10-105405 City of Federal Way0 p' • Electrical
Community Development Services ; `'=._r Permit #: 10-105405-00-EL
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (2
53)(253)835-2607 Fax(253)835-2609 p q 835-3050
Project Name: HOTCHKISS
Project Address: 28637 8TH PL S Parcel Number: 515296 0050
Project Description: Install free-standing emergency generator
Owner Applicant Contractor
HARRY L HOTCHKISS FISTER ELECTRIC FISTER ELECTRIC
28637 8TH PL S 7805 56TH AVENUE CT NW FISTEE*962KG(5/10/12)
FEDERAL WAY WA 98003 GIG HARBOR WA 98335 7805 56TH AVENUE CT NW
GIG HARBOR WA 98335
Is Use Educational or Institutional9 No Service greater than 999 Amps9 No
PERMIT EXPIRES Thursday, December 29, 2011
Permit Issued on Wednesday, December 29, 2010
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 ate of Washington
and the City of Federal Way.
Owner or agent: / Date: /02_/o24j 02070
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THIS CARD IS TO IN ON-SITE `�
CITY OF j 1150 • tion Construction Ins t o Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 10-105405-00-EL Address: 28637 8TH PL S
Project: HARRY L HOTCHKISS FEDERAL WAY, WA 98003-3118
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) 0 Ditch cover(4030) ❑ 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
O Feeders/Sub-panels(4045) ' ❑ Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
o Final-Electrical(4055)
Approved
%By Date/ / ,
El Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
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PTV Of
Federal WayREeEI
ELECTRICAL
PERMIT APPLICATION DEC 2 9 20'i
CITY OF FEDERAL WAY
**Most electrical s ermits m' be obtained on-line at www cl o f ederalw,
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SITE ADDRESS: a 86 37 S-t*-
SUITE/UNIT/SPACE• ASSESSOR'S TAX/PARCEL I CURRENT/PROPOSED USE
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PROJECT NAME
(Tenant or Homeowner Last Name) {.. ,rf K l-104'Ga"..yj s.5
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PROJECT DESCRIPTION �J J
Detailed description of work to
be included on this permit only
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NAME PRIMARY PHONE
PROPERTY OWNER (, 3) 8 39 -ato'(S
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME •
PRIMARY PRONE
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CONTRACTOR cn'Y STATE ZIP FAX J
G-,L1 -a.r rei- W A- °16 53S- (302) ( - o o-7
WA STATE CONTRACTOR'S LICENSE I EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE I
NAME PRIMARY PHONE
APPLICANT R 4-�r ( ) -
MAILING ADDRESS E-MAI.
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
PROJECT CONTACT ( )
I
certify under penalty of perjury that I am the property owner or authorised agent of the property owner.I cert(fy 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 authorised 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.
/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: -41 DATE /�Z.1/2o!a
mow
PRINT NAME: __ Aw IS-)tt
33325 8th Avenue South•PO Box 9718•Federal Way•WA•98063-9718•253-835-2607•fax:253-835-2609•www.cityoffederalway.com
Bulletin#160—April 9,2010 Page 1 of 2 k:\Handouts\Electrical Permit Application