HomeMy WebLinkAbout15-101277 •
0 E1 ctrical
City al Way FIL.r:
TcomiE : s
unity Permit #: 15-10127700-EL
S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 8 5-3050
Project Name: MARIPOSA APARTMENTS-UNIT 76
Project Address: 1711 S 281ST PL Parcel Number: 33204 9039
Project Description: Complete re-wire of tire damaged unit
Owner Applicant Contractor
RIVERSIDE CHARITABLE CORP - JEFF HUMANN MAIN STREET ELCTRIC INC
3803 E CASSELLE AVE MAN 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 Institutional9 No
Service greater than 999 Amps? No
Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 amps(I1 1 Circuits-Multi-family 15
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 Washingt n
14and the City of Federal Way.
Owner or agent:� . Date: 3( ( (eC t5
ot,,e,
THIS CARD IS TO „ IN ON-SITE
CITY
OF 0 Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 15-101277-00-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 LIFER Ground (4295) ❑ Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
O Pool Bonding(4195) 0 Temporary Power(4275) Service(4235)
Approved Approved Approved
By Date By Date By Date
El Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date By �V►., Date '.�r,v t By Date
O Final-Electrical(4055)
Approved
By 'V , Date '511 LIS—
•
•
❑ Rough Electrical Final Electrical Right of Way
Approved Approved1=1 Approved
By Date By Date By Date
R EKED
ELIIECTRICAL
CITY OF
Federal Way MAR 16 2015 PERMIT APPLICATION
CITY OF FEDERAL WAY J '
PERMIT NUMBER G _ j /��D? e / 7 _ (� �,(�'
(/ ` SUITE/UNIT/SPACE# {�
SITE ADDRESS: j ` t � S . Z' ( 5 4k `4 c '"26.4
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# _ ^ CURRENT/PROPOSED USE
•
PROJECT NAME f�/t \ poc A
(Tenant or Homeowner Last Name) t ��. �`�' + 1
Ce.)vt SLA-TI -(k .vin.
PROJECT DESCRIPTION ` -
Detailed description of work to
be included on this permit only
NAME‘2.)
PRIMARY PHONE
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PROPERTY OWNER " Q ICAS- p ;406k Cor ( )
MAILING ADDRESS V E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
'4 )
n
MAILING DRESS J LS E-MAIL
ELECTRICAL r'0 &JK Mdkk.OSTIlai -
CONTRACTOR CITY STATE ZIP FAX
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WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
7
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NAME PRIMARY PHONE
APPLICANTFJ � )8(6- t�q5
//LING AD KESS .�+ { E-MAIL
l j c..>12` 1 -t ifZf_Cexfk-
CITYSTATE ZIPVY1S ` FAX
2. J� �-. 0t1/4)6�� ( j A `� 2 ( ) a, -
[ -0(4,) 30-
PRIMARY ONE
PROJECT CONTACT J
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that tot 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 t • city as a part of this application.
1 ✓
SIGNATURE: �'�r 1 DATE 3 1 i s l
PRINT NAME: (tA
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Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application
