14-105010 0 0 E1eç4trica1
City of Federal Way ' '*S Permit #: 14-105010-00-EL
Community&Econ.Dev.Services
33325 8th Ave S x `'
Federal way,WA 98003 Inspection Request Line: (253)835-3050
ZOO
IPh:(253)835-2607 Fax:(253)835-2609
Project Name: PROGRESSIVE INSURANCE STREET LIGHTING
Project Address: 34001 PACIFIC HWY S Parcel Number: 202104 9051
Project Description: 100-amp service in ROW adjacent to this address for new street lighting.
Owner Applicant Contractor
CITY OF FEDERAL WAY NORTHEAST ELECTRIC LLC NORTHEAST ELECTRIC LLC
33325 8TH AVE S 7004 GREEN MOUNTAIN RD NORTHEL957D4(3/24/15)
FEDERAL WAY WA 98063-9718 WOODLAND WA 98674 7004 GREEN MOUNTAIN RD
WOODLAND WA 98674
Additional Permit Information
Is this an Online or O.T.C.application'? Yes Is Use Educational or Institutional? No
Service greater than 999 Amps? No
Electrical Fixtures
New Service:0 100 amps(Comm I
PERMIT EXPIRES Saturday, March 28, 2015
Permit Issued on Monday, September 29, 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. 0-9/4Owner or agent: Date:
FINALE!
THIS CARD IS TO ON-SITE
Feder 1 ,i • Construction In ection Record
a Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 14-105010-00-EL Address: 34001 PACIFIC HWY S
Project: CITY OF FEDERAL WAY FEDERAL WAY, WA 98003
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.
El UFER Ground (4295) El Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
•
. .
0 Pool Bonding(4195) 0 Temporary Power(4275) I 0 Service(4235)
Approved Approved Approved
By Date By Date By r—___. Date Z )
0/.
0Feeders/Sub-panels(4045) 0 Rough Electrical(4225) '0 Ceiling Cover(4 20)
Approved Approved Approved
By Date By Date By Date
'
El Final-Electrical(4055)
Approved
By(r.„...., Date/Z /---) /y
[1: Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
4 „
1110 RECEIVED SE .
CITY OF P 2 9 2014 E C'TRICAL
Federal Way CITY OF FEDERAL WAY PERMIT APPLICATION
J CDS
PERMIT NUMBER / Yr _ / OS
SUITE/UNIT/SPACE#
e.A.) _
SITE ADDRESS: 7 n Q / P L _ 0 .._
PROJECT VALUATION ASSESSOR,.0.1111).: CURRENT/PROPOSED USE
/pc7O. 00 -
PROJECT NAME
(Tenant or Homeowner Last Name) rJ✓ re S,5 i v L
3-
0-Sku,.. \Z n, 5A-ree.�V 5v.- .se1'v c.-C_ cc,._ (-\e\-
PROJECT
\PROJECT DESCRIPTION 10 0 ok.'`v,'.?
Detailed description of work to
be included on this permit only
NAMEPRIMARY PHONE
PROPERTY OWNER C� C5C - e-t cti\ Q 0,5 ( ) -
MAILING ADD J E-MAIL
CITY STATE ZIP FAX
( )
NAME � 1PRIMARY PHONE
Atr�� s-4 Electr,sC- (3b0 )22.5" - 700 `f
MAILING ADDRESS E-MAIL
ELECTRICAL jcOLt b teen i41\4 A. - pio-s- h to/It.' 1 c._ e 1`
CONTRACTOR CITY STATE ZIP FAX
ooCA\.c WA 986 75 (3(.0 )225- - 760 )
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDE WAY BUSINESS LICENSE#
NORT1--t LclS 70-I 3 / ' //S
NAME _ PRI PHONE
APPLICANT
POO "r "l--1 S ( )
MAILING ADDRESS E-MAIL
P el-' V
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
PROJECT CONTACT ro-X RCA 5 (AO ) ( 99 2_3
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 /-50
PRINT NAME: 6(X 42/1 -----.......)
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application