15-100023 • t Electrical
City of Federal Way
Community&Econ.Dev.Services Permit #: 15-100023-00-EL
33325 8th Ave S
Federal Way,WA 98003 Ins ection Re uest Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 F ILE
p Q
Project Name: GARAGETOWN USA UNIT D-10
Project Address: 2010 S 344TH ST Unit D10 Parcel Number: 269330 0660
Project Description: Installation of lights and switch.
Owner Applicant Contractor
PETE KIRIPUTT LAKES ELECTRIC INC LAKES ELECTRIC INC
PO BOX 134 PO BOX 7060 LAKESEI101MC(7/3/16)
BARROW AK 99723 COVINGTON WA 98042 PO BOX 7060
COVINGTON WA 98042
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
Circuits-Commercial 2
PERMIT EXPIRES Saturday, July 4, 2015
Permit Issued on Monday, January 5, 2015
I hereby certify that the above information is correct and that,tbe construction on the above described property and
the occupancy and the use will be in accordance with the Jaws, rules and regulations of the State of Washington
and the City Federal Way.
Owner or agent: '� � f'z�'. Date: / / Y
...
. THIS CARD IS TO MAIN ON-SITE ,
CITY OF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 15-100023-00-EL Address: 2010 S 344TH ST Unit D10
Project: PETE KIRIPUTT 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.
❑ 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
El Feeders/Sub-panels(4045) ElRough Electrical(4225) ,El Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
❑ Final-Electrical(4055)
Approved
By ._.,10,e,
Date ,— L. L E
❑ Rough Electrical111 Final Electrical 111 Right of Way
Approved Approved Approved
By Date By Date By Date
•
CITY OF
- . vED EL CTRICAL
Federal Way JAN 05 2015 PERMIT APPLICATION
AY
PERMIT NUMBER
l5 _TF
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// SUITE/UNIT/SPACE#
SITE ADDRESS: 0/0 5 O_ ,yr 7
PROJECT VALUATIONASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
S 20 (7co0 1 3 C _ O , O
PROJECT NAME ,%% /�
(Tenant or Homeowner Last Name) C /Ci/1� (/ /1
PROJECT DESCRIPTION /iv l72, ' f , / ///7 ,, 24" v /y G f /,-
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER /e7 /? ./Z//e //,//7-7- ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
G>17,,/'f 2---Z/ / ( ) -
MAILING ADDRESS �-7 E-MAIL
ELECTRICAL / '/ 60x 7 pi(/
CONTRACTOR CITY STATE ZIP ? FAX
Z!/� //)// /,r/,' 9 ,))0��! us-3) 9V - ,Y iii
WA STATE CONTRACTOR'S LICENSE if EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE it
i7/6 !------>( Z--- / '-2//141 2/ J /
NAME �'/,J PRIMARY PHONE
//77j'rZ.�b• ( )
APPLICANT MAILING ADDRESS E-MAIL
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CITY STATE ZIP - FAX
/t67 t//9 l` V (as3 ) 7 / - 3�9
NAME PRIMARY PHONE
PROJECT CONTACT /�r,/1 O 1/ 6 7 Y,/ (yc.31 $ - Ys--0
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: DAT?j7 E/'c /
DATE - l
PRINT NAME: 7 d D Yl
Bulletin#160—January 1,2013 Page 1 of 2 kaHandouts\Electrical Permit Application