20-100230 Electrical
City of Federal way Permit #:20-100230-00-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: GRABRICK
Project Address: 1435 SW 307TH ST Parcel Number: 514930 0090
Project Description: 100-amp feeder and wiring to add lighting,outlets switches for detached shop/garage.
Owner Applicant Contractor
MARK GRABRICK MARK GRABRICK OWNER IS CONTRACTOR
1435 SW 307TH ST 1435 SW 307TH ST
FEDERAL WAY WA 98023 FEDERAL WAY WA 98023
USA USA
Additional Permit Information
Is this an Online or O.T.C.application" Yes
Alt. Serv./Feeder:0 to 200 am] 1
PERMIT EXPIRES Saturday,16 January,2021
Permit Issued on Friday,January 17,2020
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy and t - se/' be in accordanc with the laws, rules and regulations of the State of
/f as ' ' of F ral Way.
Owner or agent: Date: ///
THIS CARD IS TO REMAIN ON-SITE
Federal Way
Construction INSPECTION ION REQUESTS: (253)SRecord
• PERMIT#: 20 100230 00 Address: 1435 SW 307TH ST
Project: MARK A GRABRICK FEDERAL WAY WA 98023-3432
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.
0 UFER Ground(4295) Q Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved
Approved to place concrete
By Date •`By //re �,�
Date � LBy Date
® Pool Bonding(4195) El Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date
BY Date
® Feeders/Sub-panels(4045) ® Rough Electrical(4225) Q Ceiling Cover(4020) ,
Approved Approved Approved
By Date By Date
' By Date
El Final-Electrical(4 i
Approved 0
By T 1 6 G Date
Rough Electricallb Final Electrical [ElRight of Way
Approved Approved
Approved
By Date By Date
By Date
RECEIVED ELECTRICAL
carr �
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Federal Way JAN 17 2020 PERMIT APPLICATION
CITY OF FEDERAL WAY /J
COMMUNITY DEVELOPMENT PERMIT NUMBER /11 D _ / D 0 ; 3 0 _ E-L•
SITE /
ADDRESS: SUITE/UNIT/SPACE#
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
-2'OV rte_ -
PROJECT NAME '
(Tenant or Homeowner Last Name) q//' f& f (% ' Tv p d1 Wiwis
PROJECT DESCRIPTION /("1T/ / 1 �'�ti
yf
Detailed description of work to
be included on this permit only
NAM S'Ietidfick—
PRIMARY PHONE
PROPERTY OWNER Cts,-1 ( 2i)5? - gfe/
MAILING ADDRESS i E-MAIL
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CI STATE ZIP FAX I
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NAME / PRIMARY PHONE
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MAILING ADDRESS E-MAIL
ELECTRICAL
CONTRACTOR CITY STATE ZIP FAX
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WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAP,/ PRIMARY PHONE
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CITY STATEZIP -' 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 t ity a part of this application.
SIGNATURE:7'7
1Z DATE H7Zo2
PRINT NAME:_-- _a,- '-k 1/ein -
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application
oO -3 0
RECEIVED Property Owner
CITY OF :-.277:-'41111111S."---`
Federal WayJAN 17 202 Electrical Work Permit Affidavit
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT
Applying For Your Electrical Permit
In Washington. only licensed electrical contractors may perform electrical work. Property owners
may apply for an exemption from these requirements by completing and signing the affidavit
below before applying for an electrical permit or beginning electrical work.
Affidavit
As authorized under RCW 19.28.261, I, n�ark- 4rxkriek---
(Printed name of property ownerrenter or lessee)
hereby apply for an exemption from the electrical licensing and certification requirements of
RCW 19.28 by submission of this affidavit.
Which statement describes you? (Mark only one.If none apply,you may not take out this permit.)
I' I own this property.
Your name or your company's name must be shown on the deed to the property.Real estate agents,
property management companies,relatives,etc. cannot purchase permits for the property owner.
❑ I rent or lease this property.
We need a copy of your rental agreement showing you have permission to perform electrical work.
0 I am an officer for a 501(c)(3) nonprofit corporation,or a nonprofit religious organization.
The total market value of electrical work must be$30,000 or less and all electrical work must be done by
a non-compensated appropriately certified electrician.
Select your property type (Mark only one.If none apply.you may not take out this permit.)
❑ New single family residence that is not intended for rent.sale.or lease,where I will be living for at least
24 months after completing the electrical work.I will be personally doing the electrical work.
❑ New 2,3,or 4 unit residential building,owned by me,that is intended for rent, sale,or lease. I will be
living in one of the units for at least 24 months after completing electrical work. I.personally.and/or a
regularly employed employee(s),will be doing the electrical work.
4 New place of business,farm,or other property:Any new structure that is not intended for rent.sale.
or lease. I,personally,and/or a regularly employed employee(s),will be doing the electrical work.
❑ Existing residential property,place of business,or farm.I,personally,and/or a regularly employed
employee(s),will be doing the electrical work.
DEPARTMENT OF COMMUNITY DEVELOPMENT/33325 8TH AVENUE SOUTH/FEDERAL WAY,WA 98003-6325
253-835-2607 www.cityoffederalway.com permitcenter@cityoffederalway.com
Bulletin#170—July 27,2018 Page 1 of 2 k:\Handouts\Property Owner Electrical Work Affidavit
O 501(c)(3) or nonprofit religious organization owned property:The total market value of the
electrical work must be$30,000 or less,and all electrical work will be performed by appropriately
certified electricians,or certified and properly supervised trainees,who are volunteering and not
being compensated for the electrical work per RCW 19.28.091(7).
Your signature is required below:
I believe I should be exempt from the requirements to obtain an electrical license,or use a certified
electrician,as provided under RCW 19.28.261.
By signing below, I certif the information I am providing on this affidavit is true and accurate. I
unders . . t if I;.'a false state • o e•r• entations, I may be assessed penalties.
-411111.9.
Sign Lure Date
444- hzb,/?A—
Printed
Name of Property Owner,Renter,or Lessee
Property Owner and Inspection Site Information
Property Owner's Name and/or Company Name
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Mailing Address Unit/Apt.# City / State Zip
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Daytime Phone Em �-�
il Address
Serie a-s Nil my
Inspection Site Address ,/ Unit/Apt.#
Pvd5dgnElecal Power Company/Sery g tility
Description of work being done (Example:adding outlets in the kitchen,second floor break area,etc.)
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DEPARTMENT OF COMMUNITY DEVELOPMENT/33325 8TH AVENUE SOUTH/FEDERAL WAY,WA 98003-6325
253-835-2607 zs.www.cityoffederalway.com permitcenter@cityoffederalway.com
Bulletin#170—July 27,2018 Page 2 of 2 k:\Handouts\Property Owner Electrical Work Affidavit