19-100810 Electrical
City of FederalWayCommunity Development DeptFall,„L- Permit #:19-100810-00-EL
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: DANEELS/BERG
Project Address: 33509 28TH AVE SW Parcel Number: 010060 0870
Project Description: 1 circuit ofr ac unit.
Owner Applicant Contractor
DEBBIE DANEELS NATHAN WATSONM W ELECTRIC INC M W ELECTRIC INC
33509 28TH AVE SW 26200 135TH AVE SE MWELEEI845B2(1/22/20)
FEDERAL WAY WA 98023 KENT WA 98042
11014 19TH AVE SE
EVERETT WA 98208
USA
Additional Permit Information 'CO
Is this an Online or O.T.C.application? Yes
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Circuits-Residential
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PERMIT EX ES Thurs February,2
Pe !t Iss Wednesday February 20,20
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I hereby certify that the above infor tion is correct and that the constructi the above described property
and the occupancy and t Othe will be in accordance with the laws, rul nd regulations of the State of
1111 ashington and the City of Federal
IV
Lit).0.4L Z tallOwner or agent: — 4 Date: l el
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sAi,. . • THIS CARD IS TO REMAIN ON-SITE .
arty OP Construction Inspection Record
way
INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 100810 00 Address: 33509 28TH AVE SW
• Project: WENDY M BERG FEDERAL WAY WA 98023-2711
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) 0 Ditch cover(4030) �•0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
•
El Pool Bonding(4195) ® Temporary Power(4275) ® Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) El Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
El Final-Electrical(4055)
Approved
By Date
El Rough Electrical 0 Final ElectricalElRight of Way
Approved Approved Approved
By DateBy Date By Date
........._""k RECEIVED ELECTRICAL
CITY OF
Federal Way FEB 2 0 2019 PERMIT APPLICATION
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT � q 1 !^ 0 set1 0 _ 5 4....."
PERMIT NUMBER V
SUITE/UNIT/SPACE#
SITE ADDRESS: 555 O ma( 75-3(Y_ 40e 5
PROJECT VALUATION ASSESSOR'Si (0 � - � � �TAX/PARCEL# CURRENT/PROPOSED USE
$
PROJECT NAME
(Tenant or Homeowner Last Name) 1\Ie L- l A- ;v6-LA '5o ik,iv L-sL, 70 Av,-,
/
"'4 11-.73 PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAMEPRIMARY PHONE
PROPERTY OWNER e \/ ,z 5)�=�`/<2 7-26
MAILING ADDRESS �l E-MAIL
N.
. STATEZIP FAX
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NAME
1\i‘ \e, \ `� j__,-,c___ PRIMARY PHONE
( z5) 2Z - I Sz
MAILING ADDRESS EMAIL
ELECTRICAL 1 l of U (c(' -A- e �� 7;7-7,,,,k, "44- r'cA , t���.�W E l �:ca„�
CONTRACTOR CITYe SE ZIP_
FAX
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WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
M1119 5 V 2 I /22. // '
Miff
S ;�T��� PRIMARY PHONE/
APPLICANT ,0` �� (700MAILING ADDRESS E-MAIL
t t - r,
CITY � STATE ZIP q` ( Z FAX
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N7$� ,...... „.,...\c„,,,,,, PRIMARY PHONE
PROJECT CONTACT N7
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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 arty claim(including costs,expenses,and attorneys'fees incurred in
the investigation and defense such claim), which may be made by any person,including the undersigned, and filed against the city,
but only where such claim • ses out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to t ci f as a part of this application.
A
/1
SIGNATURE: J DATE 1/7 0/ (i
PRINT NAME: gr.' ei`"` W ,),/•--
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application
CITY OF Building Division
33325 Eighth Avenue South
Federal 1! 1a ,4Federal Way,WA 98003-6325
Phone 253-835-2607 Fax 253-835-2609
CORRECTION NOTICE
ADDRESS: 9Yø2 Ic7C PERMIT#: J % -MO 7/0
�) 1(ifi c 106 ,� 7h2CceOf�,c4 IES 2�) of - �vr� ibrl
yle,
IF YOU HAVE QUESTIONS CALL (253) 835-
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE-INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS.
1;.2,2-- /9 1;167/ dc,t)i'
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE
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