f 0.3 ( ) -
NAME _ PRIMARY PHONE
/14/Js (rJ C EG-rn f .L ( ) -
MAILING ADDRESS E-MAIL
ELECTRICAL 11110 22 , ST .5 6"
CONTRACTOR CITY STATE ZIP FAX
L4/1‘ STr ' /,,.,q /t2 ft ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
z o t 2 P,1 /0 / 0 1 /3 20-In- /aSt,J6 'vo
NAME PRIMARY PHONE
APPLICANT ( 1
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( ) -
NAME PRIMARY PHONE
PROJECT CONTACT ( 1
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 8/
PRINT NAME: JJA t//D /79 s E
33325 8th Avenue South♦Federal Way♦WA♦98003-6325♦253-835-2607♦fax 253-835-2609 1 www.cityoffederalway.com
Bulletin#160-January 1,2011 Page 1 of 2 k:\Handouts\Electrical Permit Application