17-102983 Electrical
City of Federal Way FILE Permit #:17-102983-00-EL
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax(253)835-2609
Project Name: CENTURY LINK PHONE EQUIPMENT PEDESTAL
Project Address: 2913 SW 315TH ST Parcel Number: 167300 0030
Project Description: Adding(1)circuit for outlets to pedestal
Owner Applicant Contractor
KHEAU PHUONG AULT ELECTRIC CO INC AULT ELECTRIC CO INC
2913 SW 315TH ST 2348 HOLGATE ST S AULTECI316CC(1/31/18)
FEDERAL WAY WA TACOMA WA 98402 2348 HOLGATE ST S
98023
TACOMA WA 98402
Additional Permit Information
Is this an Online or O.T.C.application? Yes
•
Circuits-Commercial 1
CONDITIONS:
***PEDESTAL LOCATED AT SW CORNER OF 2913 SW 315TH ST***
PERMIT EXPIRES Thursday,21 June,2018
Permit Issued on Wednesday,June 21,2017
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: Lo IZl / 7.0%—1
THIS CARD IS TO REMAIN ON-SITE
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS :(253)835-3050
PERMIT#: 17 102983 00 Address: 2913 SW 315TH ST
Project: KHEAU PHUONG FEDERAL WAY WA 98023-7836
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) El Ditch cover(4030) El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date : By Date By Date
•.
® Pool Bonding(4195) El Temporary Power(4275) ® Service(4235)
Approved Approved Approved
By Date By Date By Date
•
•� Feeders/Sub-panels(4045) ® Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date ' By Date
'
El Final-Electrical(4055)
Approved
By No Date 40(2,1 ll')
.
0 Rough Electrical El Final Electrical E Right of Way
Approved Approved Approved
By Date By Date By Date
____A. RECEIVED ELECTRICAL
c1TY OF
Federal Way JUN 21 2017 PERMIT APPLICATION
CITY OF FEDERAL WAY q
COMMUNITY DEVELOPMENT I � 'l o z / g 3 00
PERMIT NUMBER _ _
_ _
_ _
SUITE/UNIT/SPACE#
SITE ADDRESS: NA
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$500.00 167300930 Vacant
PROJECT NAME Century Link
(Tenant or Homeowner Last Name)
Add outlets to Century Link Pedestal. (Cool Ped)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER City of Federal Way ( ) -
MAILING ADDRESS E-MAIL
33325 8th Ave South
CITY STATE ZIP FAX
Federal Way WA 98003 ( ) -
NAME PRIMARY PHONE
Ault Electric (253 ) 383 -5109
MAILING ADDRESS E-MAIL
ELECTRICAL 2348 Holgate Street South Jeremyw@aultelectric.com
CONTRACTOR CITY STATE ZIP FAX
Tacoma WA 98402 (253) 383 - 8373
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
AULTECI316CC 1/31 /18 ) (L4_/(?O t2-1-1 —60 f
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS ( ) E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
PROJECT CONTACT Pat Gill (Ault Electrician) ( 253 )606 - 4659
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 environmentallaws.
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 of this application.
SIGNATURE: / DATE 6/21/2017
PRINT NAME:_J rem a on
PERMIT CENTER+33325 8th Avenue South + Federal Way,WA 98003-6325
253-835-2607 + FAX 253-835-2609 +permitcenter@cityoffederalway.com
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application