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HomeMy WebLinkAbout15-101276 r , . , 0
E1 ctrical
City of Federal Way
Community&Econ.Dev.Services Permit #: 15-101276 00-EL
33325 8th Ave S FIL,E
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)8 5-3050
Project Name: MARIPOSA APARTMENTS-UNIT 72
Project Address: 1711 S 281ST PL Parcel Number: 33204 9039
Project Description: Entry wiring, replace paddle fan, replace devices in kitchen,dining and living room.
•
Owner Applicant Contractor
RIVERSIDE CHARITABLE CORP JEFF HUMANN MAIN STREET ELCTRIC INC
3803 E CASSELLE AVE MAIN STREET ELCTRIC INC MAINSEI021DK
ORANGE CA 92869 PO BOX N 1856 AVE PO BOX N 1856 AVE
EDMONDS WA 98020 EDMONDS WA 98020
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Service greater than 999 Amps? No
Electrical Fixtures
Circuits-Multi-family 6
PERMIT EXPIRES Saturday, September 12, 2015
Permit Issued on Monday, March 16, 2015
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 .
6
and the City of Federal Way.
. 1Nt
Owner or agent: ��" " Date: 3 1 t & l 5
ih
WALED
4%4V.,. ' ' THIS CARD IS TO MAIN ON-SITE
CITY OF - Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 15-101276-00-EL Address: 1711 S 281ST PL
Project: RIVERSIDE CHARITABLE CORP FEDERAL WAY, WA 98003
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
passible(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.
El UFER Ground (4295) ❑ Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
0 Pool Bonding (4195) 0 Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
❑ Feeders/Sub-panels(4045) El Rough Electrical (4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Qt_, Date 0 .tk:,.. t S By Date
0 Final-Electrical (4055)
Approved
By Date 511 I IS--
❑ Rough Electrical111 Final Electrical III Right of Way
Approved Approved Approved
By Date By Date By Date
OECEWED
CITY OF2015
MAR 16 E CTRICAL
Federal Way CITY OF FEDERAL WAY PERMIT APPLICATION
CDS /
PERMIT NUMBER l _ l O / L1 _ l./
SUITE/UNIT/SPACE#
SITE ADDRESS: n l l S S, pL ��
PROJECT VALUATION l l ASSESSOR'S TAX/PARCEL# CURRENT/PROP ED USE
$ `� 3 3 -� 6 `� - l 0 3 � ,T
PROJECT NAME y^
(Tenant or Homeowner Last Name) MA l�-\ pc,s P A Y!'i c Ol
PROJECT DESCRIPTION Pt I—) () iv) ) `r �6'11/4, b'-,x)r"Jb
Detailed description of work to
be included on this permit only
NAME \ PRIMARY PHONE
PROPERTY OWNER WS)( ez4/e 6� ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
Kikt+3 STWET Z �- '�C . roc 62z-44-
rLII5 ADDRESS A --�'!�/_") E-MAIL
ELECTRICAL E�h �a Yvt Ati•SS t`-rZigra.Ac..cam apt
CONTRACTOR CITY STATE ZIP FAX
aVN.C7.0! � c)P" q )"71< -<. 7
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
(. L i\t N S C.: t�J- D4 / /l LSf`
NAME_{-+� c ! PRIMARY PHONE
,
APPLICANT ✓/ '�D --L)•AfOrAr'�`)�! ) - ��-
LING ADDRESS E-MAIL
CITY STATE ZIP FAX
E PRIMARY PHONE
PROJECT CONTACT )G(�
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 t 'the city as a part of this application.
SIGNATURE: �' DATE 3/ ((417/PRINT NAME VUlb=
, 1J ILA
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application