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17-100184
Electrical City of Federal Way Permit #:17-100184-00-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: FEDERAL WAY AUTO GLASS SHOP Project Address: 30419 PACIFIC IIWY S Parcel Number:092104 9253 Project Description: Adding(1)50 amp circuit Owner Applicant . . Contractor BRUCE CLAUSEN MIKE COXD&K ELECTRIC INC D&K ELECTRIC INC 3790 S CIMARRON DR 15425 ADMIRALITY WAY • DKELEKE970KK(4/24/17) BULLHEAD CITY AZ 86442-8719 LYNWOOD WA 98036 PO BOX 2117 • • LYNNWOOD WA 98036 Additional Permit Information Is this an Online or O.T.C.application Yes a. .,.as✓',''",..,.,,�,._� ,,,,,m („r.,,.>>� a�`.'�,.�3„ ws,'.x'7` Si.'„ �; -' .a�i2F.,.. .,..K .,,,.;.. ,y.�KS „r.dr s ,s.. R,G�, ., .,„�.L:.,.. ,«... �,1?,.,, .. Circuits-Commercial 1 PERMIT EXPIRES Friday, 12 January,2018 Permit Issued on Thursday,January 12,2017 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the use ,'II be in accordance with the laws, rules and regulations of the State of f'ashington and the City of Federal Way. / .z /,i( - 1 Owner or agent: � Date: 1 �I G THIS CARD IS TO REMAIN ON-SITE iAt,Federal Construction Inspection Record Way INSPECTION REQUESTS:(253)835-3050 PERMIT#: 17 100184 00 Address: 30419 PACIFIC HWY S Project: BRUCE CLAUSEN FEDERAL WAY WA 98003-4815 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(4295) © Ditch cover(4030) , © Slab/Concrete Floor(4255) Approved Approved I � Approved to place concrete By Date By • Date I By Date a Pool Bonding(4195) fl Temporary Power(4275) 0 Service(4235) Approved Approved Approved By Date By Date By Date • © Feeders/Sub-panels(4045) + 0 Rough Electrical(4225) j El Ceiling Cover(4020) Approved Approved 1 Approved By Date By Date r By Date 10 Final-Electrical(4055) Approved By (1,*„.0- Date k I h t 1 . . 0 Rough Electrical 0 Final Electrical 0 Right of Way Approved Approved Approved By Date By Date By Date ` ELECTRICAL CITY OF Federal Way JAN 18 2017 PERMIT APPLICATION CITY OF FAQ .. ( 0 O ( � � _ 00 1 PERMIT NUMBER SUITE/UNIT/SPACE# SITE ADDRESS: zoo e PAC Ifie, 5 PROJECT UATION ASSO _ESSQR'S T CURRENT/PROPOSED# CURENT/PROPOSED USE PROJECT NAME (Tenant or Homeowner Last Name) � / C �A'/ k1D s f fb PROJECT DESCRIPTION 00006 /tino pa cow Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER ( ) - MAILING ADDRESS E-MAIL CITY STATE ZIP FAX ( ) NAME PRIMARY PHONE p d9N? E« (4/213 ) 742 - 74,54 MAILING ADDRESS E-MAIL ELECTRICAL P 0- &1A Qi 17 pkIrvazaccTexaxzwrieiv.A -1- CONTRACTOR CITY STATE ZIP FAX 1.-tf AMAA WPr eiq.)3(, (I/VS ) 712 - Mk) WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# Dk4C et kEq7t? NAME PRIMARY PHONE APPLICANT MAILING ADDRESS ( ) E-MAIL CITY STATE ZIP FAX ( ) NAME PRIMARY PHONE PROJECT CONTACT // (VK (r ) 113 - 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 her agree to hold harmless the City of Federal Way as to any claim(including costs,expenses, and attorneys' ees incurred in .fort a9 tiJ f y y ( 9 P f 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: � DATE 14 71 /7 PRINT NAME: /" 1/et- l/"' • Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application