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14-100940 • • Electrical City of Federal Way Community&Econ.Dev.Services Permit #: 14-100940-00-EL 33325 8th Ave S Federal Way,WA 98003 Inspection Request Line: Ph:(253)835-2607 Fax:(253)835-2609 F ILEP q (253)835-3050 Project Name: OUR SAVIOR'S BAPTIST CHURCH Project Address: 701 S 320TH ST Parcel Number: 172104 9075 Project Description: Electrical work for remodel. Owner Applicant Contractor OUR SAVIOR'S BAPTIST CHURCH OUR SAVIOR'S BAPTIST CHURCH OWNER IS CONTRACTOR 701 S 320TH ST 701 S 320TH ST MEZA*S*895CB(4/28/14) FEDERAL WAY WA 98003-5223 FEDERAL WAY WA 98003-5223 • 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 5 PERMIT EXPIRES Saturday, August 30, 2014 Permit Issued on Monday, March 3, 2014 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: Date: 3/3/2 /4 ' • iTHIS CARD IS TO MAIN ON-SITI CITY OOF �P � Construction In ection Record Fed era Way INSPECTION REQUESTS: (253) 835-3050 PERMIT#: 14-100940-00-EL Address: 701 S 320TH ST Project: OUR SAVIOR'S BAPTIST CHURCI- 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. 0 UFER Ground (4295) ❑ Ditch cover(4030) 0 Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date ❑ Pool Bonding(4195) 0 Temporary Power(4275) ' 0 Service(4235) Approved Approved Approved By Date By Date By Date 0 Feeders/Sub-panels(4045) El Rough Electrical(4225) 0 Ceiling Cover(4020) Approved Approved Approved By Date 'B� Date _c ` . By Date ' ..0 Final-Electrical(4055) Approved By e \i Date r� El Rough ElectricalEl Final Electrical Right of Way Approved Approved Approved By Date By Date By Date 4DATE INSPECTOR K ARA AND TYPE 4T INSPECTIONe- k c' 'w \\ 6k- • , ! 411 CITY OF x'�..�,,►.... ELEC'T'RICAL Federal WayPERMIT A CATION / q / 001 G ' _ L. PERMIT NUMBERIII I%- ? MAR 0 3 2014 •7( ) QTY OF ,�... �._WAY / 5-, 3 C� '! SUITE/UNIT/SPACE# SITE ADDRESS: J PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE PROJECT NAME / (Tenant or Homeowner Last Name) 0 lig it u it, C k(i " M a/ i `vl Z 4+ea>�� 0-,..pit - et lkt L/h'r G�k PROJECT DESCRIPTION )Ckl n11J� 5 ,Vt; - 6c1.4 ZC!►,Ci i gifts c`�t`l/ L412 / ^ 'holirezji Detailed description of work to Ca►'f' Yi1ir i — 134 c i rails �g �y�15F ty� Q4 be included on this permit only _ NAME PRIMARY PHONE PROPERTY OWNER Ck-,(Z Si a ioi2 5 6/4 7 ri5 T— C Q.i-1{ ( 2)-3 ) 3' -£'2 I. MAILING ADDRESS E-MAIL 70 r 5, 3 zee .fit offitc CITY o :214u,c2513�4Pmr reZ-, STATE ZIP FAX F4ve,A NAME IV 1N\©V\ W Z lq PRIMARY PHONE MAILING ADDRESS ( ) ELECTRICAL '32,13 ) 2,! 3 ) 0 IAA /0'(1). dl�` 7 , 2 3 E-MAIL CONTRACTOR CITY STATE ZIP /�I W r�� 4 f/�/y/�/,�.�J 7 *1} FAX / C 11� !.,�+'�i:(� r .. , V r 1 /✓�. `-' / t„ 7 WA STATE COYf p 4C6iNC LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# ( 1. 'V I l 1_o ) in EZA"kS' C"C/5-GL3 II/Z$ /2C 0-( NAME _ PRIMARY PHONE APPLICANT f ; htc.I-i:i�1 - ©u l ,a,pcit .f4'ns r C--14. (2,-3 )(-3() - MAILING ADDRESS V (14/1:Z. E-MAIL % i� ) • �1 "{�Ou%i�Q� CITY d4'.0 54v,ci2164 1)t k STATE ZIP FAX FAUtVt ti1P4 NAME ( )PRIMARY PHONE PROJECT CONTACT 5 e / Q C t�r-t} 1` l ( 2-r3 )2L7 21)S1 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. 9144cda SIGNATURE: !,i44+/ DATE -2— &li N PRINT NAME: t'>� E. /wtI 1 a L Lt.)el Bulletin#160—January 1,2013 Page 1 of 2 k:AHandouts\Electrical Permit Application