11-100849R i Electricat
City of Federal Way
Community Development, Services Permit #. 11 A 00949-00-EL
P.O. Box 9980 FILE
Federal Way, wa : (253 835- Inspection Request Line: 253 835 -3050
Ph: (253) 835 -2607 Fax: (253) 835 -2609 P G � 1
Project Name: BROOKLAKE CHURCH
Project Address: 629 S 356TH ST Parcel Number: 292104 9019
Project Description: Install 100 amp subpanel for sound booth. Add (16) duplex receptacles.
Own r
Applicant
Contractor
BROOKLAKE COMMUNITY CHURCH
KODIAK ELECTRIC LLC
KODIAK ELECTRIC LLC
629 S 356TH ST
922 66TH AVE E
KODIAEL92805 (9/25/12)
FEDERAL WAY WA
FIFE WA 98424
922 66TH AVE E
98003 -8651
FIFE WA 98424
Is Use Educational or Institutional ? ....................... No Service greater than 999 Amps? ............................. No
-� I -
' s
THIS CARD IS TO REMAIN ON -SITE
CITY or , Construction I ection Record Q
Federal Way INSPECTION RE UESTS: ( ) 253 835 -3050
PERMIT #: 11- 100849 -00 -EL Address: 629 S 356TH ST
Project: BROOKLAKE COMMUNITY CHUR( FEDERAL WAY, WA 98003 -8651
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.
Pool Bonding (4195)
Approved
By Date
Temporary Power (4275)
Approved
By Date
Feeders /Sub - panels (4045) Rough Electrical (4225)
Approved Approved
By Date B C Date
Final - Electrical (4055)
Approved
By Date i.
UFER Ground (4295)
Ditch cover (4030)
By
Slab /Concrete Floor (4255)
Approved
❑
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
Approved
By Date
Temporary Power (4275)
Approved
By Date
Feeders /Sub - panels (4045) Rough Electrical (4225)
Approved Approved
By Date B C Date
Final - Electrical (4055)
Approved
By Date i.
Service (4235)
Approved
By
Date
Right of Way
Approved
❑
Ceiling Cover (4020)
Approved
By
Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
Mar 03 11 02.29p p.1
crty ac _LL — ( O O tit
Federal Way ELECTRICAL,
_ RECEIVED
PERMIT APPLICATION
MAR 0 3 20"1
"Most P%!rtrir,71 normitc m.r„ I,., ..l,r..;.. , T T:_ _ _ _nc_ 7 1
I certify under penalty gf pedurl/ that J am the I"Pertg otnraer or authorized agent of the
of My knowledge, the information submitted in support of this permit apptication is true and owner.
cert . Y ceTt Z 411 c m the west
ail applicable City of Federal Way regulations p rti fy that I erst damply the
issuance of this pertaining to the zotrrk authorized by alle issuance gPa permit. t understand that the
permit does not ren n w the owner's responsibility for compliance with heat, stale, or
Construction or environmental laws. federal laws regalating
Iinvestig agree to hold harmless the City ofhich W Wady ass CO any claim AnrludimW costs, expenses, and attorneys' fees incurred in
the investigation and defense of such claim), tokiciz may be made by any person, including the undersigned, need led
but �atzon ere such claim arises out of the reliarme of the city, including its gi)Tjiwm and employees, upon the against gf the
suppti?! the city as apart of this application.
SIGNATURE:
rs fAt
uwTC
33325 8" Avenue South ♦ Federal Way ♦ WA ♦ 98003 -6325 ♦ 253,835 -2607 0 fac ?53- 835 -26D9 * www.cityoffodcralway.com
Bulletin #160 —January 1, 2017 Page 1 of 2 k:lHandoutsW1ecaica1 Pemndt Application
r/
ry rr. �c
P�t4PEi'l1R31+�ANT `
VVMT
SITE ADDRESS: &2
cub
SUrE /UNT /SPAC
. RS r
T!S]CIPAitCEL N CUIt tRW/V5tC"5ED USE
0
PROJECT, PT RMAT [ IN
PROJECT NAME
(TeRantorliomeou,prcerL2stName)
J
1-0a L A Ke—i1
PROJECT DESCRIPTION
DOXa
f
ed desaVtian of tuork to
be included on this permit only
PROPERTY OWNER
trntE
7t' o - h L A W& l O rt�'k
rRUNARY PHOM
VS'? U-27
1SIIif.rN'G ADDR898
CITY
SPA7'6
ZIP
FAY
IQAdIE
PRIMARY PHONE
ELECTRICAL
MAU"(; ADDRESS
22- Ce Le- Au c P
CONTRACTOR
aTATa
lip
PAY
` w �-
_. `�zY
) 9 z -.r)sK
WA. STATE 'S ueeasE • EEP>RATION DATE
De-
--.AL WAY EDSUGMS GICB Tja ,r
I2r 112-
(9 q joys/ Do PL
NAME
APPLICANT
LL
- 1 e AS �l�O o e-
PBINARlraoNa
MAn'DIG ADDRESS —
E-MAIL
CITY
ST1lTE
:Z31.
FAY
PROJECT CONTACT
NAME
rRIReRY rHonz
I certify under penalty gf pedurl/ that J am the I"Pertg otnraer or authorized agent of the
of My knowledge, the information submitted in support of this permit apptication is true and owner.
cert . Y ceTt Z 411 c m the west
ail applicable City of Federal Way regulations p rti fy that I erst damply the
issuance of this pertaining to the zotrrk authorized by alle issuance gPa permit. t understand that the
permit does not ren n w the owner's responsibility for compliance with heat, stale, or
Construction or environmental laws. federal laws regalating
Iinvestig agree to hold harmless the City ofhich W Wady ass CO any claim AnrludimW costs, expenses, and attorneys' fees incurred in
the investigation and defense of such claim), tokiciz may be made by any person, including the undersigned, need led
but �atzon ere such claim arises out of the reliarme of the city, including its gi)Tjiwm and employees, upon the against gf the
suppti?! the city as apart of this application.
SIGNATURE:
rs fAt
uwTC
33325 8" Avenue South ♦ Federal Way ♦ WA ♦ 98003 -6325 ♦ 253,835 -2607 0 fac ?53- 835 -26D9 * www.cityoffodcralway.com
Bulletin #160 —January 1, 2017 Page 1 of 2 k:lHandoutsW1ecaica1 Pemndt Application
r/