11-103729 t , ... ! Electrical
City of Federal Way Permit #: 11 -103729-00-E L
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: CAMELOT SQUARE SPACE 375
Project Address: 3001 S 288TH ST Space 375 Parcel Number: 042104 9155
Project Description: Replace manufactured home disconnect
Owner Applicant Contractor
CAMELOT SQUARE INC HARRINGTON ELECTRIC INC HARRINGTON ELECTRIC INC
3001 S 288TH ST 20312 46TH AVE E HARRIEI012RO(12/20/11)
FEDERAL WAY WA 98003-8019 SPANAWAY WA 98387 20312 46TH AVE E
SPANAWAY WA 98387
Additional Permit Information
Is Use Educational or Institutional? No
Electrical Fixtures
Service or Feeder-Manu./M.H. P 1
PERMIT EXPIRES Thursday, September 13, 2012
Permit Issued on Wednesday, September 14, 2011
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: �G ,.�,7'YG%��-C.C._ Date: —/ -( /
Fflj L4 -
THIS CARD IS TO REMAIN ON-SITE
CITY OF ..,....;. Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 11-103729-00-EL Address: 3001 S 288TH ST Space 375
Project: CAMELOT SQUARE INC FEDERAL WAY, WA 98003-8019
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) 0 Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
0 Pool Bonding(4195) '0 Temporary Power(4275) 0 Service (4235)
Approved Approved Approved
By Date By Date B'1 Dater"/ 7
o Feeders/Sub-panels(4045) ❑ Rough Electrical (4225) ❑ Ceiling Cover(40201
Approved Approved Approved
By Date By Date By Date
0 Final-Electrical(4055)
Approved
By Dat )�(C —,i/
F 1 I ktr.....„,
O Rough Electrical 111 Final ElectricalCI Right of Way
Approved Approved Approved
By Date By Date By Date
l!t4, k .4 •
v
vi
� It - 1072.
.r
CITY OF rt�'t4 \le
Fed `f; ELECTRIC
01. 6t E Etilg IT APPLICA ION
tki.'N L
**1110ePtectrical ermits may be obtained on-line t www.ci to `ederalwaN con**
m^ ` t°' 1 ria w ! r e 6 8 ° ,..k c ill.C T t1 "' ;1 i$ e tfiif 'g�° �r i,' "4
? i ,' `: ;,....i,` :1 .,fA ' . , „4A7,: flE t -•., 14. z,.- ,! ' ���� . , :13�o+kd£ ' s ,
SITE ADDRESS: 3 I1 D 1 t�t'7.4. S ___cr-,-r �
SUITE/UNIT/SPACER ASSESSOR'S TAX/PARCEL N CURRENT/PROPOSED USE
x�a:,.x ' Ifftglitit it” ogratira,MimAi...t. jai !, F.N r t 4 r °5t 1 31-10 :'�^- ; 'Sei 7— y �oto'• ,
PROJECT NAME
(Tenant or Homeowner Last Name) j
PROJECT DESCRIPTION /r /� r'"
Detaded description of work to
be incluried ort this permit only
11 4174113116.*' " al i { 1.)4,4,-. :11.,,,,,,,.:.,.,/,', x, aid
'sa, � : 4 , x,. xx3: ; , 4 . nein
"�'F ... - p ,< _ . Y #. 656..,. 1f. .......
�. IVADdE / /�,PRIMARY PRONE
PROPERTY OWNER . .0 -'"'7 , k - 7? xs-�-�
MAILING ADDRESSiuAn.
CITY STATE ZIP FAX
PRIMARY PRONE)
1:114111AmE"
ADD" !:
r ` E-MAIL
ELECTRICAL
CONTRACTOR 1. _ FAX
) -
r - PE( DBRAL WAY BUSUtESB LICENSE#
---- 14"1 is f 1 PRIMARY PHONE
� 1, �z tr)v'r.�'lc i .cr ( )
APPLICANT aIAlLrnta ADDRESS/L.}. , t<v ,,15 E-MAIL
2 D J avy-,v 1 i' r` -,,,w
xlliJ-c .xs ziP {
CITY FAX
I ( )
NAME f PRIMARY PHONE
PROJECT CONTACT "L-e4 -,,;./i�!}^// ( ,% /` e
I certify under penalty of perjury that I am the property oftener 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 at-Federal Way regulations pertaining to the work authorisced 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.
!further agree to hold harmless the City ef 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,includin�gQ the undersigned, and filed against the city,
but only where such claim arises out of the reliance of the city, including .is officer; and employees, upon the accuracy of the
information supplied to the ci . as a part of t - application.
SIGNATDRE: f r ,/';; W :---7:7-- 1
��Q ev DATE
PRINT NAME.:_ .. e— a c' T7'L if i �) ,
333258-Avenue South• Fc-dcra]Way•WA♦99003-6325 •253-835-26C7♦fax 253-835-2609♦www.cityoffederalway.cum
Bulletin#160-January 1,2011 Page 1 of 2 k:\1-andouts\Electrical Permit Application
T 'dKdd 1IreL Sd1 dH LO :9 T 1102 tr T daS