12-104350 4 1
041, ` ]lectrical
City of ay
Community&Econ.Dlevv Services Permit #: 12-104350-00-EL
33325 8th Ave S
Federal way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line. (253)835-3050
Project Name: FORAN g,°?i ,
Project Address: 30421 1ST PL S Parcel Number: 339190 0380
Project Description: Replace 125-amp panel.
•
Owner Applicant Contractor
CAROLYN FORAN WESTCOAST INDUS ELEC CO INC WESTCOAST INDUS ELEC CO INC
30421 1ST PL S PO BOX 15390 WESTCIE016NZ(8/9/13)
FEDERAL WAY WA 98003-4038 SEATTLE WA 98115 PO BOX 15390
SEATTLE WA 98115
•
Additional Permit Information
Is Use Educational or Institutional? No
Electrical Fixtures
Alt.Serv./Feeder:0 to 200 amps(F 7
PERMIT EXPIRES Saturday, March 23, 2013
Permit Issued on Monday, September 24, 2012
I hereby certify that the above i f•i ation i correct and that the construction on the above described property and
the occupancy and the use w' • in a rdance with the laws, rules and regulations of the State of Washington
and the City of Federal Way. 1.,� )
Owner or agent: I /� Date: ' 2 / -�L7/ a
A • THIS CARD IS TO MAIN ON-SITE
�,noF Construction In ection Record r
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 12-104350-00-EL Address: 30421 1ST PL S
Project: CAROLYN FORAN FEDERAL WAY, WA 98003-4038
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.
o UFER Ground(4295) E Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
❑ Pool Bonding(4195) 0 Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
• . i
'0 Feeders/Sub-panels(4045) 0 Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
❑ Final-Electrical(4055)
Approved
i:� Date �� ���
v)
El Rough Electrical El Final ElectricalEl Right of Way
Approved Approved Approved
By Date By Date By Date
lb - / O V 5 50
CITY OF
Ferte6@#WtY ELECTRICAL
SEP 2 4 2012 PERMIT APPLICATION
CITY OF FEDEfelectrical permits may be obtained on-line at www.cityo ederalway.com**
SITE ADDRESS: 3011'1 154-
SUITE/UNIT/SPACE# ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name) WI c3
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER ( ) -
MAILING ADDRESS '. E-MAIL
STATE ZIP FAX
c c cO ( )INKEIMMIMIE -
PRIMARY PHONE
W ) -
MAILtNs ADDRESS.3E-MAIL
ELECTRICAL /
CONTRACTOR STATS FAX
1 /r ( )
WA STATE COIcRACT RRS LICELISE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
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 ty of Federal Way as to arty claim(including costs,expenses, and attorneys'fees incurred in
the investigation and defense of ch int), which may be made by any person, including the undersigned, and filed against the city,
but only where such claim arcs s o of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the ty a of this application.
SIGNATURE: DATE (7/ 2q
PRINT NAME:
33325 8th Avenue South•Federal Way•WA•98003-6325•253-835-2607•fax:253-835-2609♦www.cityoffederalway.com
Bulletin#160—January 1,2011 Page 1 of 2 k:\Handouts\Electrical Permit Application