22-105787Electrical
City of Federal Way Permit #:22-105787-00-EL
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: (253) 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: CENTURY LINK
Project Address: 35531 6TH AVE SW Parcel Number: 302104 9109
Project Description: Replacement of Century Link power pedestal that was hit by a car
Owner
Applicant
Contractor
CENTURY LINK
JEREMY WILSONAULT ELECTRIC
AULT ELECTRIC SERVICES
650 SW 356TH ST
SERVICES
(6120124)
AAWATE
FEDERAL WAY WA 98023
2348 HOLGATE ST S
ST S
TACOMA WA 98402
` dft
99402
Additio al P r ro mation��
Is this an Online or O.T.C. application? .................. Yes 4
�c�rica I )Fixtures
Alt. Serv./Feeder: 0 to 200 arnlX
PERMIT EXPIRES Monday,ne, 2023
Permit Issued on Wednesday, Dec er 14, 2022
1 hereby certify that e o information is correct and tha construction on the above described property
and the o an a use will be in accordance i e laws, rules and regulations of the State of
ington and the Ci Federal Way.
Owner or agent: % Date: ���
4
CITY OF
Federal Way
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 22 105787 00
Address:
35531 6TH AVE SW
Project: CENTURY LINK
FEDERAL WAY WA 98023-8110
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.
0
UFER Ground (4295)
Ditch cover (4030)
0 Slab/Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By
Date : v
By
Date
By Date
0 Pool Bonding (4195)
0 Temporary Power (4275)
0 Service (4235)
By
Approved
Date
By
Approved
Date
Approved
By Date
0
Feeders/Sub-panels (4045)
E]
Rough Electrical (4225)
0 Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By Date
10 Final - Electrical (4055)
Approved
By
Date
Rough Electrical
❑
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
CITY of RECEIVED ELECTRICAL
y DEC 14 ��22
Federal Way PERMIT APPLICATION
QTY OF FEDERAL WAY
COMMUNRY DEVELOPMEW
�--� RMIT NUMBER
SUITE/UNIT/SPACE N
SITE ADDRESS: 650 SW 356th Street, Federal Way, WA 98023
PROJECT VALUATION
1500
ASSESSOR'S TAR/PARCEL #E
v O
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
Lumen (Centurylink) Power Pedestal Replacement
Replacement of Centurylink power pedestal that was hit by car,
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
Centurylink
( ) -
MAILING ADDRESS
E-MAIL
650 SW 356th St
CITY
STATE
ZIP
FAX
Federal Way
WA
98023
( 253 ) 470 _ 2858
NAME
PRIMARY PHONE
Ault Electric Services LLC
MAILING ADDRESS
E-MAII.
ELECTRICAL
2348 Holgate Street S 7eremyw@aultelectricservices.co
CITY
STATE
ZIP
FAX
CONTRACTOR
Tacoma
WA
98402
) -
WA STATE CONTRACTOR'S LICENSE S EXPIRATION DATE
FEDERAL WAY RUSHIESS LICENSE S
AULTEES821LR 6/21 2024
19-103150-00-BL
NAME
PRIMARY PHONE
Jeremy Wilson
(253 )470 - 2858
APPLICANT
MAILING ADDRESS
E-MAIL
2348 Holgate Street S
Jeremyw@aultelectricservices.co
CITY STATE
ZIP
FAX
Tacoma WA
98402
I
( ) -
PROJECT CONTACT
NAME
wade Pagh
PRIMARY PHONE
253 ) 606 - 4641
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 apart of this application.
SIGNATURE: DATE 12/14/2022
PRINT NAME: Je my on
PERMIT CENTER + 33325 8th Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenter@'cityoffederalway.com
Bulletin #160 -April 14, 2016 Page 1 of 1 k:\Handouts\Electrical Permit Application