14-105493 a 0
• • Eaect -ica
City of Fedealay
Community&EconrDe v Services FILEPermit #: 14-105493-00-EL
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line:
Ph:(253)835-2607 Fax:(253)835-2609 p q (253)835-3050
Project Name: CITY OF FEDERAL WAY-MUNICIPAL COURT
Project Address: 33325 8TH AVE S Parcel Number: 926500 0290
Project Description: Adding/altering(4)circuits for relocating switches and new outlets.
Owner Applicant Contractor
CITY OF FEDERAL WAY STEVE IKERD NORM'S ELECTRIC
33325 8TH AVE S CITY OF FEDERAL WAY-PARKS NORMSE*952KL(5/13/16)
FEDERAL WAY WA 98063-9718 33325 8TH AVE S 17820 199TH AVE NE
FEDERAL WAY WA 98003 WOODINVILLE WA 98077
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional9 No
Service greater than 999 Amps? No
Electrical Fixtures
Circuits-Commercial 4
PERMIT EXPIRES Sunday, April 19, 2015
Permit Issued on Tuesday, October 21, 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
the City of Federal Way.
Owner or agent: Date: 10 •Z1 - )4i
' ` • THIS CARD IS TO MAIN ON-SITE ,+ ,
CITY OF ;v Construction In ection Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 14-105493-00-EL Address: 33325 8TH AVE S
Project: CITY OF FEDERAL WAY FEDERAL WAY, WA 98003-6325
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
El Pool Bonding(4195) ❑ Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
o Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By (A4 Date ('Ll 3( 1 1 it By ( $) Date (2..1 31 H-
O
Final-Electrical(4055)
Approved
By (f4 Date 2._(q( (SO Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
�.
•
ELtCTRICAL CITY OF
Federal Way PERMIT APPLIREAZION
PERMIT NUMBER 1 4 _ 1 O 5 g 9 _ L`l� OCT 2 1 2014
CITY OF FEDERAL WAY
SUITE/UN C
SITE ADDRESS: ??/J J g'w' P.%\m„ S IMu+n%cApdA Court--
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
ov 2 0 0 - O 2 9 O
PROJECT NAME
(Tenant or Homeowner Last Name) MUM ca pal CoiA(r--1- 1a4,1\- Tvv. rovempt k- .
dcr4-no `1 h\1 vA.c) y Sw 1 i-c.h.
PROJECT DESCRIPTION Ire,lc'C- Sw1 rc�
Detailed description of work to • -a-,1c1 �'P`a GC- fl(.i J (wi1,t-A—e? .
be included on this permit only
NAME t PRIMARY PHONE
PROPERTY OWNER C-1 Ti O-c —r J (253) S35.-- (o9t t
MAILING ADDRESS
E-MAIL 332.5 i '41 �� Sim-. 6,C. v3."'I'
CITY STATE ZIP FAX
. rl•A V3a tA)P 9/3C05- 6325 ( ) -
NAME PRIMARY PHONE
140EZ- %T(�-ic� ( %L 37.5-131C)L(
MAILING ADDRESS E-MAIL
ELECTRICAL rig;)-0 /17 ASF 1"1 --e. nokbroome-e,,,,.c.
CONTRACTOR CITT, STATE ZIP FAX
1,4-24,2&D aVr t,-r.- WA 1 U 7 ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
Nio JEk/JD-K1_- / / lo. .ul•I•oy9b-oo
NAME , PRIMARY PHONE
APPLICANT 1 r-0447 ( )
MAILING ADDRESS E-MAIL
- saw•., a4 vV,finG-r-
CITY STATE ZIP FAX
( ) -
NAMESPRIMARY PHONE
IV—V 11e�
PROJECT CONTACT ( )
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 thi ation.
Safi 1111110
SIGNATURE: ' '"- DATE 9>'21 • Ili
PRINT NAME: 1V-02-12
Bulletin/4160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application