13-105703 E-
• • Electrical
City of Federal Way
Community&Econ.Dev.ServicesFILE
Permit #• 13-105703-00-EL
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 P q
Project Name: STEEL LAKE PRESBYTERIAN CHURCH
Project Address: 1829 S 308TH ST Parcel Number: 092104 9134
Project Description: Installation of(2)thermostats for new unit heaters.
Owner Applicant Contractor
STEEL LAKE PRESBYTERIAN CHURCH AIR SYSTEMS ENGINEERING INC AIR SYSTEMS ENGINEERING INC
1829 S 308TH ST (GENERAL) (ELECTRICAL)
FEDERAL WAY WA 98003 3602 S PINE ST AIRSYEI009KS (5/10/14)
TACOMA WA 98409 3602 S PINE ST
TACOMA WA 98409
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
Thermostat 2
PERMIT EXPIRES Tuesday, June 24, 2014
Permit Issued on Thursday, December 26, 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: A Date: 'PE-c- Z� / Zo I 3
FINALED
` THIS CARD IS TO MAIN ON-SITE s
C:Y �'' Construction In ection Record • '
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 13-105703-00-EL Address: 1829 S 308TH ST
Project: STEEL LAKE PRESBYTERIAN CHI. FEDERAL WAY, WA 98003-4820
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.
ID LIFER Ground(4295) DI Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
❑ Pool Bonding(4195) El Temporary Power(4275) ElService(4235)
Approved Approved Approved
By Date By Date By Date
,
El Feeders/Sub-panels(4045) fl Rough Electrical (422.5) Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
❑ Final-Electrical(4055)
Approved
Ba S DateZ-7.-.. ( 4-
.
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
. •
tECEIVED EL CTRICAL . -
CITY OF
Federal Way DEC 26 2013 PERMIT APPLICATION
CITY C� COF FEDER_AL WAY.j
3 /1 PERMIT NUMBER / _ / US _✓ (._.-
SITE ADDRESS: I 02 5 c, 7 c 4 5 F SUITE/UNIT/SPACE F
PROJECT VALUATION ASSESSOR'S TAX/PARCEL f CURRENT/PROPOSED USE
$ 2O0 . 0 9 Z o A. - `A i - 4
PROJECT NAME 0L r��( C�
(Tenant or Homeowner Last Name) 2�� 1
PROJECT DESCRIPTION CZ- ) 4 5 ``
ji-
Detailed description of work to
be included on this permit only
NAME % i PRIMARY PHONE
PROPERTY OWNER3 Lm C \ (Z.52 ) 3`l I Z I 0
MAILING ADDRESS E-MAIL
I`;, LC 1 -t,‘
0 l�;
CITY STATE ZIP FAX
w A ( 1 -
NAME PRIMARY PHONE
1 17.5 C-12 11IR. 51ST •.ii✓►S 1'4L fNeHZ;el(j ( LS-5 ) 41Z- `14 ` 4
MAILING ADDRESS E-MAIL
ELECTRICAL j C,p L 50 r / ( c) 1-
CONTRACTOR
CONTRACTOR CITY STATE ZIP 40'1
Q FAX
-1-A Lc.�.M A W A � v`f V ( 1
WA STATE CONTRACTOR'S LICENSE tl EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE If
AIR-4)-4 OZ 1K5 Z ` / Aq Ioc- I - ',"- ,,c, .131-
NAME PRIMARY PHONE
APPLICANT b r.2-0 ru e. cA( ( Z'? ) $7Z - `i 4 i'.4
MAILING ADDRESS E-MAIL
3lg07_ Sc int.' SI' laiiQ--4 ' J)SF(,WS
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 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.
P �2.� Z� l Z � �
SIGNATURE: DATE
PRINT NAME: IJ+''eT4 a`'i=e_‘6 G< V
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application