13-100298 f • • electrical
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unit of FederalWay Permit #: 13-100298-00-EL
Community 8 Econ.
Dev.Services
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2601ns Fax:(253)835-2609 p q
Project Name: CELEBRATION PARK APARTMENTS BLDG E /)j0-76 C
Project Address: 32019 11TH PL S Parcel Number: 172104 9086
Project Description: Add(1)40 amp house panel to feed(2)lighting circuits to include service disconnect
Owner Applicant Contractor
EVERGREEN VILLAGE ASSOCIATION ABEL ELECTRIC LLC ABEL ELECTRIC LLC
1750 DEXTER AVE N 307 5TH AVE NW ABELEE*930PK(11/2/13)
SEATTLE WA 98109-6222 PUYALLUP WA 98371 307 5TH AVE NW
PUYALLUP WA 98371
Additional Permit Information
Is this an Online or O.T.C.application Yes Is Use Educational or Institutional? No
Service greater than 999 Amps? No
Electrical Fixtures
Alt.Serv./Feeder:0 to 200 amps(It 1
PERMIT EXPIRES Wednesday, July 17, 2013
Permit Issued on Friday, January 18, 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
r a/dlthe City of Federal Wa . /I J 7
Owner or agent: / a (u/ ,i l L_'/���4 Date: [ �o� /3
ee)
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THIS CARD IS TO MAIN ON-SITEs
CIOF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 13-100298-00-EL Address: 32019 11TH PL S
Project: EVERGREEN VILLAGE ASSOCIAT FEDERAL WAY, WA
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.
El UFER Ground (4295) El Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
❑ Pool Bonding(4195) El Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) 0 Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
El Final-Electrical(4055)
Approved
Date2_ (6,(7—
El Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
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RECE VED
JAN 1 r2013 ELECTRICAL
civ OF
Federal Way CITY OF FEDERAL WAY PERMIT APPLICATION
CDS
PERMIT NUMBER / j - 7 o U 0 I? S* - E_,-
SUITE/UNIT/SPACE i
SITE ADDRESS: 320 J / II - ?L, C, g,1 E
PROJECT VALUATION ASSESSOR'S TAX/PARCEL S CURRENT/ POSED USE
$ l,Cep� ---7- P:—) I0-- V - � 6 6_/_
PROJECT NAME
(Tenant or Homeowner Last Name) C.CLZ P'1 �TC l`1 P K FP TMS 1 S
PROJECT DESCRIPTION -tC�tE T C i RC.u T S
Detailed description of work to
be included on this permit only
PRIMARY PHONE
PROPERTY OWNER 7iefrÔ rra I l I 6 l/LPar-L 4,.!1 s (253) 835-446D
MAILING ADDRESS E-MAIL
JI :s 51 1 -62_205 It`s P
. (SA CITY STATE ZIP FAX
-f)RttLL ikft9 (MA} 9&Y3 ( ) -
NAME ^ e ��� PRIMARY PHONE
MAILING ADDRESS E-MAIL
ELECTRICAL 30-7 5 ME
I CSTATICONTRACTOR S i U 4AL ) VOA 9b5 7t FAX
( ti- I•WA STATE CONTRACT_ I-R'S LICENSE EXPIRATION DATE (
- FEDERAL WAY BUSINESS LICENSE i
.ttibe L E 936 PK It a 013 / -/D,178k
NAME --,' PRIMARY PHONE
APPLICANT (o &fi 5 C±6\f' ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( ) _
HONE
PROJECT CONTACT NAME cJ _ . c 293 PRIMARYo z
( ) 92.2t _ o2£'it
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 Cb.Ca-
a part of this application. 1
SIGNATURE: ` ' ' DATE 9 ,1 z013
PRINT NAME: 4 , Cl JEFF ja(tACT
Bulletin#160—January I,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application
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