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19-105462
1111 • FILE Electrical CI�°rFeae�Way Permit #:19-105462-00-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: GILLETT Project Address: 2645 S 298TH ST Parcel Number:768380 0291 Project Description: Installation of 200-amp service; rewire complete house with surface mount conduit. Owner Applicant Contractor CHARLES GILLETT CHARLES GILLETT AFFORDABLE ELECTRICAL LLC(020 3429 S 308TH PL 3429 S 308TH PL AFFOREL842B2(1/26/20) FEDERAL WAY WA 98002 FEDERAL WAY WA 98002 30449 103RD CT SE AUBURN WA 98092 Additional Permit Information Is this an Online or O.T.C.application9 Yes a t t war. +sa`'k 1sc; ilinVOAtair,"AVNI 4441ifOrt°,:W=N:mtili:6004 -1,91,N04 '442, Alt. Serv./Feeder:0 to 200 amt 1 PERMIT EXPIRES Thursday, 12 November,2020 Permit Issued on Wednesday,November 13,2019 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 and the City of Federal Way.; CO q Owner or agent: �2_`L_�`! �' .Aja i. �. il. .Li Date: If— /S —( I a`_4 y�, THIS CARD IS TO REMAIN ON-SITE OP Fede Way INSPECTION REQUESTS:(253)835-3050 PERMIT#: 19 105462 00 Address: 2645 S 298TH ST Project: MARY ANNE GILLETT FEDERAL WAY WA 98003-4220 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. 0 UFER Ground(4295) � � Ditch cover(4030) ® Slab/Concrete Floor(4255) Approved I Approved Approved to place concrete By Date ' By Date By Date Pool Bonding(4195) W Temporary Power(4275) ® Service(4235) Approved Approved Approved By Date �By Date By '� Date/A/�--j 0 Feeders/Sub-panels(4045) � ® Rough Electrical(4225) ® Ceiling Cover(4020) Approved Approved I Approved By Date II By Date By Date ' El Final-Electrical(4055) Approved By 12.5Z, Date Otr'104 D 7ery b 4� !fi,,f? a Seor / 400#010va • CI Rough Electrical 0 Final Electrical Right of Way Approved Approved Approved By Date By Date By Date RECEIVED CITY OF 2019 ELECTRICAL ti �, NOV 13 Federal Way CITY OF FEDERAL WAY PERMIT APPLICATION COMMUNITY DEVELOPMENT r PERMIT NUMBER /4? _ / C) J q /-/ A _ £ L SUITE/UNIT/SPACE# SITE ADDRESS: p6 175' S, PROJECT VALUATION ASSESSOR'S TAX/PARCEL it CURRENT/PROPOSED USE $ 3.-67c9 —" 7 3 8 d _ O o^2 / PROJECT NAME / /je (Tenant or Homeowner Last Name) iueei.> e ,e6;, ',.lee – PROJECT DESCRIPTION Detailed description of work to be included on this permit only NAME // PRIMARY PHONE PROPERTY OWNER ��' 2 65 moi'/ # (p33) l 7�-9d/g5 MAILING ADDRESS E-MAIL 3 / 9 S 3.e".96-€ /` / �l �' e e, z CITY STATE ZIP FAX 2 �u ,G4, ,J i e,gox/ (.253 ) g_59-5-ac/3 NAME �/J J PRIMARY PHONE 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 h e -7 ( ) MAILING ADDRESS E-MAIL CITY STATE ZIP FAX ( ) NAME ,, PRIMARY PHONE PROJECT CONTACT � 6.5 (adv) 7©-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 7/-73 —/F PRINT NAME: C 7, 6¢/E,/P S '/&7/ Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application RECEIVED l q ' t 0 C �- NOV 13 2019 + r.`CITY OF�TuN�p�oWAY Property Owner FederElectrical Work Permit Application A i ng.For Your Electrical; -:-ermit In Washington, only licensed electrical contractors may perform electrical work. Property owners ( may apply for an exemption from these requirements by completing this application and signing the affidavit below before beginning electrical work. A�fidav><t As authorized under RCW 19.28.261, 1,4,,f/es e//k 7 hereby apply; (Printed name of property owner,renter,or lessee) for an exemption from the electrical licensing and certification requirements of RCW 19.28 by - submission of this affidavit. Whlich:statement describes you? (Mark oniy one If none apply you may not take out this permit) `as a 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. 0 I rent or lease this property. kWe 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 Jf none apply,you may nal takeout this permit) ; 1- ❑ 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. ❑ 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 regularly employed employee(s),will be doing the electricalwork. I ❑ New place of business,farm, or other property: Any new structure that is not intended for rent, 1, 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. DEPARTMENT OF COMMUNITY DEVELOPMENT/33325 8TH AVENUE SOUTH/FEDERAL WAY,WA 98003-6325 253-835-2607 zs,www.cityofiederalway.com is permitcenter(a�cityoffederalway_com Bulletin#080—June 6,2018 Page 1 of 2 k:\I-landouts\Property Owner Electrical Work Application A ❑ 501(c)(3)or nonprofit religious organization owned property:h�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: • I 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. By signing below,I certify the information I am providing on this affidavit is true and accurate. I understand that if I make false statements or misrepresentations, I may be assessed penalties. �.� - , i7 - Printed Name of Property Owner,Renter,or Lessee Signature Date { Pro e - ytt wn��r c sp +ct r to n ©r nat ©n e//4 71( (1" ,9,e%S Property Owner's Name(Last,First)or Company Name 3�a 5• .3c� � ,v/, ti/3e•• Ce94f• 9 0 / • Mailing Address Unit/Apt.# City State Zip Daytime Phone Email Address . G / s. 8'—`4 � ev% Za4f, 9fz1:::2 Inspection Site Address(if different) Unit/Apt.# City -State Zip County Electrical Power Company/Serving Utility 3 k Description of work being done{Example:•adding'outlets to,tlhe•kitchen;second floor-break area,etc:), vL Sfrc// Se4v o�OO ��vr Jt�/e Ui Com- f r r 2 �Di — e e<2/ 714 c -4 e e (7 -10a, . DEPARTMENT OF COMMUNITY DEVELOPMENT/33325 8TR AVENUE SOUTH/FEDERAL WAY,WA 98003-6325 253-835-2607 2s www.cityoffederalway.com s permitcenter(c�cityoffederalway.com Bulletin#080—June 6,2018 Page 2 of 2 k:\Handouts\Property Owner Electrical Work Application