13-102274 •
•
•
Electrical
City of Federal Way
Community&Econ.Dev.Services Permit #: 13-102274-00-EL
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: DIWAN 12v$`i�
Project Address: 29606 21ST PL S Parcel Number: 660300 0080
Project Description: 0-200 amp panel change out
Owner Applicant Contractor
SUDEEP DIWAN N T L ELECTRIC N T L ELECTRIC
29606 21ST PL S 704 228TH AVE NE UNIT 132 NTLEL**985M4(9/20/14)
FEDERAL WAY WA 98003 SAMMAMISH WA 98074 704 228TH AVE NE UNIT 132
SAMMAMISH WA 98074
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 Tuesday, November 19, 2013
Permit Issued on Thursday, May 23, 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
and the City of Federal Way.
Owner or agent: Date: 512-3`/
et)
r.. . '
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THIS CARD IS TO .MAIN ON-SITE
CITY°F
110 THIS
In ection Record
Federal Vijay INSPECTION REQUE TS: (253)835-3050
PERMIT#: 13-102274-00-EL Address: 29606 21ST PL S
Project: SUDEEP DIWAN FEDERAL WAY, WA 98003-4250
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
❑ Pool Bonding(4195) ❑ Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
'0 Feeders/Sub-panels(4045) 0 Rough Electrical (4225) '❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
❑ Final-Electrical(4055)
<_____________----- Approved
Date _ i /______
❑ Rough Electrical Final Electrical GI Right of Way
Approved Approved Approved
By Date By Date By Date
illitEcEivED
CITY OF + EL C'I'RIC.4L •
Federal Way MAY 23 2013 PERMIT APPLICATION
CITY OF FEDERAL WAY
CDS
PERMIT NUMBER I — 1 0 2 Z t — CO
f
SUITE/UNIT/SPACE#
SITE ADDRESS: 6 0 6C' a( g'1 7/ 5
PROJECT VALUATION �. ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ b i to & 0 .300 _ 10 0 gU
PROJECT NAME b A N
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION pct" '
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER �1- Q I GO 6--'l (•,-S•_ 'e�f `�' j 6
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME PRIMARY PHONE
/IV%Z- E I._. (,(75 '7-1 . - /62c.)
MAILING ADDRESS E-MAIL
ELECTRICAL 7 CIL l 2z g -e rq✓ N i'-- _ / 2
CONTRACTOR CIg STATE ZIP FAX
\ e14-v',,;r &,-h,S2, 1i,k 7&7 / ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
7.
NAME `` PRIMARY PHONE
APPLICANT / (s" ��r'? 'f ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( ) -
NAME PRIMARY PHONE
PROJECT CONTACT -
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 arty 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.
r
SIGNATURE: `
U ,...... ."- ' DATE - Zj /--3PRINT NAME: (-Y i 7 f LS }. e 7
Bulletin#160—January 1,2013 Page 1 of 2 k:'I-Iandouts\Electrical Permit Application