15-100619- ° - Electrical
City of Federal Way
Community & Econ. Dev. Services Permit #• 15 -100619 -00 -EL
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: (253)835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609 z
ME
Project Name: KING'S COURT APARTMENTS BLDG A
Project Address: 2225 S 333RD ST Bldg A Parcel Number: 797820 0182
Project Description: Install circuit for smoke detectors and install new smoke detectors.
Owner
ARRIlicant
Contractor
KC HOUSING AUTHORITY
STEVEN A LEVERETT PRES
MODULAR ELECTRIC
600 ANDOVER PARK W
MODULAR ELECTRIC
MODULEI308L9 (3/5/15)
TUKWILA WA 98188
PO BOX 484
PO BOX 484
KIRKLAND WA 98033
KIRKLAND WA 98083
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes
Service greater than 999 Amps? .............................No
Electrical Fixtures
Circuits - Multi -family ................... 1
Is Use Educational or Institutional?.......................No
PERMIT EXPIRES Sunday, August 9, 2015
Permit Issued on Tuesday, February 10, 2015
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the u 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:
CITY of
Federal Way
PERMIT #:
Project:
• THIS CARD IS TO ON-SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
15 -100619 -00 -EL Address: 2225 S 333RD ST Bldg A
KC HOUSING AUTHORITY FEDERAL WAY, WA 98003
-0 ,
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.
Final - Electrical (4055)
Approved
By V45 Date 1
UFER Ground (4295)
❑
Ditch cover (4030)
❑
Slab/Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By V45 Date 1
Pool Bonding (4195)
Temporary Power (4275)
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
0
Ceiling Cover (4020)
Rough Electrical (4225)
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By V45 Date 1
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF 'A
Federal Way
0 i , yry
pirm ELEC'TR.ICAL
FEB 10 2015 PERMIT APPLICATION
CITY OF FEDERAL WAY
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PERMIfi NUMBER / Q
� 6 Vs/ 7 — E—
SITE ADDRESS: ,9 a
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/ /ASSESSOR'S
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SUITElUNiTISPACE #
4
PROJECT VALUATION
$ 8-7
TAX/PARCEL #
7 4 '2
CURRENTIPRO ED USE
PROJECT NAME
_
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION
:Z: �"
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Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAMEPRD"RT
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ZIP
FAX
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PRIMARY PHONE
NAILING ADDRESS
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E-MAIL
ELECTRICAL
CONTRACTOR
CI'T'Y.
2 le I 4A
STATE
IWA
ZIP
FAX
(1627- 9oS-
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME
PRIMARY PHONE
{ )
NAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME
C
PRIMARY PHONE
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 claimh 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 Phe city as apart of this application.
SIGNATURE:�L�G.G" �%%y_ - DATE
PRINT NAME:
Bulletin #160 -January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application
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