09-104158City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way. WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: BROWN
Project Address: 808 S 299TH PL
Project Description: Adding a new hot tub circuit
Owner
KIMBERLEE A BROWN
JEFFREY A BROWN
808 S 299TH PL
FEDERAL WAY WA 98003
Electrical
ro Permit #: 09 -104158 -00 -EL
Inspection Request Line: (253) 835-3050
AwAlcant
IN THE LIGHT ELECTRIC
18430 109TH AVE SE
SNOHOMISH WA 98296
Additional Permit Information
Is Use Educational or Institutional?.....................No
Electrical Fixtures
Hot Tub...............w..! 7 1
PERMIT EXPIRES Friday, October 22, 2010
Permit Issued on Thursday, October 22, 2009
Parcel Number: 515160 0125
Contractor
IN THE LIGHT ELECTRIC
LIGHTE°976RU 4/21/10
18430 109TH AVE SE
SNOHOMISH WA 98296
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy a the use will be in accordance with the laws, rules and regulations of the State of Washington
and th ' of Federal Way.
Date: i d z; '
Owner or agent: -r
_.
.4 �}
Federa5 `�,JA'4 ;y
THIS CARD IS T(' "'FMAIN ON `ITE
Construction I ibpectxon Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 09 -104158 -00 -EL Address: 808 S 299TH PL
Owner: KIMBERLEE A BROWN FEDERAL WAY, WA 98003-3749
Scheduled inspections maybe failed if this card is not on-site. L)Q NOT LQSE I'll 1ARQ 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.
Ditch cover (4030) Pool Bonding (4195)Service (4235)
Approved Approved 110 Approved
By Date I I By Date 1 I By Date
Rough Electrical (4225)
E:]
Final - Electrical (4055)
Approved
Feeders/Sub-panels (4045)
By
Approved
By
Date
Approved
Date
By
Date
By
Date
By
Date ..ti42
Final F:lrct rig al
Approved
1:1Approved
Might of Way
Rough Electrical
Approved
By
Date
By
Date
By
Date
dram
Federal ECEIV_. PERMIT
V a1�
C0 3 6Q7v 'PMS -8 5 2 49Dc r 2 2 ,AQP PLI GATI O N
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PROPERTY
SITE ADDRESS L
SIIITEIUNIT # ZONING ASSESSOR'S TAR/PARCEL N
PROJECT
NAME OF PROJECT
(Tenant or Homeoumer Name)
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
TYPE OF PERMIT ❑ DEMOLITION V ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION
i'i �. c1 a •�._., V.- :'.- 7-�, /. 7 LJ. -.r 1
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
OWNER IS ALSO:
CONTRACTOR
PEOPLE --
NAME PRIMARY PHONE
M;MRG ADDRESS, crity, STATE, ZIP fJ� E-MAIL
IC-
[]
CONTRACTOR APPLICANT ❑ PROJECT CONTACT
NAME PRIMARY PHONE
MAit�tIM ADDRESS, CITY, STATE./2IP FAX
WA STATE CONTRACTOR'S LICENSE M EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE N
I i/_'_ 14rr'W;Z'4d' y f 19 v 4/ i 2 7 1.201
APPLICANT 14 _fOq 3�
MAILING ADDRESS, CITY, STAT*,21P21
L 8 L�
PROJECT CONTACT NAME
(The individual to receive and
respond to all correspondence MAILING ADDRESS, CITY, STATE, ZIP
concerning this application)
ALTERNATE CONTACT NAME:
S N�'fs✓'`� .-Af.
PRIMARY PHONE
1
PRIM1�jjARY PHONE y�
�Yl fPr`7
FAX
PRDNARY PHONE
FAX
E -MAD.
PROJECT FINANCING NAME
❑ OWNER -FINANCED
Required for projects tuith
value of $5,000 or more MAILING ADDRESS, CITY, STATE, ZIP PRDIfARY PHONE
(RCW 19.27.095) i 1 -
I certify under penalty of perjury that I am the property owner or authorised agent of the property owner. I. certVy that to the
best of my knowledge, the ir4%ormation submitted in support of this permit application is true and correct. I cer ft that I will comply
with all applicable City of Federal Way regulations pertaining to the work authorised 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
conduction 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 investigatio and defense of such claim), which may be made by arty person, including the undersigned, and filed against the
city, but only whey such claim arises out of the reliance of the city, including Its officers and employees, upon the accuracy of the
information supplied o the city as apart of this licatiorx.
SIGNATURE:-- -( -*off DATE
PRINT NAME: )
Bulletin # 100 — 4/17/2009 Page 1 of 4 k:\Handouts\Permit Application