13-104744 • • 11ecttical
City of Federal Way
Community&Econ.Dev.Services Permit #: 13-104744-00-EL
33325 8th Ave S o- r'
Federal Way,WA 98003 r i '
Ph:(253).835-2607 Fax(253)835-2609Efj Inspection Request Line: (253)835-3050
Project Name: STEEL LAKE PRESBYTERIAN CHURCH
Project Address: 1829 S 308TH ST Parcel Number: 092104 9134
Project Description: Reconnection for replacement equipment; new disconnect for heat pump and(1)
thermostat.
Owner Applicant Contractor
STEEL LK PRESBY COMM 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
Circuits-Commercial. 2 Thermostat. 1
PERMIT EXPIRES Wednesday, April 23, 2014
Permit Issued on Friday, October 25, 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 � �.e v dv'x, Date: !o/Z.t" ' /3
' o
SNP
THIS CARD IS TO AIN ON-SITE
CITY Of • Construction In ection Record` .
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 13-104744-00-EL Address: 1829 S 308TH ST
Project: STEEL LK PRESBY COMM CHURC 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.
El LIFER Ground(4295) El Ditch cover(4030) n Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
El Pool Bonding(4195) E Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
Feeders/Sub-panels(4045) CI Rough Electrical(4225) Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
El Final-Electrical(4055
Approved )
tC Date C. \2 )
ID Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
,
•
• FlpEIVED
OF EOEC'TRICAL
Federal Way OCT 2.5 2013 PERMIT APPLICATION
CITY OF FEDERAL WAY
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CDS
PERMIT NUMBER / g — / D E
SUITE/UNIT/SPACE#
SITE ADDRESS: / $ a , S. 3 vs 1-/i
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# q CURRENT/PROPOSED USE
-� $ i So- 45 o O 9 a / o l� - / r 3 11
PROJECT NAME
(Tenant or Homeowner Last Name)) Srer 6,a&,r �K/t s, Cr/arct, kip-s-, `/
/ G/l�'�-
N
D!Sc e n n v J- 0 I {�P,Cr�-f vn� p/a-,.. eL cs, l e l e
PROJECT DESCRIPTION 1*t s d-q./l •-s c r,r) <-14 fvs c S o.,. .J 41 ti i f to //4'4fA4.
Detailed description of work to LtiQ ool" Imo-o eJ dD p r t./ fs r teeC-enh.e.
be included on this permit only
Ele(.M ,'r'.4.i_ c.,,.. a/ C 9N/ v!'o 41.-5e-
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NAME PRIMARY PHONE
PROPERTY OWNER S'7 L - Lite_ )°!km-S, CA.rr 4 ( (53) 8-3°/- 1,2/o
MAILING ADDRESS E-MAIL
/e.19 S'. 3c,81 si- 1
CITY I STATE ZIP FAX
/eta / 4- 98Ao3
NAME PRIMARY PHONE
�¢r� Srsre.ys Xe.�i��e,�.+i /tip (a5 )s-77i -9y8y
L' \/ MAILING ADDRESS E-MAIL
L ) ELECTRICAL 3001 S. /Orn L �.QviD S�.�QS`Z. '-v
CONTRACTOR CITY STATE ZIP FAX
�� T�Gor�.d !-✓/�
'9 ya 5 (as3 ) 393 - G317
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
tk 0 ks 3-7/0 /aAIy
NAME PRIMARY PHONE
APPLICANT DA tis (All_fy<t-v-, s E., L) (253)s-V- - Y6
MAILING ADDRESS E-MAIL
36-01 S, ,4 .e s r 1�,a-v/ i < c rz.4's
CITY STATE ZIP FAX
% Gpr•,,_ h',- O 99 ,7 b2S3 ),793 -0337
NAME PRIMARY PHONE
PROJECT CONTACT L'.�✓.SSL✓2 c.y-- (a s3 )S72 - VS y
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: _ s -Ste- .v DATE S7/e/.2 o ?
PRINT NAME: DA 4//.40 c("A ( 7
Bulletin#160-January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application