HomeMy WebLinkAbout15-1056240
City of Federal Way
+ Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
P,j1: (253) 835-2607 Fax: (253) 835-2609
FILE
a
Electrical
Permit #: 15 -105624 -00 -EL
Project Name: FWPS SERVICE CENTER - KITCHEN BUILDING
Inspection Request Line: (253) 835-3050
Project Address: 1214 S 332ND ST Parcel Number: 172104 9049
Project Description: Altering (4) circuits for garage doors and vehicle loading lift
Owner
A n�
Contractor
FEDERAL WAY SCHOOL DIST#210
AYSHA PIKO
D & A ELECTRIC LLC
31405 18TH AVE S
D & A ELECTRIC LLC
DELEC*E897D5 (4/5/17)
FEDERAL WAY WA 98003
33410 30TH AVE SW
33410 30TH AVE SW
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes
Service greater than 999 Amps? .............................No
Electrical Fixtures
Circuits - Commercial .................... 4
Is Use Educational or Institutional? ....................... No
PERMIT EXPIRES Tuesday, May 3, 2016
Permit Issued on Thursday, November 5, 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
and the City of Federal Way.
Owner or agent: ,.,c Date: Jr -1-51
'f`NAVED
THIS CARD IS TO RE ON-SITE - -
CITY OF Construction Inspeon Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 15 -105624 -00 -EL Address: 1214 S 332ND ST
Project: FEDERAL WAY SCHOOL DIST#21( FEDERAL WAY, WA 98003-7331
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 W4 Date 11 (1 I C -
1:1Right
UFER Ground (4295)Ditch
cover (4030)
Temporary Power (4275)Service
Slab/Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By W4 Date 11 (1 I C -
1:1Right
Pool Bonding (4195)
E]
Temporary Power (4275)Service
(4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
❑
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By W4 Date 11 (1 I C -
1:1Right
Rough Electrical
Approved
Final Electrical
Approved
of Way
Approved
By
Date
By
Date
By
Date
CITY OF
Federal Way
PERMIT NUMBER is
ELECTRICAL
PERMIT APPLICATION
C) � �Z� 0-0 RECEIVED
- - - - NOV 06 2015
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 Iaws 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 apart of this application.
SIGNATURE:
PRINT NAME:
Bulletin # 160 —January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application
CITY OF FE 6MVV iSPACE#
SITE ADDRESS: i
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CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
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PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
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MAILING ADDRESS
E-MAIL
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CITY
STATE
ZIP
FAX
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NAME
PRIMARY PHONE
05 -2u -
MAILING ADDRESS
E-MAIL
ELECTRICAL
CITY
STATEZIP
FAX
CONTRACTOR
I
9 65L74
WA STATE CONTRACTOR'S LI NSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
STATE
LA14-
I ZIP 7
FAX
PROJECT CONTACT
NAME
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PRIMARY PHONE
(7K3) _ 51 )
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 Iaws 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 apart of this application.
SIGNATURE:
PRINT NAME:
Bulletin # 160 —January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application
