19-105776 Electrical
City of Federal Way Permit #:19-105776-00-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: MIRROR LAKE HIGHLAND LOT 8
Project Address: 31014 6TH LN SW Parcel Number:555790 0080
Project Description: Electrical wiring for new home.
Owner Applicant Contractor
WILLIAM MCCAFFREYMIRROR LAKE DENNIS ROSSADVANCED HEATING& ADVANCED HEATING&ELECTRICAL
HIGHLAND LLC ELECTRICAL SOLUTIONS LLC SOLUTIONS LLC(ELECTRICAL)
30929 37TH PL SW PO BOX 1004 ADVANHS840IN(4/25/20)
FEDERAL WAY WA 98023 ORTING WA 98360 PO BOX 1004
ORTING WA 98360
Additional Permit Information
Is this an Online or O.T.C.application? Yes
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New Service:Residential 1
PERMIT EXPIRES Tuesday,8 December,2020
Permit Issued on Monday,December 9,2019
I hereby certify that the above information is correct an. at the construction on the above described property
and the occupancy and the be in a co .-'►fie with the laws, rules and regulations of the State of
C/ Washin. . City of Federal Way.
Owner or agent: / .��� � Date://
THIS CARD IS TO REMAIN ON-SITE
CIFTederal Way Construction Inspection Record
y INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 105776 00 Address: 31014 6TH LN SW
Project: WILLIAM J MCCAFFREY FEDERAL WAY WA 98023
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 c thde 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) El Ditch cover(4030) ® Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
••
El Pool Bonding(4195) ® Temporary Power(4275) 0 ,
Service(4235)
Approved Approved Approved
By Date *•By Date By� ®e, Date/212./9
0 Feeders/Sub-panels(4045) j ® Rough Electrical(4225) ® Ceiling Cover(4020)
Approved Approved Approved
By Date l By �/(r Date I - A r/ By Date
El Final-Electrical(4055)
Approved
By (?.2 Date l )L61p
•
0 Rough Electrical Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
CITY OF IA
RECEIVED ELECTRICAL
Federal Way PERMIT APPLICATION
DEC 0 9 2019
CITY WAY
COMMUNn Y DE\/ELOPMEf ( l _ / 05-7 7 Cp _ g
RMIT NUMBER
SUITE/UNIT/SPACE#
SITE ADDRESS: 31
0 ) (1 L 0 V r 5
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ CSM S 5 5 7 1 0- 0 0 as 0
PROJECT NAME
(Tenant or Homeowner Last Name) 1---b7 21
LA.) 1 F F _1� N C1rv1 e_
PROJECT DESCRIPTION .r
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER --moi N_1___ rt C,C.-A- 1.----- - 7--1, (ZS 3) X91 - SLI VI
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
d1sx)Prrsc-tom 14,F-- -vw(0 b- ELE( CA (Z5to 9I-- P-/k1
MAILING ADDRESS E-MAIL
ELECTRICAL `v; c . ?Ox Jong
CONTRACTOR CITY STATE ZIP FAX
d��l(V Lo liji- gtgg'1e 19 ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
A to v,r4—Al I-1 S A q81 `f /45— /
NAME PRIMARY PHONE
APPLICANT .L.) ' 1 12 ( )
MAILING ADDRESS E-MAIL
`� ` 'N'Faa i X )Ont-1 ADV. ltWo:E. -
CI STATE ZIP y __..:-VVVn.Fd7C' (411„,C.UI
z3. -1)'\Zp sS),- 3tr C) ( )
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 . t of the reli• ..e of the city, including its officers and employees, upon the accuracy of the
information supplied to the city a part of ••lication.
/ � �' / 9
SIGNATURE: ' ) DATE
PRINT NAME: ;/ Z7 4--/l)10 i ` I rl_o SS
Bulletin#160-April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application