12-101847City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835 -2607 Fax: (253) 835 -2609
9
slectrical
Permit #: 12- 101847 -00 -EL
Inspection Request Line: (253) 835 -3050
Project Name: PENSCO TRUST CO ''4 �
Project Address: 31910 45TH PL SW Unit C
Project Description: Adding/altering 0 -200 amp service
Parcel Number: 873179 0150
Own r
Al2RIican
Contractor
PENSCO TRUST CO INC
PENSCO TRUST CO INC
PENSCO TRUST CO INC
450 SANSOME ST
450 SANSOME ST
450 SANSOME ST
SAN FRANCISCO CA 94111
SAN FRANCISCO CA 94111
SAN FRANCISCO CA 94111
Additional Permit Information
Is Use Educational or Institutional ? ....................... No
Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 amps (D 1
Service greater than 999 Amps? .............................NO
PERMIT EXPIRES Monday, October 22, 2012
Permit Issued on Wednesday, April 25, 2012
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
�nd the City of Federal Way.
Owner or agent: �� -� Date:
4/312
THIS CARD IS TO REMAIN ON -SITE
,V
Federal Way -� Construction I ection Record``
y INSPECTION REQUE TS: (253) 835 -3050
PERMIT #: 12- 101847 -00 -EL Address: 31910 45TH PL SW Unit C
Project: PENSCO TRUST CO INC FEDERAL WAY, WA 98023 -2445
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.
LIFER Ground (4295)
Ditch cover (4030)
Temporary Power (4275)
Slab /Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
Temporary Power (4275)
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
E]
Feeders /Sub - panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
40k 02-
CITY OF ''" �
Federal Way ELEC'T'RICAL RECEIVED
PERMIT APPLICATION APR 2 5 2012
"Most electrical permits may be obtained on -line at www. IAI A„
SITE ADDRESS: 7 j G�
% C, "! r �4 / / s-, W �'�test /ot l " y
4�17
SUITE /UNIT /SPACE M
ASSESSOR'S TAX /PARCEL N
CURRENT /PROPOSED USE
a'..
r--
��jV S G / %rill S ( Nk-
PROJECT NAME
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAND
?�'�
6
PRIMARY PHONE
MAILING ADDRESS )
/
E -MAIL
CITY /
Llr'_411�11
STATE
ZIP
FAX
NAME
t'(I/�/�
PRIMARY PHONE
-
MAILING ADDRESS
E -MAIL
ELECTRICAL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE M EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE N
APPLICANT
NAME /•
PRIMARY PHONE
MAILING ADDRESS
E -MAIL
CITY
STATE
ZIP
11 FAX
I
PROJECT CONTACT
NAME ,
PRIMARY PHONE
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: i �v DATE
PRINT NAME:
33325 8"' Avenue South ♦ Federal Way ♦ WA ♦ 98003 -6325 1 253- 835 -2607 ♦ fax: 253- 835 -2609 ♦ www.cityoffederalway.com
Bulletin #160— January 1, 2011 Page 1 of 2 k: \Handouts \Electrical Permit Application