17-102549 • s
Electrical
City of Federal Way Permit #:17-102549-00-EL
Community Development Dept.
33325 8th Ave S <. C; �.
.Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: CABODI
Project Address: 512 SW 293RD ST Parcel Number: 119600 0535
Project Description: Install low voltage wiring for new access gate control system
Owner Applicant Contractor
ALAN J CABODI AUTOMATED GATES BY PORTER INC AUTOMATED GATES BY PORTER INC
16811 78TH ST E PO BOX 7173 ST AUTOMGP991K4(6/8/19)
SUMNER WA 98390 COVINGTON WA 98042 PO BOX 7173 ST
COVINGTON WA 98042
Additional Permit information
Is this an Online or O.T.C.application? Yes
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Low Voltage-Other(Resident 1
PERMIT EXPIRES Saturday,26 May,2018
Permit Issued on Friday,May 26,2017
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: -c. Date: S —cc C-—(7
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THIS CARD IS TO REMAIN ON-SITE
CITY OF Construction Inspection Record
Federal vvay INSPECTION REQUESTS :(253)835-3050
PERMIT#: 17 102549 00 Address: 512 SW 293RD ST
Project: ALAN J CABODI FEDERAL WAY WA 98023-3537
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.
[I] UFER Ground(4295) ® Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date (®{ i"'� .i By Date
•
® Pool Bonding(4195) 0 Temporary Power(4275) ® Service(4235)
Approved Approved Approved
By Date By Date By Date •
1=! Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
•
90 Final-Electrical(4055)
Approved
By Me Date 1 114`11
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
CITY ofA RECEIVEDELECTRICAL
Federal Way MAY 2 s 2017 PERMIT APPLICATION
•
CITY OF FEDERAL WAY 1COMMUNNrry DEVELOPMENIPERMIT NUMBER _ 1 v _00
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P p SUITE/UNIT/SPACE S
SITE ADDRESS: s'/a ___cc.„, .3., 73 _S
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T6 VALUATION A331 R'S TAR/PARCEL i 00 _ CURRENT/PROPOSED USE
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PROJECT NAME
(Tenant or Homeowner Last Name) � C7,c4 /`
PROJECT DESCRIPTION �'u' V e>/-7/--tfe- -'^ c-.;,,,..- -1-411.--Q
Detailed description of work to
be included on this permit only
NAME / PRIMARY PHONE
PROPERTY OWNER A! Cc G�6g ` ( ) -
MAILING ADDRESS ^,-.� E-MAIL
5'/2- s C.> a 93 psi
C STATE ZIPFAX
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NitE PRIMARY PHONE
do £ P - "& J'7 R>.5---(--..-„,-I (-_ 033) .3/-----o‘..af.=
LING ADDRESS E-MAIL
ELECTRICAL re7. oc,,,c- 373
50.--i- -...c N L{a C.c 0.6 C e.I-.
CONTRACTOR CITY STATE ZIP FAX
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WA STATE C NTRACTOR'S LICENSE S EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE S
AtiT6 hit&? 7 /k'1 ‘ 1
NAME PRIMARY PHONE
APPLICANT c c±- ~ ( )
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
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NAME l T-��a--� PRIMARY PHONE
PROJECT CONTACT (c j ,i 1/ ( )
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: li(/ �-� V.P - DATE J --.4-7 2
PRINT NAME: 1/'' — 7 Pa`- `'1''
Bulletin#160-April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application