09-102161City of Federal Way
Applicant
Community Development Services
P O. Box 9718
GENE GRAF
Federal Way, WA 98063-9718
HARRINGTON ELECTRIC INC
Ph: (253) 835-2607 Fax: (253) 835-2609
8118 PACIFIC HWY E
HARRIEI012RO (12/20/09)
Project Name: GIRAF
Project Address: 3001 S 288TH Space 350
Electrical
Permit #: 09 -102161 -00 -EL
Project Description: Electrical hook-up for dbl wide manufactured home
Inspection Request Line: (253) 835-3050
Parcel Number: 042104 9155
Owner
Applicant
Contractor
GENE GRAF
GENE GRAF
HARRINGTON ELECTRIC INC
8118 PACIFIC HWY E
8118 PACIFIC HWY E
HARRIEI012RO (12/20/09)
TACOMA WA 98422
TACOMA WA 98422
20312 46TH AVE E
SPANAWAY WA 98387
Additional Permit Information
Is Use I-Auetttional or Institutional?_ ................... No
Electrical Fixtures
Service or Feeder - Manu./ M.H. P 1
PERMIT EXPIRES Friday, June 11, 2010
Permit Issued on Thursday, June 11, 2009
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.
Owner or agent: Date: C9
r
FINALED
' THIS CARD IS TO REMAIN ON-SITE
CITY OF -� Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 09 -102151 -00 -EL
Owner: GENE GRAF
Address: 3001 S 288TH Space 350
FEDERAL WAY, WA 98003
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. p0 NOT LOSE THIS --(A'
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.
❑
Slab/Concrete Floor (4255)
❑
Final - Electrical (4055)
Approved to place concrete
Approved
By
Date
Date •14 r�
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
Fede � :', -jV��L PERMIT
COMWNITYDE�JIAX25XMS-'�'j
g�,,plPPLICATI N
2W-835266,„,'
o ?-- - -/- o- -2--L -�a L
5F Y CO ME /15M PL DE EIV FP
1 1
IV\—jVAY PROP
SITE AD _
�o o 'er 2-8 Y4”" ST-
SUITE/UNIT 0
ZONING
ASSESSOR'S TAX/PARCEL N
AL
PROJECT
� e
NAME OF PROJECT7BING
(Tenant or Homeowner Name)
ir��
❑ PLUMBING ❑ MECHANICAL
TYPE OF PERMIT
❑ DEMOLITION,)<ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION
a�
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PEOPLE
NAME
PRIMARY PHONE
PROPERTY OWNER
C—�'C(/L e
-
MAILING ADDRESS, CITY, STATE, 22P
E-MAIL.
OWNER IS ALSO:
El CONTRACTOR APPLICANT PROJECT CONTACT
NAME -+
11%'p-,eIli b/Ap-
PRIMARY PHONE
YY?- -S9 Y
MAILING ADDRESS, CITY, STATZ..�ZTP C$�,_,� /
12— '-7 /� U Ei",'TLCJirjrrccvl++
FAX
-
CONTRACTOR
WA STATE CONTRACTOR'S LICENSE M
M,q R- - / e /v( 2- 0
EXPIRATION DATE
1,12- / Zo/
FEDERAL WAY SUSnvzss LICENSE #
y- WOO I-�
NAMEPRIMARY
<�"�t e
PHONE
c72,2 --A
MAILING ADDRESS, CITY, STATE, ZIP
FAX
PROJECT CONTACT
NAME
PRIMARY PHONE
(The individual to receive and
MAILING ADDRESS, CITY, STATE, ZIP
FAX
respond to all Correspondence
concerning this application)
-
ALTERNATE CONTACT NAME: PRIMARY PHONE
E-MAIL
PROJECT FINANCING
NAME
OWNER -FINANCED
Required forprojects with
MAILING ADDRESS, CITY, STATE, ZIP
PRIMARY PHONE
value of $5, 000 or more
(RCW 19.27.095)
) _
I cert] fy under penalty of perjury that I am the property owner or authorised agent of the property owner. I certify that to the
best of my knowledge, the igfo.mation 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 furtieer agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' foes interred
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
igormation supplied to the city as apart of this application.
SIGNATURE: DATE
Q�'r -e
PRINT NAME:
Bulletin # 100 — 4/17/2009 Page 1 of 4 k:\Handouts\Permit Application