14-101706City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835 -2607 Fax (253) 835 -2609
FILE
Project Name: MANAPAT- SOUTHWORTH
Project Address: 1816 S 290TH ST
0
EYectcal
Permit #: 14- 101706 -00 -EL
Inspection Request Line: (253) 835 -3050
Parcel Number: QMN 0060
Project Description: 125 amp panel upgrade for interlock switch for portable generator
Owner
MER1HA MANAPAT- SOUTHWORTH
ARolicant
CINDER ELECTRIC INC
Contractor
CINDER ELECTRIC INC
1816 S 290TH ST
7004 180TH AVE NE
LINDEEI426M8 (1/31/15)
FEDERAL WAY WA 98003
REDMOND WA 98052
7004180TH AVE NE
REDMOND WA 98052
Is this an Online or O.T.C. application ? .................Yes
Electrlcal'Fbdures
Alt. Serv./Feeder: 0 to 200 amps (F 1
Is Use Educational or Institutional ? .......................No
PERMIT EXPIRES Sunday, October 12, 2014
Permit Issued on Tuesday, April 15, 2014
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 l%a.�' _ Date: YllSlf.r
Ory of 0&
Federal Way
PERMIT #:
Project:
THIS CARD IS TO MAIN ON -SITE ,
Construction In ection Record
INSPECTION REQ TS: (253) 835 -3050
14- 101706 -00 -EL Address: 1816 S 290TH ST
MERLITA MANAPAT- SOUTHWOR7 FEDERAL WAY, WA 98003 -3812
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.
❑
UFER Ground (42 5)
Ditch cover (4 0)
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
❑
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
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF
Federal Way
PERMIT NUMBER 14
w
y
ELECTRICAL
PERMIT APPLICATION
APR 15 2014
SITE ADDRESS:
/UNIT /SPACE #
M6
�/y
CDS
PROJECT VALUATION
$
ASSESS/OOWS TAR /PARCEL #
�ZZ �0O.
00
Coo
CURRENT /PROPOSED USE
— — — — —
—
—
—
— —
PROJECT NAME
(Tenant or Homeowner Last Name))
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
P S
_
ADDRESS
E-MAIL
pMAILING
CITY
STATE
ZIP
FAX
W
l
PRIMARY PHONE
,rNAME
//
MAILING ADDRESS .
E-MAIL
ELECTRICAL
,7 / -"' 2
CONTRACTOR
crrY
STATE
FAX
',�
/f° i *
�a2:Pr
/
1
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
APPLICANT
l
MAILING ADDRESS
F, L
CrrY
STATE
ZIP
FAX
O
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 a part of this application.
SIGNATURE:
PRINT NAME:
Bulletin # 160 — January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application