17-101145 f -
Electrical
City of Federal Way Permit #:17-101145-00-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: FAMILY LIFE CHRISTIAN CENTER
Project Address: 1925 S 341ST PL Parcel Number:390380 0050
Project Description: Modify(2)existing circuits for foyer area
Owner Applicant Contractor
EVELYN CASTELLAR DENKO ELECTRIC LLC DENKO ELECTRIC LLC
32517 39TH PL SW 19303 75TH ST E DENKOEL898JK(6/24/17)
FEDERAL WAY WA BONNEY LAKE WA 98391 19303 75TH ST E
98023-2647
BONNEY LAKE WA 98391
Additional Permit Information
Is this an Online or O.T.C.application? Yes
.
Circuits-Commercial 2
PERMIT EXPIRES Saturday,10 March,2018
Permit Issued on Friday,March 10,2017
I hereby certify that the above information is - and that the construction on the above described property
and the occup and e use will be i ord. ce with the laws, rules and regulations of the State of
Washi -.- he City of Federal Way.
Owner or age,t: Date:
3 I /6 / /7
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THIS CARD IS TO REMAIN ON-SITE
Federal Vl/a Construction Inspection Record
y INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 101145 00 Address: 1925 S 341ST PL
Project: JOSE CASTELLAR FEDERAL WAY WA 98003-6006
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) 0 Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date
••By Date By Date
•® Pool Bonding(4195) ••ED Temporary Power(4275) ,�® Service(4235) ,
Approved Approved
Approved
By Date By Date
Date
•
•
❑ Feeders/Sub-panels(4045) ,I® Rough Electrical(4225) ,
g ❑ Ceiling Cover(4020)
Approved Approved Approved
4By Date OA
By "4 Date 7(1.5111 By 106 Date 3 115111
•
10 Final-Electrical(4055)
Approved
By IM, Date 45.107117
❑ Rough Electrical ❑ Final Electrical ❑ Right of Way
Approved Approved Approved
By Date By Date By Date
CITY ofF ELECTRICAL
Federal Way PERMIT Meifig4TION
PERMIT NUMBER / 7 / 0 4 / '5 00 MAR 10 2017
CITY OF FEDERAL WAY
ting
SITE ADDRESS: /q25- COMMUNf}YSgCaE
PROJECT VALUATION (� ASSESSORS TA%/ RC�S�# ^ o CURRENT/PROPOSED USE
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PROJECT NAME �^M It y / �F� ��'f / r1X
(Tenant or Homeowner Last Name) �l ��-�` `T�f,
M001 /=f x/s774/G cl/Qc c4,
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER FA ill )y.,r 24 i C OM al ,71/ 1-4 C/ /t,'(ds-3) v- 39.7-5-
MAILING ADDRESS E-MAIL
IV 39-Is� Pe-
CITY STATE ZIP FAX
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NAMEjTh
V t t PRIMARY PHONE
k &LEl•C C (a53)335-- OA 0 CP
MAILING ADDRESS E-MAIL /�
ELECTRICAL g 3 03 7.5 3 1 �� �l fv6,4De�t/q/'9-(k/`}06.(/del
CONTRACTOR C STATE ZIP FAX
OA L'4 K` WA CM3 �' l 9.53)��a 37 5 5--
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
D /(0 6)q ' K
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS ( )
E-MAIL
CITY STATE ZIP FAX
( )
PROJECT CONTACT NAME PRIMARY PHONE
e/4i * I //1/ - a;-3)35-5-:baa
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 m• • de by any person,including the undersigned,and filed against the city,
but only where such claim'•«.ses out of the reli• ce of the city, including its officers and employees, upon the accuracy of the
information supplie y to the city ••- a part of this •a• 'cation.
Nik
SIGNATURE: - ' / DATE 1 OA /
PRINT NAME: -/10/(1,(7,-S. 1 ��CJ—
Bulletin#160-January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application