18-105565 FILP
Electrical
��°rFederal Way Permit #:18-105565-00-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: WOLBER
Project Address: 30214 25TH AVE SW Parcel Number: 893760 0050
Project Description: 125-amp subpanel with(19)20-amp branch circuits for workshop addition.
Owner Applicant Contractor
KAREY WOLBER CHUCK WOLBER OWNER IS CONTRACTOR
30214 25TH AVE SW 30214 25TH AVE SW
FEDERAL WAY WA 98023 FEDERAL WAY WA 98023
Additional Permit Information
Is this an Online or O.T.C.application? Yes
Alt.Serv./Feeder:0 to 200 ami 1 Circuits-Residential 19
PERMIT EXPIRES Tuesday,26 November,2019
Permit Issued on Monday,November 26,2018
I hereby certify that the above informatio correct and that the construction on the above described property
and the occupancy the use wil .- y accordance with the laws, rules and regulations of the State of
- ,, gton and the City of Federal Way. r /,,/�
Owner or agent Date: 2(c o 2C1 Cji
i . .
A, THIS CARD IS TO REMAIN ON-SITE
Way Construction Inspection Record
y INSPECTION REQUESTS:(253)835-3050
PERMIT#: 18 105565 00 Address: 30214 25TH AVE SW
Project: CHUCK WOLBER FEDERAL WAY WA 98023-2316
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.
1❑ UFER Ground(4295) 2❑ Ditch cover(4030) Q Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
® Pool Bonding(4195) ® Temporary Power(4275) ® Service(4235)
Approved Approved Approved
By Date By Date By Date
El Feeders/Sub-panels(4045) ® Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By / Date — j ` f By l Date.,6----a r j By Date
® Final-Electrical(4055)
Approved
By
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3--;
✓Date ; 42—'2°
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED ELECTRICAL
CITY OF 4F tom'
Federal WaNov 2 6 2018 PERMIT APPLICATION
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT /�
PERMIT NUMBER / x�f _ G O 5TSUITE/UNIT/SPACEI/ `�'1 _ O O
[J / / #
SITE ADDRESS: 22 ll /I JJ fk ( I w ( w� %o23
7 mal VI p� S /TvC 5 V F-t cl t r:, �.
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
(, 5o0,0c9 et 6 0— - - C Workst�p
PROJECT NAME
(Tenant or Homeowner Last Name) \\J0 I L,
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PROJECT DESCRIPTION ( r ✓`� S �Ur Wa(ks kclo e eG4. Atcrk5t,,c p per,•
Detailed description of work to s I S'- 106 S"3 - 00 -5 .
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER ,(e./ I.NU) Lev- (.206 ) s sd - 939 y
MAILING ADDRESS E-MAIL
30x11.1 as*" Avc. S c .,,c,vwc.,lr� „i.rc
CITY STATE ZIP FAX
ed e r�.l WU_� \AJ A- 9(6-0,).3 ( ) -
NAME PRIMARY PHONE
0 (.D vie r ( )
MAILING ADDRESS E-MAIL
ELECTRICAL
CONTRACTOR CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PRIMARY PHONE
APPLICANT C-1,\v,L W of L-c (<206 ) S ta- 9 3 9 Li
MAILING ADDRESS E-MAIL
30A114 .2 s L 4 S rV CI. cKWawerL3V cc,v,
CITY STATE ZIP FAX
FfcieWe„/ WA- q'0d3 ( ) -
NAME PRIMARY PHONE
PROJECT CONTACT ( v VVu)1 . ( (aa6 ) - 1 3 9'I
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 th- reliance of the city, including its officers and employees, upon the accuracy of the
information supplied t he city as/a parte /�/is application. C/
SIGNATURE: f/ II DATE 6(V v1I calf
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PRINT NAME: C v, IA \/U o I G e
PERMIT CENTER+33325 8th Avenue South + Federal Way,WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenten'rcityoffederah ay.com
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application
414/41140,1,14
OTYOF Property Owner
Federal Way Electrical Work Perrihi9tWitiFailiit
NOV 2 6 2018
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App I ® Your for El l tr c Permit 1,4
In Washington, only licensed electrical contractors may perform electrical work. Property owners I
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.
_.._...: '? ° t�6'vit /474 _ t�
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As authorized under RCW 19.28.261, I, vk .-çLc1 (
•inted name cf property owner, renter, or lessee)
1 hereby apply for an exemption from the electrical licensing and certification requirements of
RCW 19.28 by submission of this affidavit.
MTh' h statement describes yen? (Mark only one. If none apply,you may not take out this permit.)
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.
❑ 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)
0 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.
0 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 1
regularly employed employee(s), will be doing the electrical work.
1 13 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.
1
DEPARTMENT OF COMMUNITY DEVELOPMENT/33325 8T"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
0 501(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: x
a
3 1 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. '
1
By signing below,I cert. y t-e information I am providing on this affidavit is true and accurate. I
understa that if I m Ise statements or misrepresentations, 1 may be assessed penalties.
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g Signature Date I
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1 Printed Name of Property Owner, Renter,or Lessee
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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 Ave. G Email Address A
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Inspection Site Address Unit/Apt.#
Electrical Power Company/Serving Utility
I Description of work being done(Example:adding outlets in the kitchen,second floor break area,etc.)
3 Os s a,w.yo S 1AL p .r.t,t v',+1- IQ 4 a° 0, ,p Ccrcs�k_ c'.r c tA.a-s
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DEPARTMENT OF COMMUNITY DEVELOPMENT/33325 8TH AVENUE SOUTH/FEDERAL WAY,WA 98003-6325
253-835-2607?:4.www.cityoffederalway.com z•,.permitcenter(a7cityoffederalway.com
Bulletin#170—July 27,2018 Page 2 of 2 k:\Handouts\Property Owner Electrical Work Affidavit