13-100226''
A1212111cant
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KING COUNTY HOUSING AUTHORITY
City of Federal Way
OWNER IS CONTRACTOR
Community & Econ. Dev. Services
600 ANDOVER PARK W
33325 8th Ave S
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Federal Way, WA 98003
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Ph: (253) 835-2607 Fax: (253) 835-2609
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electrical
Permit #: 13 -100226 -00 -EL
Project Name: KINGS COURT APARTMENTS BLDG A UNIT 2
Project Address: 2225 S 333RD ST Bldg A
Project Description: Replace 0400 amp panel
Inspection Request Line: (253) 835-3050
Parcel Number: 797820 0182
Own
A1212111cant
Contractor
KING COUNTY HOUSING AUTHORITY
KING COUNTY HOUSING AUTHORITY
OWNER IS CONTRACTOR
600 ANDOVER PARK W
600 ANDOVER PARK W
TUKWILA, WA 98188-3326
TUKWILA, WA 98188-3326
Additioat'Permit Information
Is this an Online or O.T.C. application?.................Yes
Service greater than 999 Amps? .............................No
Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 amps 0 1
Is Use Educational or Institutional? ....................... No
PERMIT EXPIRES Sunday, July 14, 2013
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
d the City of Federal Way.
Owner or agent: Date: 111S113
� ':-D) rlr'6113
Federal Way
THIS CARD IS TO MAIN ON-SITE
Construction I ection Record
INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 13 -100226 -00 -EL Address: 2225 S 333RD ST Bldg A
Project: KING COUNTY HOUSING AUTHOR FEDERAL WAY, WA
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.
E]
LIFER Ground (4295)Ditch
0
cover (4030)
Final Electrical
Approved
Slab/Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
0
Pool Bonding (4195)
0
Temporary Power (4275)
Final Electrical
Approved
Service (4235)
By
Approved
Approved
Date
Approved
By
Date
By
Date
By ®\A,
Date
E]
Feeders/Sub-panels (4045)
E]
Rough Electrical (4225)
❑ Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date ` `
By
Date
Final - Electrical (4055)
Approved
By ��� Date
El
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
•
CITY Of
Federal Way
ELECTRICAL
PERMIT APPLICA'T'ION
PERMIT NUMBER t"% _ 10 0 2 7 _ 0 0
RECEIVED
JAN 15 2013
SITE ADDRESS:
33 S-''
CITY OF FEDERAL WTE/uxrr/SPACE
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PROJECT VALUATION
ASSESSOR'S TAR/PARCEL # O _
Q ^ 2
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
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PROJECT DESCRIPTION
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Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
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PRIMARY PHONE
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MAILIN DRESS
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ZIP
FAX
NAME
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PRIMARY PHONE
MAH.DIG ADDRESS
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ELECTRICAL
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STATE
ZIP
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CONTRACTOR
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WA STATE CONTRACTOR'S LICENSE $ EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE N
APPLICANT
NAME
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(200271_
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
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PROJECT CONTACTAtL
NAME
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PRIMARY PHONE
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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 apart of this application.
SIGNATURE:
PRINT NAME: /-�M rd --\-
K
Bulletin # 160 — January 1, 2013 Page 1 of 2 k-\Handouts\Electrical Permit Application