14-102889 • Electrical
Community
City of&Econ.Federal Dev.SWayervices
Permit #: 14-102889-00-EL
33325 8th Ave S
Federal Way,WA 98003 Ins ection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 FILE
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Project Name: WARREN CONSTRUCTION
Project Address: 30057 10TH AVE SW Parcel Number: 515320 0416
Project Description: Adding/altering 0-200 amp service and up to(8)circuits
Owner Applicant Contractor
WARREN CONSTRUCTION SUPREME ELECTRIC SUPREME ELECTRIC
28116 10TH AVE S PO BOX 786 SUPREEL946O6(9/26/14)
DES MOINES WA 98198 MILTON WA 98354 PO BOX 786
MILTON WA 98354
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Electrical Fixtures
Alt.Serv./Feeder:0 to 200 amps(F 1 Circuits-Residential 8
PERMIT EXPIRES Sunday, December 14, 2014
Permit Issued on Tuesday, June 17, 2014
I hereby certify that the above in 9`mation is correct and that the construction on the above described property and
the occupancy and the use w*/•- in a • dance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or age -- Date: %/09
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-
0 THIS CARD IS TO MAIN ON-SITE
��T QF, Construction In ection Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 14-102889-00-EL Address: 30057 10TH AVE SW
Project: WARREN CONSTRUCTION FEDERAL WAY, WA 98023-8207
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.
O UFER Ground (4295) ❑ Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
El Pool Bonding(4195) ❑ Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date "�, S Date _ z e- t c�
❑ Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date BY---` Datee . t q By Date
❑ Final-Electrical(4055)
Approved
By V* Date 12 1 10( 11-
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
EI CTRICAL
III
CITY OF
Federal Way PERMIT APPLICATION
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RECEIVE!)
PERMIT NUMBER `� _ l O Z _ 0 0 JUN 17
_ _ 2014
C grN�t ML WAY
SITE ADDRESS: 0057 Ia../k ,i,> /� /;� , CDS
PROJECT VALUATION ASSESSOR'S TAR PARCEL# CURRENT/PROPOSED USE
$ , -;0°C7 5 1 5 300 - ° i. 1 (C
PROJECT NAME ��f
(Tenant or Homeowner Last Name) //W
PROJECT DESCRIPTION C4/C4 ��'kk-i (iiv UQ CLP l i—'1')
Detailed description of work to q,L7d V a` 4eo C1,(acg/S ,
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER _ l.Y� 4/24Z-04 ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP / FAX
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NAME • PRIMARY PHONE
S vue c- ( ).332- g3f9'
MAILING ADDRESS E-MAIL
ELECTRICAL R0 1 ok ApSi,t plek Nu 66i m l/.l,,S)
CONTRACTOR CITY sT ZIP
/ FAX ()
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
5 /'/P4'E/ . Lqy bay 9 /Z4 / /9
NAME PRIMARY PHONE
APPLICANT AliciL .6' 4��4'' ( )
MAILING ADDRESS /J E-MAIL
S -
CITY - STATE ZIP FAX
( ) -
NAME PRIMARY PHONE
PROJECT CONTACT „A//6 4 ( 2 53) ?]? g?9 9
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 Ci n. o Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in
the investigation and defen - - c claim), which m• be made by any person,including the undersigned,and filed against the city,
but only where such cl• ••• es out o h- - ance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a • application.
SIGNATURE: ,,, DATE 6/I 7/1)
PRINT NAME: /G.1 leh t ./"I
Bulletin#160-January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application