15-103999-ENctrical
City of Federal Way J��{
Community 8 Econ. Dev. Services Permit #: 15 -103999 -00 -EL
33325 8th Ave S
Federal Way, WA 98003low
Ins ection Re uest Line: 253 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609 p a
Project Name: HERITAGE CONDOMINIUMS
Project Address: 105 S 340TH ST Unit A
Project Description: Change out 100 amp -panel.
Parcel Number: 325945 0730
Owner
li n
Contractor
SALLIE IGOU
M S E ELECTRIC
M S E ELECTRIC
105 S 340TH ST UNIT A
PO BOX 13327
MSEELE*874L8 (7/2/17)
FEDERAL WAY WA 98003-6605
DES MOINES WA 98198
PO BOX 13327
DES MOINES WA 98198
Is this an Online or O.T.C. application?.................Yes
Service greater than 999 Amps? .............................No
Electrical Fhctures
Alt. Serv./Feeder: 0 to 200 amps 0 1
Is Use Educational or Institutional? ....................... No
PERMIT EXPIRES Saturday, February 6, 2016
Permit Issued on Monday, August 10, 2015
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: md Date: /S
,'IP/',ni , -
bM
Y
- THIS CARD IS TO RE ON-SITE
CIOF Construction Ins ion Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 15 -103999 -00 -EL Address: 105 S 340TH ST Unit A
Project: SALLIE IGOU FEDERAL WAY, WA 98003-6614
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.
Final - Electri
Approved
LIFER Ground (4295)Ditch
cover (4 30)
Temporary Power (4275)Service
Slab/Concrete Floor (4255)
(4235)
Approved
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electri
Approved
Pool Bonding (4195)
Temporary Power (4275)Service
(4235)
Right of Way
Approved
Approved
Date
Approved
Date
Approved
By
Date
By
Date
By
Date
0
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved �
Approved
By
Date
By
Dat/
By
Date
Final - Electri
Approved
Rough Electrical
Approved
Final Electrical
Approved
Ej
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF
Federal Way
4pRECEIVED
AUG 10 2015
CITY OF FEDERAL WAY
CDS
ELECTRICAL
PERMIT APPLICATION
PERMIT NUMBER —15
_ —Z U �2- _ E L,
SITE ADDRESS: V-47'1 v
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SUITE/7/SPACE #
PROJECT VALL,U�A/TION
(f v
ASSESSOR'S TAX CE� -
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
C
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PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
-
PROPERTY OWNER
NAME
4 lfe 1� 0 t�
PRIMARY PHONE
j�j�) ?3A- / 11
MAILING ADDRESS 7
7r�( S Lrti
E-MAIL
CITY
STATE
I ZIP �j
FAX
J !
ELECTRICAL
CONTRACTOR
NAME
PRIMARY PHONE
%L(
MAILING DRESS
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E-MAIL
CITYSTATE
%5 � �� 5
ZIP G
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FAX
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WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME
G�` /� �' ' ' v �,� ✓1
PRIMARY PHONE
AZO ) ?36 - 3 Z t
MAILING ADDRESS
V ,�) / �J� l ,7,-3 2- /%
E-MAIL
CI � � ` C
STATE
ZIP � �
FAX
PROJECT CONTACT
N E
Ike 'er o
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: -� DATE �D /
r
PRINT NAME: !(J✓
Bulletin 4160 — January 1, 2013 Page 1 of 2 k:\I-Iandouts\Electrical Permit Application