14-100933 10
• Ilectfical
City of Federal Way A
Community&Econ.Dev.Services Permit #: 14-100933-00-EL
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p Q
Project Name: EVERGREEN WASHELLI& CASCADE MEMORIAL .g u>GC /f
Project Address: 1109 S 348TH ST Parcel Number: 202104 9042
Project Description: Relocate(2)existing thermostats
Owner Applicant Contractor
REINHARD ERNEST&CORNERSTONE PRO STAFF MECHANICAL(GENERAL) PRO STAFF MECHANICAL(ELECTRICAL)
1115 S 348TH ST SUITE A PO BOX 33370 PROSTM3006C8 (3/30/16)
FEDERAL WAY WA 98003 SEATTLE WA 98133 PO BOX 33370
SEATTLE WA 98133
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
Thermostat. 2
PERMIT EXPIRES Wednesday, August 27, 2014
Permit Issued on Friday, February 28, 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
nd the City of Federal Way. �I
Owner or agent: Date: ce cz ( �
[!I4ALED
THIS CARD IS TO MAIN ON-SITE
f NI
CITY OF -- 0 Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 14-100933-00-EL Address: 1109 S 348TH ST
Project: REINHARD ERNEST & CORNERST 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.
El UFER Ground (4295) 0 Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
0 Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) 0 Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date t}( 2 ( 1,4 By Date
Final-Electrical(4055)
Approved
Date L_ L,, (
0 Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
• 411111 c�.3*. 1633
A ELECTRICAL
CITY OF
Federal Way PERMIT APPLICATION
RECEWED
PERMIT NUMBER ( 4 _ ( 0 0 9 3 �_ O v FEB 2 8 2014
CITY OF FEDE Yr/SPACE#
SITE ADDRESS: 1 09 SO 0-714-
SII-B"&
ST
CDS D�' _�'� 13
PROJECT VALUATION V ASSESSOR'S TAR/PARCEL# V CURRENT/PROPOSED USE I-?
2 0 2 1 0 - o 2 V
PROJECT NAME t�
(Tenant or Homeowner Last Name) E iiia c-,R.EEJ �--
fzE LO CA--- E ( ) f=Xi ST10 ''i[+e2M. STA="C'S
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME' / PRIMARY PHONE
(
PROPERTY OWNER U2i1.'s% l
d 57 ,k)E )7Dr /PM T1f f T ( 206130 - (62-E
MAILING ADDRESS E-MAIL
33400 114- S N/A
CITY STATE ZIP FAX
Fait ra f r✓ k/4 Q1002.3 ( ) AV-A
NAME PRIMARY PHONE
eo-y 7-r-A-F3F Mecv4A44i L ( 2C )36)
MAILING ADDRESS E-MAIL
ELECTRICAL o, i&cat 3390 cJ Rrrte p0-5T4FFf1'1aC: atattAt.,(0D',
CONTRACTOR CITY, STATE ZIP FAX
�.`- rA i-'n i I'33 (206)36 I -0424-
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
17205"1i'Y►re 0 6C.B 3
NAME PRIMARY PHONE
APPLICANT PRO-STAFF � `C& 1 NC- ( 206) 36 1 - c)(57-1
MAILING ADDRESS E-MAIL
Et0.13cx '3 s e 5.- riki(AL.cOm
CITY 5 -fir- STATE
WP ZW. FAX 133 (206) 361 _ 24-
NAME PRIMARY PHONE
PROJECT CONTACT djq1 .N10-0 (Zoo 36) _007 $
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 the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied t e city a of this application.
::z
DATE 2/2_
t5/141-V
: ��� PitnA0
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application