21-101286City of Federal Way
Community Development Dept
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: MERIDIAN COURT BUILDING 2
Project Address: 31510 23RD AVE S
Project Description: Add a dedicated circuit for dishwasher in each unit.
Electrical
Permit #:21-101286-00-EL
Inspection Request Line: (253) 835-3050
Parcel Number: 092104 9190
Owner
Applicant
Contractor
FAIRFIELD MERIDIAN COURT LP
DEREK MCCOY
J N M ELECTRIC INC
5355 MIRA SORRENTO PL SUITE 100
18808 E 88TH AVE
JNMELEI87104 (9/24/21)
SAN DIEGO CA 92121
BONNEY LAKE WA 98391
PO BOX 7059
BONNEY LAKE WA 98391
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Electrical Fixtures
Circuits - Multi -family 200
PERMIT EXPIRES Friday, 1 April, 2022
Permit Issued on Thursday, April 1, 2021
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: Date
-
CITY OF
Federal Way
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 21 101286 00
Address:
31510 23RD AVE S
Project: FAIRFIELD MERIDIAN COURT LP
FEDERAL WAY WA 98003
Scheduled inspections maybe failed if this card is not on -site. DO NOT LOSE Tim C AI1D. 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.
Q
UFER Ground (4295) ❑
Ditch cover (4030)
❑ Slab/Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By
Date By
Date
By Date
El
Pool Bonding (4195) ❑
Temporary Power (4275)
® Service (4235)
Approved
Approved
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 Date
1
I / Ad.�
-3a � I1 C37
d
❑ Rough Electrical ❑ Final Electrical LBoy
Right of Way
Approved Approved Approved
By Date By Date Date
RECEIVED
APR 0J2021 ELECTRICAL
COM UNITY rY OF DEVELOEML PMENT PERMIT A P P L I CA.T I O N
PERMIT NUMBER
SUITE/UNIT/SPACE#
SITE ADDRESS: I ® 2-3 AV
PROJECT VALUATION ASSESSOR'S TAXIPARCEL #
$
PROD CT NAME -�r'
(Tenant or Homeowner Last Name) A � C "t
�11t
PROJECT DESCRIPTION
Detailed description of twrk to
be included on this permit only
PROPERTY OWNER
ADD D'I'S 4 WA,5 El F,
A?U�:: LTL
NAME
MAILING ADDRESS
CITY STATE
13AN) 1 ' p PA
RAM
MAILING ADDRESS
CURRENT/PROPOSED USE
PRIMARY PHONE
{ ) E-MAIL
FAX
PRIMARY PHONE
V-.) - �-
E-MAD
ELECTRICAL fe Q15VIN I'(/ ?
CONTRACTOR CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE i
NAME PRIMARY PHONE
5 A APPLICANT ! �i' A� � c ✓
{ )
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
i ) -
NAME PRIMARY FRONE
PROJECT CONTACT F,V 5_ �p } (- $ i2--j
I certify under penalty of perjury that I am the property cancer or authorised 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 authorised 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 clairnb 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.
i r � {�
SIGNATURE: DATE `! +� !mot/ L
PRINT NAME:
��
q5- Bulletin #160 -- April 14, 2 116
PERMIT CENTER + 33325 8d, Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + perrrzitrentezizziiy€�f%cieralway.czs z
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k:lHandoutslElectrical Pennit Application