23-105615s
City of Federal Way
Community Development Dept.
33325 Sth Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: ER REPAIR CAR VS. POLE ON 47TH AVE SW
Project Address: 47TH AVE SW
Electrical
Permit #:23-105615-00-EL
Inspection Request Line: (253) 835-3050
Parcel Number:
Project Description: Emergency Repair. Utility pole mounted cable amplifier cabinet electrical service. Pole was
replaced due to car strike. New cabinet and electrical service along with ground rods at the
base.
Owner
Applicant
Contractor
CITY OF FEDERAL WAY - PW
MARK ROACH222 ELECTRIC CO
222 ELECTRIC CO
33325 8TH AVE S
11806 221ST AVE E
222ELEC859RN(12/15/23)
FEDERAL WAY WA 98003
BONNEY LAKE WA 98391
11806 221ST AVE E
USA
BONNEY LAKE WA 98391
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Electrical Fixtures
Alt. Srvc / Feeder 0 to 200 aml 1
PERMIT EXPIRES Wednesday, 29 May, 2024
Permit Issued on Friday, December 1, 2023
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
Ai�'.
CITY OF
Federal Way
PERMIT #: 23 105615 00
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
Address: 47TH AVE SW
Project: CITY OF FEDERAL WAY - PW FEDERAL WAY WA
Scheduled inspections may be failed if this card is not on -site. DO NOT LOSF Tim 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.
Q
UFER Ground (4295)
Q
Ditch cover (4030)
Slab/Concrete Floor (4255) '
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Q
Pool Bonding (4195)
0
Temporary Power (4275)
0
Service (4235)
Approved
Approved
Approved
By
Date
By
Date
By
Date
El
Feeders/Sub-panels (4045)
El
Rough Electrical (4225)
9❑
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
10 Final - Electrical (4055)
Approved
By lelf Date /
El
Rough Electrical
❑
Final Electrical
❑
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
RECEIVED
Cl" OF NOV 2 0 2023
ELECTRICAL
Federal allay CITY OF FEDERAL WAY PERMIT APPLICATION
COMMUNITY DEVELOPMENT r
PERmrr NUMBER _ J
SUITE/UNIIT/SPACE #
SITE ADDRESS:31520 47th Ave SW
PROJECT VALUATION ASSESSOR'S TAX/PARCEL # CURRENT/PROPOSED USE
$ 4,000.00 _ utility repair
PROJECT NAME Tenant or Homeowner Last Name/ ER Repair Car vs Pole 47th Ave SW
Emergency Repair, utility pole mounted cable amplifier cabinet electrical service. Pole was replaced due to car
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
running into it. New cabinet and electrical service installed along with ground rods at the base.
Loacted in the ROW along 47th Ave SW, address provided is the nearest available.
I have been told the Electrical inspector does not inspect in the ROW and the ROW inspector does
not inspect electrical work. PSE needs an inspection to connect power to cabinet
PROPERTY OWNER
NAME;
City of Federal Way ROW
PRIMARY PHONE
( ) -
MAILING ADDRESS
E-MAIL
CITY STATE
ZIP
FAX
NAME
222 electric co
PRIMARY PHONE
(253 222 - 4605
MAILING ADDRESS
E-MAIL
ELECTRICAL
11806 221 st Ave E
222electric.co@gmail.com
CITY
STATE
ZIP
FAX
CONTRACTOR
Bonney Lake
�WA
98391
( ) -
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
222ELEC859RN' 11/14/23
APPLICANT
NAME
Mark Roach (222 Electric)
PRIMARY PHONE
(253 ) 222 - 4605
MAILING ADDRESS
E-MAIL
11806 221 st Ave E
222electric.co@gmail.com
CITY
STATE
ZIP
FAX
Bonney Lake
�WA
98391
( )
PROJECT CONTACT
NAME
Mark Roach
PRIMARY PHONE
(253) 222 _ 4605
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 ee11 nce of the city, including its officers and employees, upon the accuracy of the
information supplied the ty ZIP? o11/14/2023
ft is p icatiore
SIGNATURE. 11/DATE
PRINT NAME: Mark T Roach
PERMIT CENTER + 33325 8L1, Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcentex@cityoffederalway.com
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