16-102566 Y _. - Ele"ctrical
City of Fc Way Permit #: 16-102566-00-EL
IL
F E
Community&Econ.n.D ev.Services
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: LATIFI
Project Address: 616 S 318TH PL Parcel Number: 794160 0320
Project Description: 0-200 AMP PANEL CHANGEOUT
Owner Applicant Contractor
HAMID R LATIFI ALLTECH ELECTRIC INC ALLTECH ELECTRIC INC
5412 BLACKHAWK DR 17404 12TH AVE E ALLTEEI962PE(10/21/16)
PLANO TX 75093 SPANAWAY WA 98387 17404 12TH AVE E
SPANAWAY WA 98387
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
Alt.Serv./Feeder:0 to 200 amps(F 1
PERMIT EXPIRES Friday, May 26, 2017
Permit Issued on Thursday, May 26, 2016
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: oseDate: 5 2th—/6
C S `-) Lock 6 co D,a_.....
11.
Abt. THIS CARD IS TO REMAIN ON-SITE ' i.. .e. oConstruction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 16-102566-00-EL Address: 616 S 318TH PL
Project: HAMID R LATIFI FEDERAL WAY, WA 98003-5253
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
❑ Pool Bonding(4195) ❑ Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
❑ Feeders/Sub-panels(4045) ' ❑ Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date Date L_ (.4._ ( • By Date
❑ Final-Electrical(4055)
Approved
By
14._--1-.) Date Q q_ 110
Rough Electrical Final Electrical •❑ Right of Way
ElApproved ElRoughApproved
By Date By Date By Date
RECEIVED ELECTRICAL
CITY of
Federal Way MAY 2 6 2016 PERMIT APPLICATION
CITY OF FEDERAL WAY i / '.'17)--
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CDS PERMIT NUMBER i - -
SITE ADDRESS: f I to g'{-� SUITE/UNIT/SPACE#
laces F . ►,..," 1 ivA .
PROJECT VALUATION ASSESSOR'S TAX PARCEL# � O - � � � 0 CURRENT/PROPOSED USE
$ 3
PROJECT NAME �� C p
(Tenant or Homeowner Last Name) L� T
PROJECT DESCRIPTION Ecec i CAL fFP oA-t• ( I IV 'k(-tc- ---►` FAA---,7,-7 lam #
Detailed description of work to 11 ,%)5-k i., age.ed ,e1„ ., 49At /caeP,+yr
be included on this permit only �/
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6X' 42cA�iks'
0 -z0 4117)
NAME PRIMARY PHONE
PROPERTY OWNER ,b h4 /r /1"-"6 La/'i f(' (2a,) 6 -795.7P--
MAILING
96 2MAILING ADDRESS E-MAIL
18 a 8o PE. q8°`, P( - 2 _60 - 7"£ ---
CITY STATE ZIP
pedrvl and wA. ,9$b -- (� e yAh COM
NAME PRIMARY PHONE
Ailiee4 teciff Z7vc , (253)4:1'7-830W
MAILING ADDRESS E-MAIL
ELECTRICAL /7i/'V/21" AvE k, a(v ec._b,eze y'€44920,�„l,�
CONTRACTOR CI STATE ZIP FAX
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WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
.1144741-17q62PC !c' / / //la
-
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS ( ) E-MAIL
CITY STATE ZIP FAX
( ) -
NAME PRIMARY PHONE
PROJECT CONTACT deVe (4 4_ C: )(ooja 473 S
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 flied 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: '.9.. i 1 i_ DATE 51-2 .
— /6
PRINT NAME: f) iI ere/�t.7
Bulletin#160-April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application