16-102954 Electrical
City of FederalWay Permit #: 16-102954-00-E L
Community Econ.& 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: MARIPOSA APARTMENTS-UNIT 95
Project Address: 1722 S 281ST PL Parcel Number: 332204 9039
Project Description: Adding/altering(2)circuits for fire damage repair
Owner Applicant Contractor `
COMMUNITY HOUSING ASSISTA RESTORATION POWER LLC RESTORATION POWER LLC
28120 18TH AVE S 5807 237TH ST SW RESTOPL873BJ(1/11/17)
FEDERAL WAY WA MOUNTLAKE TERRACE WA 98043 5807 237TH ST SW
98003-3265 MOUNTLAKE TERRACE WA 98043
Additional Permit Information
Electrical Work Valuation? .2000 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-Multi-family 2
PERMIT EXPIRES Saturday, June 17, 2017 1 o a a
Permit Issued on Friday, June 17, 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 ^ Date: 41/ /t40
THIS CARD IS TO REMAIN ON-SITE
CITY OF �MM �I
Construction Inspection Record
Federal Way INSPECTION REQUE TS:(253)835-3050
PERMIT#: 16-102954-00-EL Address: 1722 S 281ST PL
Project: 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.
O UFER Ground(4295) ❑ Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
O Pool Bonding(4195) ❑ Temporary Power(4275) C Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) . ❑ Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By 0..--W. Date L t ri. , By Date
O Final-Electrical(4055)
Approved
By Date $ _t$ ,-)tin
O Rough Electrical 0 Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
ELECTRICAL
CITY OF . .
Federal Way PERMIT APPLICATION
�Q RECEIVED
PERMIT NUMBER /6 _ / O Z cy 4
— — — — JUN 17 2015
SITE ADDRESS: CITY OF FEDERALT'A4UNIT/SPACE#
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SITE 5�14[t- CDS 54--
PROJECT
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ ZCx7C4 • oo 33 2 2 04 - O 39
PROJECT NAME Fi//�/���C�_" ' /`(,r Aae �=��`�
(Tenant or Homeowner Last Name) "1/�! `
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PROJECT DESCRIPTION 4o -a -
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER 1 - - -
MAILING ADDRESS -- ' E-MAIL
CITY STATE ZIP FAX
) _
NAME PRIMARY PHONE
54airevt- i,v . Foue- L-I-•-- (2b(m) Ze»- 8'•"q
MAILING ADDRESS E-MAIL
ELECTRICAL C.7-CPC- Marg-, P.uO Pr. F}e akar Fiwirik e
CONTRACTOR CITY STATE ZIP FAX 504‘&41-am^
eDY»6»-PS to A 41207.4. ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
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NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS ( ) E-MAIL
CITY STATE ZIPFAX
(/
1 ) -
NAME PRIMARY PHONE
PROJECT CONTACT i` , A f„,i i,fr- (206 )2A
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.
• W/71/4 SIGNATURE: 1411eDATE
_gPRINT NAME: ,CAA {l „t4
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application