18-101241 -
Electrical
City ofFederal Way Permit #:18-101241-00—EL
Couuuuaity Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: JOURNEY CHURCH
Project Address: 701 S 320TH ST Parcel Number: 172104 9075
Project Description: Installation of(3)new 20-amp dedicated circuits for A/V equipment.
Owner Applicant Contractor
JOURNEY CHURCH SERGE ELECTRIC SERGE ELECTRIC
701 S 320TH ST PO BOX 1296 SERGEEL832B3(1/25/19)
FEDERAL WAY WA 98003-5223 SUMNER WA 98390
PO BOX 1296
SUMNER WA 98390
Additional Permit Information
Is this an Online or O.T.C.application Yes
Circuits-Commercial 3
PERMIT EXPIRES Wednesday,20 March,2019
Permit Issued on Tuesday,March 20,2018
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy and the uselfi'II be in accordance with the laws, rules and regulations of the State of
ashington and the City of Federal Way. e
Owner or agent: - Date: ®3,Z% /c
F L
HALED
..A.. , ,
THIS CARD IS T4 REMAIN ON-SITE
Fete ) Construction Inspection Record
Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 18 101241 00 Address: 701 S 320TH ST
Project: JOURNEY CHURCH FEDERAL WAY WA 98003-5223
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.
I❑ UFER Ground(4295) •1:1 •4
cover(4030) ',❑ Slab/Concrete Floor(4255) ,
Approved Approved Approved to place concrete
By Date • By
• Date By Date
•
® Pool Bonding41
( 95) ❑ Temporary Power(4275) ® Service(4235)
Approved Approved Approved
BY Date By Date .. ��By Date
.
® Feeders/Sub-panels(4045) ® Rough Electrical(4225) "® Ceiling Cover(4020) ,
Approved Approved Approved
.By Date I By Date By Date
El Final-Electrical(4055)
Approved / 1/
By Z1 Date 4� 8
El Rough Electrical ❑ . Final Electrical Q Right of Way
Approved Approved Approved
By Date By Date ... ...;_. . . By . Date
ECENNED ELECTRICAL
CITY OF „F. 6
Federal Way20 2018 PERMIT APPLICATION
MAR
or(of-r'�EV OPMPERMIT NUMBER
C-,0MUs / g - / o a v E
o- E.
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SUITE/UNIT/SPACE#
SITE ADDRESS: -7D ( 5 ! 3 0 ac
PROJECT VALUATION ! ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ 2 , ' l -7 9 / 0 y - / 0 7- s
PROJECT NAME ,!�
(Tenant or Homeowner Last Name) V o u R N .e �J C h o `�C
/A,S /7 7 Ne Lc) gYec//eqr-rS
PROJECT DESCRIPTION e 1 k Cu i 7 S 2 O nor-i/
Detailed description of work to -
be included on this permit only
NAME T /� PRIMARY PHONE
PROPERTY OWNER Jou g(N e y a k v C 1-( ( 253)R39 -68'2 Z
MAILING ADDRESS E-MAIL
7 o 5 3 20-4 (1 51
CITY STATE ZIP FAX
rede►-q/ /4/4Y to q8003 ( ) -
NAMEPRIMARY PHONE
Se e/2ub*U SeirLZecrieic!/C (204)-8Sb- 368
MAILING ADDR E-MAIL
ELECTRICAL I° e . e d X /2 94
CONTRACTOR CITYSTATE ZIP FAX
pe
v 1411 v(e r vun 9390 ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME IPRIMARY PHONE
SG!�` vL,�oV ( 'Z0C) zcl) -k-r362
APPLICANT MAILING ADDRE� E-MAIL
P o . o / /Z C
CITYSTATE ZIP FAX
3uvl1tetDr W- ?O ( ) -
NAME PRIMARY PHONE
PROJECT CONTACT
r7'O F PoA 4D S ON ( 253) 839 - 682 2
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 c .'m), which may be made by any person, including the undersigned, and filed against the city,
but only where such claim arises ou of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to t •ty as a ••rt of this application.
/
/ 1 0 Ifr piaci?
SIGNATURE: DATE
PRINT NAME: V - ER os-y U E.Ko y
Bulletin#160—April 14,2016 Page 1 of 1 k:AHandoutsvElectrical Permit Application