13-100268 4111 Electrical
City of Federal D Way Permit #: 13-100268-00-E L
Community&Ecnev.Services
33325 8th Ave S FILE
Federal Way,WA 98003
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: KINGS COURT APARTMENTS BLDG G 1UNIT5
Project Address: 33318 22ND LN S Bldg G Parcel Number: 797820 0182
Project Description: Replace 0-200 amp panel
Owner Applicant Contractor
KING COUNTY HOUSING AUTHORITY KING COUNTY HOUSING AUTHORITY OWNER IS CONTRACTOR
600 ANDOVER PARK W 600 ANDOVER PARK W
TUKWILA,WA 98188-3326 TUKWILA,WA 98188-3326
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(I\ 1
PERMIT EXPIRES Tuesday, July 16, 2013
Permit Issued on Thursday, January 17, 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
an= •f Federal Way.
Owner or agent: Date: 1/177)3
gtZ 13
THIS CARD IS TO MAIN ON-SITE '
CITY°F Construction In ection Record '
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 13-100268-00-EL Address: 33318 22ND LN S Bldg G
Project: KING COUNTY HOUSING AUTHOR 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.
0 UFER Ground (4295) 0 Ditch cover(4030) El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
0 Pool Bonding(4195) 0 Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By „„ Date a..... t,,,3
.❑ Feeders/Sub-panels(4045) El Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
.
❑ Final-Electrical(4055)
Approved
By c_ivb.„,.. Date a aL-13
El Rough Electrical Final Electrical Right of Way
Approved ApprovedEl Approved
By Date By Date By Date
REVEDEL! 1
C RICAL
CITY OF '
Federal Way JAN 17 2013 PERMIT APPLICATION
PERMITNUMBER - rOFF
n P /„f �i 1/ , .--- - l/
I
SUITE/UNIT/SPACE#
SITE ADDRESS:333 1 ' s
V ahs - � 5
PROJECT VALUATION ASSESSOR'S TAX/PARCE # CURRENT/PROPOSED USE
$ 3SO .GO 79 7 6 - 0 i c
PROJECT NAME
(Tenant or Homeowner Last Name) 'r� e .-�-
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PROJECT DESCRIPTION R ,..n.4 R .e x<S-f-- 1a-SA in.-P I /ri a LU
Detailed description of work to
be included on this permit only
NAME PRIMARY PRONE
PROPERTY OWNER kl1n.. C0IA n rt f 40 u c% vl 1tullibr� {).4Z)S74 - I aZd�3
MAILIN r •REM (/ yy� V� /1 ((
I C CO J T(4010 c,�Q✓ 1 C!r k W1,, E-MAIL
IT If/ Q CITY STATE ZYP
FAX
NAME PRIMARY PHONE
c4/l/�1 E. ( ) -
MAILING ADDRESS E-MAIL
ELECTRICAL
CONTRACTOR CITY STATE ZIP FAX -
( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME \ PRIMARY PHONE
APPLICANTt h `�b 4-- ( ) _
MAILING ADDRESS E-MAIL
CITY c...) STATE ZIP FAX
( ) -
N7st PRIMARY PHONE
PROJECT CONTACT r� lc-v.` t QO )�7I - 1
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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.
SIGNATURE:.--/`� DATE 1/ i 7/13
/�
PRINT NAME: moo 0-sr ♦ I ( 4
Bulletin#160-January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application