HomeMy WebLinkAbout15-101274 • 4110 Electrical
City of Federal Way
Community&Econ.Dev.Services Permit #: 15-101274-00-EL
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)
Ph:(253)835-2607 Fax (253)835-2609 p q 835-3050 '
Project Name: MARIPOSA APARTMENTS-UNIT 75 •
Project Address: 1711 S 281ST PL Parcel Number: 332204 9039
Project Description: Wiring in entry
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 1
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 us will be in accordance with the laws, rules and regulations of the State of Washing lin
and the City of Federal Way.
Owner or agent: Date: 1 L ( I
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tA°.
•40311 THIS CARD IS TO MAIN ON-SITE
CITY OF
Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 15-101274-00-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
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.
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) El Service (4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
El Final-Electrical(4055)
Approved
By Date 5-1(, (i c
ElRough Electrical •El Final Electrical 111 Right of Way
Approved Approved Approved
By Date By Date By Date
411111
ar„oF E CTRICAL
RECEIVED
Federal Way PERMIT APPLICATION
MAR 16 2015
PERMIT NUMBER / _ 1 82a ft ORT,C WAA L
SUITE/UNIT/SPACE#
SITE ADDRESS: 2..„S( PLA GU .4 7 •-
PROJECT VALUATION TAX/PARCEL# CURRENT/PROOQSED USE
$
Cd° 3 c. oz 6 '/ - 6y:10 3
PROJECT NAME h�U\g n
(Tenant or Homeowner Last Name) \ � PP�
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PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
N E / PRIMARY PHONE
PROPERTY OWNER , V1 e C k-eToh e- eO r f ( ) -
MAILING ADDRESS - E-MAIL
CITY STATE ZIP FAX
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NAME PRIMARY PHONE
k -414.-;Yr 7 —2s,c_s � ek< )- 7< c0 24-44
LING ADDRESS J� E-MAIL
ELECTRICAL Vu 6.e4c. l m-)S—Q.tirT- r•N
CONTRACTOR CITY II STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
PRIMARY PHONE
APPLICANT G ) at p., -
crILING ADDRESS j -j5 g E-MAIL
141/.NSA-_ .-2�c.«
CITY STATE ZIP FAX
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PROJECT CONTACT
NAME PRIMARY PHONE
EFF 20C2 Re)
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
PRINT NAME: + k PJ
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application