17-104072 I, f
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Electrical
CityDe Way Permit #:17-104072-00-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: KALAW
Project Address: 28825 22ND AVE S Parcel Number:422270 0080
Project Description: Meter base repair in conjunction with PSE lateral rework
Owner Applicant Contractor '
EUGENIO KALAW S C G ELECTRIC INC S C G ELECTRIC INC
28825 22ND AVE S PO BOX 58744 SCGELI*099NH(8/13/19)
FEDERAL WAY WA 98003 SEATTLE WA 98138
USA PO BOX 58744
SEATTLE WA 98138
Additional Permit Information
Is this an Online or O.T.C.application? Yes
Mast or Meter Repair(Resider. 1
PERMIT EXPIRES Thursday,23 August,2018
Permit Issued on Wednesday,August 23,2017
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--.4o_ 0.2------
Date: '.'
Fla
THIS CARD IS TO REMAIN ON-SITE
CITY Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 17 104072 00 Address: 28825 22ND AVE S
Project: EUGENIO C KALAW FEDERAL WAY WA 98003-3845
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) ® itch cover(4030) I Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date ( � ' Date Q--Z 4( /7 By Date
El Pool Bonding(4195) ® Temporary Power(4275) ® Service(4235)
Approved Approved Approved
By Date By Date By 114 Date TIM l 1
Q Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020)
Approved Approved Approved
By Date By Date . By Date •
El Final-Electrical(4055)
Approved
By V Date il 20411
0 Rough Electrical El Final Electrical E Right of Way
Approved Approved Approved
By Date By Date By Date
4k.
CITY OF ELECTRICAL
Federal Way PERMIT AFFETAK5ATION
PERMIT NUMBER 1 '7' _ I 0 al O 72 _ AUG 2 3 2017
CITY OF FEDERAL WAY
J �-:> MMUNI7'�'� FE#
SITE ADDRESS: �. - a n3 e
L ��� T ° —__
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ I , e.co 4z z- 270 _ V n Fs0
PROJECT NAMES `41)
(Tenant or Homeowner Last Name) ��� r�C I 1&2
PROJECT DESCRIPTION `9� –".�11f •e=� 1 1 _P1 r)
Detailed description of work to \a/ 1 , l e i �i re
. 'v
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNEReir) � 1�J 1 q �,C ) Cog
- O 2
MAILING ADDR-FBV )-j-�,^ l E-MAIL
H-
CITY p � �1STATTEE ZIP FAX
V -: Vl0. v "/U:)T1 C?Jr3 ( Y
NAME PRIMARY PHONE
MAILING ADDRESS E-MAIL
ELECTRICAL 7O S'j
CONTRACTOR CIT STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE 0
'c 1---
----L-4 .<--CCF1 NH.. c6 !1R8- I35729
NAME c.j PRIMARY PHONE
APPLICANT MAILING ADDRESS t5 f �� 9 E-MAIL Gi
CITY C C cJ�`- -",-1 �/ )STATE ZIP �� ��i�._.4�f�1 TE-1.. L`-4'f+ l
AX
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NAMET \j PRIMARY PHONE
PROJECT CONTACT C`,G 6-lu G u..9(-)err-- QC )C- 05G
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.
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SIGNATURE: -AUL
Ue
-AL > DATE `/ —
PRINT NAME: '_:lr"/ L `) r (��
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application