17-102839 r
Electrical
City ofFederal Way Permit #:17-102839-00-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: TEAM FAW LLC
Project Address: 30548 5TH AVE SW Parcel Number: 178890 0410
Project Description: Replace Zinsco panel.
Owner Applicant Contractor
TEAM FAW LLC WIRED ELECTRIC INC WIRED ELECTRIC INC
PO BOX 2416 13300 BOTHELL/EVERETT HWY WIREDEI951RT(1/11/18
ISSAQUAH WA 98027 MILL CREEK WA 98012 13300 BOTHELL/EVERETT HWY
MILL CREEK WA 98012
Additional Permit Information
Is this an Online or O.T.C.application? Yes
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Alt. Serv./Feeder:0 to 200 am] 1
PERMIT EXPIRES Wednesday, 13 June,2018
Permit Issued on Tuesday,June 13,2017
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
ington and the City of Federal Way.
Owner or agent: � Date: (--/ —"/
i P
THIS CARD IS TO REMAIN ON-SITE
CITY of Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 17 102839 00 Address: 30548 5TH AVE SW
Project: TEAM FAW LLC FEDERAL WAY WA 98023-3914
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.
e
111 UFER Ground(4295) 0 Ditch cover(4030) ® Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
CI Pool Bonding(4195) El Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
,111 Feeders/Sub-panels(4045) 0 Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
111 Final-Electrical(4055)
C? Approved
'4 :, 'S.11
By kimpirgii , Date •
N
❑ Rough Electrical ❑ Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
CITY OF RECEIVED ELECTRICAL
Federal Way JUN 13 2017 PERMIT APPLICATION
CITY OF FEDERALELWAY j �_ l _
COMMUNITY DEVEIAPMIT NUMBER 7 . ,,c_?..
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/� / , SUITE/UNIT/SPACE#
SITE ADDRESS: �/ 4� TLj 4/7,7, ''..
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$
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PROJECT NAME
(Tenant or Homeowner Last Name) j e (.- �w w Fi , - 1 4-C .,
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PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER tet?� F(;�- �` 0/4 )30 - 0775.-
MAILING ADDRESS E-MAIL
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CITY STA E ZIP FAX
rss t/C/4 9519 77 ( ) -
NAME I PRIMARY PHONE
4/11/4/arerii(
MAILING ADDRESS _ �� �. E-MAIL
ELECTRICAL l 3 3 4.).e7 6-=.171/-b. -i //w/ Pn8 7 e' jail%�✓7'�y'(7!6),(4.1*
CONTRACTOR CITY , STATE ZIP FAX
/1/0/C(77 it W/ `/kir ( ) -
��S�T�CON�CT�S�L�CENS� R r EXPIRATION/ DATE FEDERAL WAY BUSINESS LICENSE#
NAME �' PRIMARY PHONE
APPLICANT 4=-1ki��1?h�� W'✓riC,-7, c iii( ( '/15) El-- C/77
MAILING ADDRESS l
13300 B./141/c -7,t // L / /-3 {V'gy E-MAIL
/
CI ST E ZIP FAX
1/� C /6,4'— w/ 904)- ( ) -
NAME _PRIMARY PHONE
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PROJECT CONTACT 6,' )/t )17- (q)-) 2 -6/71
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 o the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a of this application.
SIGNATURE: DATE 6-13--/-/7
PRINT NAME: / / i /11 >
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application