14-100205City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
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Project Name: COVE EAST TRASH ENCLOSURE
Project Address: 33030 IST AVE S
Electrical
Permit #: 14 -100205 -00 -EL
Inspection Request Line: (253) 835-3050
Project Description: Add 2 -pole 40 -amp circuit for trasy compactor & (1) post light.
Parcel Number: 172104 9121
Owner
Applicant
Contractor
KC HOUSING AUTHORITY
INNOVATIVE SYSTEMS TECHNOLOGY INC
INNOVATIVE SYSTEMS TECHNOLOGY
600 ANDOVER PARK W
6353 S ISLAND DR
INC
TUKWILA WA 98188
BONNEY LAKE WA 98391
INNOVST912J2 (4/22/15)
6353 S ISLAND DR
BONNEY LAKE WA 98391
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes
Service greater than 999 Amps? .............................No
Electrical Fixtures
Circuits - Commercial .................... 1
Is Use Educational or Institutional?.......................No
PERMIT EXPIRES Monday, July 14, 2014
Permit Issued on Wednesday, January 15, 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.
Owner or agent: Date: / /S'-
1
INALE
D
• THIS CARD IS TO MAIN ON-SITE
CITY OF THIS
In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 14 -100205 -00 -EL Address: 33030 1 STAVE S
Project: KC HOUSING AUTHORITY FEDERAL WAY, WA 98003-6363
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)
UFER Ground (4295)Ditch
Temporary Power (4275)
cover (4030)
Final Electrical
Approved
Slab/Concrete Floor (4255)
Approved
Approved
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
E]
Temporary Power (4275)
Final Electrical
Approved
Service (4235)
Approved
Right of Way
Approved
Approved
Date
Approved
By Date
By
Date
Date
By
Date
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By Date
By
Date
By
Date
Final - Electrical (4055)
Approved
Date Z
F1
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF .&
Federal Way
RECEIVED ELECTRICAL
> 2014 PERMIT APPLICATION
CDS
CITY OF FEDERAL WAY
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PERMIT NUMBER / 0 __0 / 1 S - s L
SITE ADDRESS: �J Z l�W
SUITE/UNIT/SPACE #
PROJECT VALUATION
ASSESSOR'S TAR/PARCEL #
CURRENT/PROPOSED USE
PROJECT NAME
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(Tenant or Homeoumer Last Name)
S
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PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
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PRIMARY PRONE
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MAILING DRE p
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E-MAIL
CITY STATE
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FAX
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NAME
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PRIMARY PHONE
MAILING ADDRESS
E-MAIL
ELECTRICAL
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CITY
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ZIP
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FAX
CONTRACTOR
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WA STATS CTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
Do 0 $
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( ) PRI![ARY PHONE
APPLICANT
MAILING ADDRESS
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CITYSTATS
ZIP
FAX
PROJECT CONTACT
NAME
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PRIMARY PHONE
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I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I cert(fy that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certVy 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 apart of this application.
SIGNATURE:
PRINT NAME:
Bulletin #160 —January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application
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