13-100211•
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
F d I Wa WA 98003
0
Electrical
Permit #: 13 -100211 -00 -EL
e era y.
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Liner (2
53) 835-3050
Project Name: NEON PLAZA
Project Address: 1200 S 324TH ST
Parcel Number: 150050 0050
Project Description: Dedicated circuit to fire alarm panel in electrical room on East end of building.
Owner
A lic n
Contractor
DEBORAH KAUFMAN
STEVE BOONE
AUBURN ELECTRICAL SERVICE
9036 SALTY DR NW
AUBURN ELECTRICAL SERVICE
AUBURES953LT (6/30/13)
OLYMPIA WA 98502
29410 110TH AVE SE
29410 110TH AVE SE
AUBURN WA 98092
AUBURN WA 98092
Additic nal Permit Information
Is this an Online or O.T.C. application?.................Yes
Service greater than 999 Amps? .............................No
Electrical Fixtures'
Circuits - Commercial .................... 1
Is Use Educational or Institutional?.......................No
PERMIT EXPIRES Thursday, January 15, 2015
Permit Issued on Tuesday, January 15, 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
nd the City of Federal Way.
Owner ate'
ora agent: Date: o % ^ 1,5— /-5
g
CITY OF
Federal Way
PERMIT #:
Project:
THIS CARD IS TO MAIN ON-SITE
Construction I ection Record
INSPECTION REQUE TS: (253) 835-3050
13 -100211 -00 -EL Address: 1200 S 324TH ST
DEBORAH KAUFMAN FEDERAL WAY, WA 98003
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.
UFER Ground (4295)
Ditch cover (4030)
Final Electrical
Slab/Concrete Floor (4255)
1:1Approved
Approved
Service (4235)
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
1:1Approved
Final Electrical
0
1:1Approved
Temporary Power (4275)
Service (4235)
Date
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By
Date
Rough Electrical
Approved
1:1Approved
Final Electrical
1:1Approved
Right of Way
By
Date
By
Date
By
Date
CCTV of
Federal Way
P6CEIVED
JAN 15 2013
CITY OF FEDERAL WAY
CDS
PERMIT NUMBER (3 _ 10 0 2 f ( -
ELECTRICAL
PERMIT APPLICATION
II
SITE ADDRESS: 12-60 5, X24` S�`,�,�,#
R �A'1'IOlI
�S TA%/PARC£�#
CQRREIIT/PROPOSED USE
PROJECT NAM
1 , 1�� ���
N�ojV
(Tenant or Homeowner Last Name)
f D:rcA-Z- CSC✓i F -v02 F., -Ria- /U44ri
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
DE 66l
PWXAPHONE
9 - I c 7,5
PROPERTY OWNER
l
>DRESS
'7 1 g ! oOTv £ C T,
19 -NAM
ATE �
cn'DEi�.tvoo� IST
FAX
NAME
A� �+(a ,�l,�c,r`Q, i 2u�t,�
( Z53) $3 �-
Z7 V5
MAILINOn /RE0
A✓E �'e=
Q'�EC,aM
ELECTRICAL
CITY
9$
FAz
CONTRACTOR
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSMESS LICENSE #
MAIM
�L16 3�ADDRESS
PRDMRT PHONE
(Z53) 8331-76
APPLICANT
'��`5;�1 �, /-
Z-XAH,
CITY / L) s J ' "
ST�)A/1TE.
211P
FAX
PROJECT CONTACT
NAe�5 7 .4C
pRiumm Me=
ZL I - 5 ? S q C61
I certify ander 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 irVormation 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, expense; and attorneys' fees incurred in
the investigation and defense of such claim) which may be made by any persson, including the undersigned, and f sled against the city,
but only where such claim arises out of the reliance of the city, including its eAUers and employee; upon the accuracy of the
information supplied to the city as a part of this application.
SIGNATURE: ( �"'' DATE
PRINT NAME:
Bulletin #160 - January 1, 2013
Page 1 of 2
k:\HandoutsTlectrical Permit Application
A.�
D