13-104975i
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: KIMBALL
Project Address: 32314 10TH PL S
Project Description: 125 AMP PANEL
Electrical
Permit #: 13 -104975 -00 -EL
Inspection Request Line: (253) 835-3050
"�v ` #1
Parcel Number: 150240 0100
Owner
Annlicant
Contractor
G D KIMBALL
A -PHASE ELECTRICAL
A -PHASE ELECTRICAL
32314 10TH PL S
4742 42ND AVE SW SUITE 610
PHASEEL91 INJ (10/11/15)
FEDERAL WAY WA
SEATTLE WA 98116
4742 42ND AVE SW SUITE 610
98003
SEATTLE WA 98116
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes
Electrical' Fixtures'
Alt. Serv./Feeder: 0 to 200 amps (F 1
Is Use Educational or Institutional? ....................... No
PERMIT EXPIRES Monday, May 5, 2014
Permit Issued on Wednesday, November 6, 2013
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
a d the City of Federal Way. /
Owner or agent: IJIA Date:
{
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CITY OF
Federal Way
PERMIT #:
Project:
13 -104975 -00 -EL
G D KIMBALL
THIS CARD IS TO MAIN ON-SITE
Construction Inction Record
INSPECTION REQUE TS: (253) 835-3050
Address: 32314 10TH PL S
FEDERAL WAY, WA 98003-5968
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]
UFER Ground (4295)
0
Ditch cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By WO Date I I �I 13
Pool Bonding (4195)
Temporary Power (4275)
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date It ILI 11.3
Ceiling Cover (4020)
Rough Electrical (4225)
0
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By WO Date I I �I 13
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF
Federal Way
PERMrr NUMBER / _ ( D 4 � -77500
ELECTRICAL
PERMIT APPLICATION
RECEIVED
NOV 06 2013
IWIRT
SITE ADDRESS: (
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CDS
PROJECT VALUATION
ASSESSOR'S TAR/PARCEL #
CURRENT/PROPOSED USE
PROJECT NAME—
(Tenant or Homeowner Last Name)
e c�
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
v K, u�.-� b�`�
PRIMARY PHONE
(2-15Z). 0
MAILING ADDRESS`
C 1
✓'
CITY
STATE
ZIP
9 %oma
FAX
ELECTRICAL
CONTRACTOR
--p
✓ u C �l�—�
( PRIMARY PHONE
MAILING ADDRESS
Li Z"
E-MAIL
CITY STATE IZE,
Q l l ICS
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FAX
( ) -
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME
PRIMARY PHONE
(
MAILING ADDRESS
EMAIL
CITY
STATE
ZIP
) FAX
PROJECT CONTACT
NAM
r,00
PRIMARY PHONE
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 apart of this application.
SIGNATURE:
PRINT NAME:
TE I) —(o -
2o(3
Bulletin # 160 — January 1, 2013 Page l of 2 k:\Handouts\Electrical Permit Application