11-101806 111 Electrical
City of Federal Way •
Community Development Services ' Permit #: 11-101806-00-EL
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: BROOKLAKE COMMUNITY CHURCH OFFICE
Project Address: 35717 PACIFIC HWY S Parcel Number: 292104 9064
Project Description: Altering up to 5 circuits for upgradt to energy saving lights.
Owner Applicant Contractor `
KEVIN MICHAEL WILDER METRO ELECTRIC LLC METRO ELECTRIC LLC
30404 3RD AVE S 2233 1ST AVE S SUITE 105 METROEL901OP(9/17/12)
FEDERAL WAY WA SEATTLE WA 98134 2233 1ST AVE S SUITE 105
98003-4004 SEATTLE WA 98134
rs
Is Use Educational or Institutional' No Service greater than 999 Amps? No
,'; i.. M.;v... - -. ko" .;e17‘ ;!:k" $ ..3�.,. , :,',: ... ! t,0s' 3, r,, . 1'::a.,.
Circuits-Commercial 5
PERMIT EXPIRES Thursday, May 10, 2012
Permit Issued on Wednesday, May 11, 2011
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.
NI Owner or agent: t t-- 1 r-1 iv it-- 1 'I Lv Date: (77/17/i
‘` - -- /13/II
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City of Federal Way • Electrical
Community Development Services Permit #: 11-101806-00-EL
P.O.Box 9718
Federal-260, Fax:(253-9718
)835- Inspection Request Line: (253)835-3050
Ph:(253)835-2607 (253)835-2609 p q
Project Name: BROOKLAKE COMMUNITY CHURCH
Project Address: 629 S 356TH ST Parcel Number: 292104 9019
Project Description: Altering up to 5 circuits for upgradt to energy saving lights.
Owner Applicant Contractor
BROOKLAKE COMMUNITY CHURCH METRO ELECTRIC LLC METRO ELECTRIC LLC
629 S 356TH ST 2233 1ST AVE S SUITE 105 METROEL9010P(9/17/12)
FEDERAL WAY,WA 98003-8651 SEATTLE WA 98134 2233 1ST AVE S SUITE 105
SEATTLE WA 98134
-Add � s,ell'
fir,: • • . *, .4,i. .>,,.. ..R... A 4 c..
Is Use Educational or Institutional? No Service greater than 999 Amps? No
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r
Circuits-Commercial 5
PERMIT EXPIRES Thursday, May 10, 2012
Permit Issued on Wednesday, May 11, 2011
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the us ill be in accordance with the laws, rulesand regulations of the State of Washington
and the City of Federal Way.
f
Owner or agent: Date: -'� �
THIS CARD IS TO EMAIN ON-SITE
CITY OF
Construction I ection Record
Federal Way INSPECTION REQU TS: (253) 835-3050
PERMIT#: 11-101806-00-EL Address: 629 S 356TH ST
Project: BROOKLAKE COMMUNITY CHUB( FEDERAL WAY, WA 98003-8651
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.
0 Slab/Concrete Floor(4255) 0 Service(4235) ❑ Feeders/Sub-panels(4045)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By Date By Date By Date
❑ Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
•ois
THIS CARD IS T MAIN ON-SITE
CITY OF Construction I ection Record
Federal Way INSPECTION REQU TS: (253) 835-3050
PERMIT#: 11-101806-00-EL Address: 35717 PACIFIC HWY S
Project: BROOKLAKE COMMUNITY CHUB( FEDERAL WAY, WA 98003-7447
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.
❑ Slab/Concrete Floor(4255) 0 Service(4235) 0 Feeders/Sub-panels(4045)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) 0 Ceiling Cover(4020) El Final-Electrical(4055)
Approved Approved Approved
By Date By Date By �r Date '5-1"-t^ 1 1
FILE
El Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
CJTY OF IED f. I
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Fed 1 ay, ELECTRICAL
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CITY OF
t= a� � IT APPLICATION
**nrIclectr/cal permits may be obtained on-line at www clty.offederalwaycorn**
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SITE ADDRESS: .s`l 1 . l p.c7c,;.--c), (._ wi,(,)\-( .- ,
SUITE/UNIT/SPACE# ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
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PROJECT NAME
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(Tenant or Homeowner Last Name) groor,tate-- 60 ,
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PROJECT DESCRIPTION g kb-CS r
Detailed description of work to
be included on this permit only /Q-r ' I - S I
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NAME „ PRIMARY PHONE
PROPERTY OWNER 7 ' (,t (.man (i/ kat-- ( ) _
MAILING ADDRESS E-MAIL
4 N. 5 3-S7p .
CITY �. STATE ZIP . FAX
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NAME
EThl��nq Et E i `tom PRIMARY PHONE
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MAILING ADDRESS
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CONTRACTOR CITY \_ STATE ZIP FAX I.CO i1
tAik- et8 i 3ci (E385 86) 0 cr 3�
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
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NAME
i��/�E.� ,,+..uB �� PRIMARY PHONE
APPLICANT �«'n` S�'" T - )
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MAILING ADDRESS 7 C� E-MAIL
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CITY STATE ZIP
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NAME PRIMARY PHONE
PROJECT CONTACT T Q S C - c(M tAk-o ks9 (7-93 )3o 55-c)
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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.
5 — l l—//
•
SIGNATURE: DATE
PRINT NAME: -0 61E 0— Cj1t1il44
33325 8w 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:\Handouts\Electrical Permit Application