15-100085 Electrical
City of FederalWay
FILE
Community&Econ.Dev.Services Permit #: 15-100085-00-EL
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph.(253)835-2607 Fax.(253)835-2609 p Q
Project Name: OSTANT
Project Address: 32416 10TH PL S Parcel Number: 150240 0140
Project Description: Adding/altering 0-200 amp service
Owner Applicant Contractor
V J OSTANT OLD TIME ELECTRIC INC OLD TIME ELECTRIC INC
32416 10TH PL S PO BOX 39745 OLDTIEI021LB(6/2/16)
FEDERAL WAY WA LAKEWOOD WA 98498 PO BOX 39745
98003-5939 LAKEWOOD WA 98498
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Electrical Fixtures
Alt.Serv./Feeder:0 to 200 amps(F 1
PERMIT EXPIRES Monday, July 6, 2015
Permit Issued on Wednesday, January 7, 2015
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
W-ks-t2.1
and the City of Federal Way.
Owneror agent: Date: bl 01
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FINALED
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' THIS CARD IS TO MAIN ON-SITE . r ,
CITY OF 0 Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 15-100085-00-EL Address: 32416 10TH PL S
Project: V J OSTANT FEDERAL WAY, WA 98003-5939
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.
O UFER Ground (4295) ❑ Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
o Pool Bonding(4195) ❑ Temporary Power(4275) CI Service(4235)
Approved Approved Approved
By Date By Date By b4 Date t4 2sri (c-
O Feeders/Sub-panels(4045) El Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date By Date 1 (1....11
lc' By Date
O Final-Electrical(4055)
Approved
Date 3_ t `
El Rough Electrical -, Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
EttCTRICAL
CITY OF110•10....ilik
Federal Way PERMIT APP ION
PERMIT NUMBER _ (9 0 0 43J
- a O JAN 0 7 2015
— — — — CITY OF FEDERAL WAY
SUITE/T D9PACE#
SITE ADDRESS: 3a H t )Oma- 5
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# O - O / �J 0 CURRENT/PROPOSED USE
$ 5, Uta. gy l S O Z- �T
PROJECT NAME
(Tenant or Homeowner Last Name) O5+- vi
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PROJECT DESCRIPTION C C"�co i Cc, `c rotet.
Detailed description of work to C Go; c.i ( L
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NAME PRIMARY PHONE
PROPERTY OWNER ) -
MAILING ADDRESS E-MAIL
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CITY STATE ZIP FAX
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NAME.. PRIMARY PHONE .... ..
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MAILING( DRESS E-MAIL
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CONTRACTOR CITY STATE ZIP FAX
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WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
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NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS ( ) E-MAIL
CITY STATE ZIP ( FAX
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NAME PRIMARY PHONE
PROJECT CONTACT \ r v_ K 11 ((>3s3) (a7 - 3`i5 S 9
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.
SIQrNATURE: � � ,/ DATE
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PRINT NA : C't-`U� `�ro
Bulletin#160-January 1,2013 Page 1 of 2 k:\liandouts\Electrical Permit Application