19-105574 •
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Electrical
City of Federal Way Permit #:19-105574-00-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: STEVENSON
Project Address: 37010 17TH AVE S Parcel Number: 721266 0640
Project Description: Run electrical for 11 kw generator.
Owner Applicant Contractor
EARL STEVENSON JAIMIE HOWBRENNAN HEATING&A/C BRENNAN HEATING&A/C LLC
37010 17TH AVE S 4601 S 134TH PL (ELECTRICAL)
FEDERAL WAY WA SEATTLE WA 98168 BRENNHA962DU(3/31/20)
4601 S 134TH PL
TUKWILA WA 98168
•
Additional Permit Information
Is this an Online or O.T.C.application? Yes
z 31 4 3 4 4, t� 3r
Circuits-Residential 1
CONDITIONS:
A permanently installed generator is not allowed to be placed within required yards(setbacks). See
Bulletin#150 for placement details.
PERMIT EXPIRES Thursday, 19 November,2020
Permit Issued on Wednesday,November 20,2019
I hereby certify that above information is correct and that the construction on the above described property
and the occu ncy nd the use will be in accordance with the laws, rules and regulatio s of the tate of
Washin ton and the City of Federal Way.
Owner or agent:(./ Date: I l 0 / 9'
•
THIS CARD IS TO REMAIN ON-SITE
`""°' Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 105574 00 Address: 37010 17TH AVE S
Project: EARL STEVENSON FEDERAL WAY WA 98003-7598
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) `�
a' ❑ Ditch cover(4030) Q Slab/Concrete Floor(4255)
Approved I Approved Approved to place concrete
By Date ,' By Date By Date
•
4❑ Pool Bonding
(4195) ❑ Temporary Power(4275) In Service(4235)
Approved � Approved
Approved
By Date
By Date By Date
® Feeders/Sub-panels(4045) 1 ® Rough Electrical(4225) j El Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
1n Final-Electrical(4055) "
Approved
By r" Date\Dlaolaoat)
❑ Rough Electrical
0 Final Electrical ❑ Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
ELECTRICAL
CITY OF NOV 2 U 2019
Federal Way C,TYUFFEDERAI WAY PERMIT APPLICATION
COMMUNITY DEVELOPMENT / o5-- 9- 7y
PERMIT NUMBER / 9 _ / _ EL
SUITE/UNIT//SPACE#
SITE ADDRESS:
3 1 0 1'1-AA's At•--& V--c ct.t.r 41 w &y q 8 00(3
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ 00 -1, t a ( (0 _ f (0 LI o Sp-
PROJECT NAME
(Tenant or Homeowner Last Name) '\.A.'J l" S 0 1f-)
PROJECT DESCRIPTIONVt./11 t c 3,--r t r I ' t r II )2
Detailed description of work to
be included on this permit only ,�n4. r odor
NAME PRIMARY PHONE
PROPERTY OWNER E(-✓ 1 g.1,i,V.-c-.1 San (b2.3) 1-54 (p 83(p
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
)
NAME PRIMARY PHONE
I'3i keel vl a-r‘ 4 a -A Cao b )c9LI8 - Do
MAILING ADDRESS J0:.1 m\ ( )E-MAILC
ELECTRICAL q CP b k S nP L bun na n kc....-t:,A.8. ton'1
CONTRACTOR CITY STATE ZIP FAX
ivA -C- U0 a- Cl 61406 po6 ). .IS- -3.-at 05
WA STATE CONTRAC OR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
`"Sc a b a sem- 3 /3 t /00
NAME PRIMARY PHONE
APPLICANT lr't_ r\ Ar\¢-,c\ t \, Q ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
)
AME PRIMARY PHONE
PROJECT CONTACT i0.1 rnr-C (1- n r�, - J r'p
OTh I ca �6)� `1-)21D0
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 arid 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 pplication.
SIGNATURI CL; \` p'DATE ' IL Ci
PRINT NAM : Q..+ fYA t_t t e\ L''''---
PERMIT CENTER+33325 8th Avenue South + Federal Way,WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenter'wcityoffederalway.com
Bulletin#160—April 14,2016 Page 1 of 1 #:AHandouts\Electrical Permit Application