15-100623 Electrical
City of Federal Way Permit #: 15-100623-00-EL
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 c
Ins
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)8354050
Project Name: KING'S COU
RLEBLDG H
Project Address: 33322 22L
B Parcel Number. 797820 0182
Project Description: Install circuit for smoke detectors and install new smoke detectors.
Owner Applicant Contractor
KC HOUSING AUTHORITY STEVEN A LEVERETT PRES MODULAR ELECTRIC
600 ANDOVER PARK W MODULAR ELECTRIC MODULEI308L9(3/5/15)
TUKWILA WA 98188 PO BOX 484 PO BOX 484
KIRKLAND WA 98033 KIRKLAND WA 98083
•
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'.
Circuits-Multi-family 1
PERMIT EXPIRES Sunday, August 9, 2015
Permit Issued on Tuesday, February 10, 2015
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the u e will be in accordance with the laws, rules and regulations of the State of Washington
and the ity of Federal Way.
Owner or agent Date: //,'145>/S.----
‹-•
rte �S.
THIS CARD IS TO MAIN ON-SITE
CITY•
• Construction In ection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 15-100623-00-EL Address: 33322 22ND LN S Bldg H
Project: KC HOUSING AUTHORITY FEDERAL WAY, WA 98003
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) - 0 Ditch cover(4030) El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
El Pool Bonding(4195) 0 Temporary Power(4275) �0 Service(4235)
Approved Approved Approved
By Date By Date By Date
O Feeders/Sub-panels(4045) 0 Rough Electrical(4225) 0 Ceiling Cover(4020) '
Approved Approved Approved
By Date By Date By Date
'
Final-Electrical(4055)
Approved
By Q J,, Date 5_,R,t
❑ Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
• •
CITY OF ELECTRICAL
Federal Way ,� PERMIT APPLICATION
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PERMIT NUMBER /11,...c.
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CITY OF FEDERAL WAY
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SITE ADDRESS: a j "/7 COI- Z3,3 r {� %J)�� 1
PROJECT VALUATION / ASSESSOR'S TAX/PARCEL# V( CURRENT/PROPOSED USE
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PROJECT NAiVIr. �' 4 y
(Tenant or Homeowner Last Name) 1\ ( GG,s 6. 9p,i(�J Nil c n"D1-.r,
PROJECT DESCRIPTION ...--, IA // (% re-t-, I �a,--- , -
Detailed description of work to .P G - t ,/c t ' y4� -=t4 ;71;=; "' � ifd�,94//
be included on this permit only t� �/
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NAME PRIMARY PHONE
PROPERTY OWNER /kin ( n--,W47 Ateni ,'n 4,..,>)A , (Z6T) gz - 53?�
MAILING AYoDRRESS
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CITYs STATE ZIP FAX
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PRIMARY PHONE
N #, it74✓` E tGG�1'i�C_ -c)6ZL - LcS/z__
MAILING ADDRESS E-MAIL
ELECTRICAL P. o. $B2, / L/
CONTRACTOR CITY. r STATE ZIP FAX
/1 /2le14/1A I .4 11005 W2(-)62-7 - 9e'S'e
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/1'I0C'i{ii 1 ton 3/, ' 161 3 /3/ / !s' ?c7 - /S/cio 2 4'F —,_,84
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS ( ) E-MAIL
CITY STATE ZIP FAX
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NAME PRIMARY PHONE
PROJECT CONTACT cDK Er-0
) (2e)0 -7- Lf/S 7,0
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 e city as a part of this application.
SIGNATURE: 15%7 , _ DATE2-/A=./c"
PRINT NAME: /CP 72/L �.7 . /r m/7
Bulletin#160—January 1,2013 Page 1 of 2 k:\I-landouts\Electrical Permit Application