20-100605 w r i:.•
Electrical
City of Federal Way Permit #:20-100605-00-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: WEICK
Project Address: 33410 33RD PL SW Parcel Number:954280 0690
Project Description: Replace 200-amp panel.
Owner Applicant Contractor
SUSAN K WEICK MARK ROACH222 ELECTRIC CO 222 ELECTRIC CO
33410 33RD PL SW 11806 221ST AVE E 222ELEC859RN(12/15/21)
FEDERAL WAY WA BONNEY LAKE WA 98391
98023-2753 11806 221ST AVE E
BONNEY LAKE WA 98391
Additional Permit Information
Is this an Online or O.T.C.application? Yes
EIS
7 ad9 t'r`y ?a
,. ..,A< B.A?a,..3s�u'F1i1a • .,rof ;d 54� �° ....,. •z�3,�!a :i
Alt.Serv./Feeder:0 to 200 am] 1
PERMIT EXPIRES Thursday, 11 February,2021
Permit Issued on Wednesday,February 12,2020
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 an the City of Federal Way.
Owner or agent: ` Date: Z'�z ZOOC7
r e
THIS CARD IS TO REMAIN ON-SITE
� Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 20 100605 00 Address: 33410 33RD PL SW
Project: MARK WEICK FEDERAL WAY WA 98023-2753
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 leR 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) ID Ditch cover(4030) ® Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date ; By Date
i
0 Pool Bonding(4195) ® Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
® Feeders/Sub-panels(4045) El Rough Electrical(4225) 9❑ Ceiling Cover(4020)
Approved Approved Approved
By Date 1 By Date By Date
El Final-Electrical(4055)
�f Approved
By 1` .., Date 5/askew,
0 Rough Electrical 0 Final Electrical ❑ Right of Way
Approved Approved Approved
By Date By Date By Date •
CITY OF
k RECEIVED ELECTRICAL
Federal Way FEB 12 2020 PERMIT APPLICATION
CITY OF FEDERAL WAY
GMMUNITY DEVELOPM IT NUMBER 0 _ _ /l i1 ` _0 ^_
SUITE/UNIT/SPACE#
SITE ADDRESS: 33 Li 1 v 33,,-. \ .SW, r� - ( tea•/
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ Z3C,c2.a0 AR' d - q
PROJECT NAME
(Tenant or Homeowner Last Name) Mk
MOO A-•r►p Pc4 teLeA
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER Vl L— l tJeJ'c-t (Z53) 6'12.1 _ Oel I
MAILING ADDRESS E-MAIL
334L0 33TcQ Pi �w
CITY STATE ZIP FAX
Fu,e-4.I. Li y
NAME PRIMARY PHONE
ZZZ � c L (Z5 ) Z21_ u .
MAILING ADDRESS
ELECTRICAL LI 006zz15� w >
4:Mwl co��
CONTRACTOR CITY STATE ZIP FAX
1301•1 PK,/ ld-C- f,U d c1,e3 5( ( )
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
uz 059121A re. 'is �zvir�
NAME ii 'I PRIMARY PHONE
V1Gr`C-- 12.0A4 L (z53 ) ZZZ.- 1-t19o5
APPLICANT MAILING ADDRESS E MAIL
5062 z2154-
CITY STATE ZIP FAX
3nn.4•( 1,..L ,~-4- ' E33
NAME PRIMARY PHONE
PROJECT CONTACT /( 2 04Ck (z53) z 2 Z 1-16,05
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
/4-ZOZ_C-
PRINT NAME: M
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application