12-103345 Electrical
City of Federal Way
Community&Econ.0ev.Services Permit #: 12-103345-00-EL
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: CENTURIAN PROPERTIES LLC
Project Address: 30653 3RD PL S Parcel Number: 232970 0310
Project Description: 0-200 AMP service change to comply with 12-103330-00 VO
Owner Applicant Contractor
CENTURION PROPERTIES LLC ALL COUNTY ELECTRIC&SERV INC ALL COUNTY ELECTRIC&SERV INC
PO BOX 96 19705 45TH AVE S ALLCOCE901LG(6/14/14)
FALL CITY WA 98024 BOTHELL WA 98012 19705 45TH AVE S
BOTHELL WA 98012
Additional Permit Information
Is Use Educational or Institutional? No
Electrical Fixtures
Alt.Serv./Feeder: 0 to 200 amps(F 1
PERMIT EXPIRES Wednesday, January 16, 2013
Permit Issued on Friday, July 20, 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
and the City of Federal Way.
Owner or agent: Date: SC/207 Z
' THIS CARD IS TO .MAIN ON-SITE
CITY OF ' • Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 12-103345-00-EL Address: 30653 3RD PL S
Project: CENTURION PROPERTIES LLC FEDERAL WAY, WA 98003-4007
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 Approved to place concrete
By Date By Date By Date
ElPool Bonding(4195) '0 Temporary Power(4275) .El Service(4235)
Approved Approved Approved
By Date `By Date • 'By C r/�` Date ...a.4_,...1 ,
•
❑ Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
❑ Final-Electrical(4055)
Approved
By e ti Date tl _ lvt-1`Y
❑ Rough Electrical111 Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
. 1. • 411--
-0
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CITY QF
FedefeilliitaDy ELECTRICAL
JUL 2 0 2012 PERMIT APPLICATION
CITY OF FEDERAL WAY
CDS **Most electrical permits may be obtained on-line at www.cityo federalway.com**
SITE ADDRESS: D o 67
SUITE/UNIT/SPACE* ASSESSOR'S'TAX/PARCEL# CURRENT/PROPOSED USE
vE,�shi • "� x• 2 ;
u.,,,a .
PROJECT NAME
(Tenant or Homeowner Last Name) C(...01/7--G/r`/C'7.1 j /' 7.7.7
X2-5 tf) r'. Z
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER L-frvivieI Uyv (24'(1-)7(3
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( ) -
NAME PRIMARY PHONE
CciirviV t',D L (2 ) 910 - i 3 9'`}
MAILING ADDRESS E-MAIL
ELECTRICAL /9 70 5 Lf 5 r-4., �- 5 C f3v5/I Z-L A-Lc.c,, Ire2€04 .7,6.2.1,-;11A.
CONTRACTOR CITY STATE ZIP FAR
14.44- ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
L60Le-g0/.4„&.
NAME PRIMARY PHONE
-
APPLICANT /114'1 ( )
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( ) -
NAME PRIMARY PHONE
PROJECT CONTACT160(i On,D i2 f-/ ( L, ) 307 - /i; 5-
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: DATE 7/x/207 2-
PRINT
-PRINT NAME: /L/I/ ,)G P//
33325 8th Avenue South♦Federal Way♦WA♦98003-6325♦253-835-2607♦fax 253-835-2609♦www.cityoffederalway.com
Bulletin#160—January 1,2011 Page 1 of 2 k_AHandouts\Electrical Permit Application