14-104276City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253)835-2607 Fax: (253) 835-2609
Project Name: FEDERAL WAY CONIlVIUNITY CENTER
Project Address: 876 S 333RD ST
Project Description: Replacement of generator transfer switch.
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t
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Electrical
Permit #: 14 -104276 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 172104 9138
Owner
Ap Iig cant
Contractor
STEVE IKERD
STEVE IKERD
AMAYA ELECTRIC
CITY OF FEDERAL WAY - PARKS
CITY OF FEDERAL WAY - PARKS
AMAYAE*274B3 (1/31/16)
33325 8TH AVE S
33325 8TH AVE S
PO BOX 98686
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
LAKEWOOD WA 98496-8686
Additional 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 Tuesday, February 17, 2015
Permit Issued on Thursday, August 21, 2014
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and thy@ use will be in accordance with the laws, rules and regulations of the State of Washington
a X
tCity of Federal Way.
Owner or agen . &� , IJ. ' 44 40 Date:
CITY OF
Federal Way
PERMIT #:
Project:
14 -104276 -00 -EL
STEVE IKERD
THIS CARD IS TO MAIN ON-SITE
Construction In ection Record
INSPECTION REQU TS: (253) 835-3050
Address: 876 S 333RD ST
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.
E]
LIFER Ground (4295)Ditch
cover (4030)
Temporary Power (4275)Service
Slab/Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Rough Electrical (4225)
Approved
By Date
Ceiling Cover (4020)
Approved
By Date
Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
Pool Bonding (4195)
Approved
Temporary Power (4275)Service
Date
(4235)
Approved
Approved
Approved
Date ._
Approved
By
Date
By
Date
By
Date
Rough Electrical (4225)
Approved
By Date
Ceiling Cover (4020)
Approved
By Date
Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
Feeders/Sub-panels (4045)
Approved
By
Date
Final - Electrical (4055)
Approved
By
Date ._
Rough Electrical (4225)
Approved
By Date
Ceiling Cover (4020)
Approved
By Date
Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
CITY OF AUG 2F
Federal Wayci.Ty OF FEDERAL WAY
CDS
PERMIT NUMBER —Z I _ I ® � A j 4 _ % '
ECTRICAL
PERMIT APPLICATION
SITE ADDRESS: 577. 5. �33Ya •
SUITE/UNIT/SPACE #
F.W. C VAMAM �
PROJECT VALUATION
ASSESSOR'S TAX/PARCEL #
CURRENT/PROPOSED USE
$ Soo
1 Z. _L c6 �4_ - — 3 a
coywv►v%% CrcAer
PROJECT NAME
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
5Vj 1 ` 6V\ "r%azx,r -4
c t l
be included on this permit only
PROPERTY OWNER
NAME //►► ,` l - `' ,
V ti D i�O�Y� w
PRIMARY PHONE
��j) $3�J - �n911
MAILING ADDRESS
33325 eA Avrw, S •
E-MAIL
ski.14(a & C of
CITY
STATE
WA
ZIP
��
FAX
NAME
PRIMARY PHONE
MAILING ADDRESS i
ck S
E-MAIL
ELECTRICAL
CITY.
I ar arna
STATE
IWA,
ZIP
9,6149
FAX
( ) -
CONTRACTOR
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME �
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
- Sa•w� as G�3rvrcr --
CITY
STATE
ZIP
FAX
)
PROJECT CONTACT
NAME
PRIMARY PHONE
X253 ) b•35- 1
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 Iocal, 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—"plication.
SIGNATURE: DATE • t�
PRINT NAME:
Bulletin # 160 -January 1, 2013 Pagel of 2 k:\Handouts\Electrical Permit Application
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