13-105687 • Electrical
City of Federal Way
Community&Econ.Dev.Services Permit #: 13-105687-00-EL
33325 8th Ave S
Federal Way, 98003 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: WARREN CONSTRUCTION
Project Address: 29608 2ND AVE SW Parcel Number: 513730 0130
Project Description: Electrical work for remodel.
•
Owner Applicant Contractor
WARREN CONSTRUCTION WARREN CONSTRUCTION SUPREME ELECTRIC
28116 10TH AVE S 28116 10TH AVE S SUPREEL94606(9/26/14)
DES MOINES WA 98198 DES MOINES WA 98198 PO BOX 786
MILTON WA 98354
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 amps(F 1
PERMIT EXPIRES Saturday, June 21, 2014
Permit Issued on Monday, December 23, 2013
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the us will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date: - 3 " /
THIS CARD IS TO MAIN ON-SITE
CITY OF "` "" �' • Construction In'ection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT#: 13-105687-00-EL Address: 29608 2ND AVE SW
Project: WARREN CONSTRUCTION FEDERAL WAY, WA 98023-3505
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) El Ditch cover(4030) El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
O Pool Bonding(4195) El Temporary Power(4275) El Service (4235)
Approved Approved Approved
By Date By Date By Date
O Feeders/Sub-panels(4045) 0 Rough Electrical(4225) IEI Ceiling Cover(4020)
Approved Approved Approved
By Date B3'( Date a_ '2t? (3 By Date
o Final-Electrical(4055)
Approved
By((�-� ���� Date _j 1'Z k ii
El Rough ElectricalEl Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
'' . • . ,
CITY OF . Rea a'sLI ELECTRICAL
Federal Way DEC 2 3 2013 PERMIT APPLICATION
PERMIT NUMBER /gCrTY_ / 1 DA/ W7 7 _ G
SUITE/UNIT/SPACE#
SITE ADDRESS: r� 62 lI g v14 4i) - S'\
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PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ 5 / 373 0 - 0 / 30
PROJECT NAME
(Tenant or Homeowner Last Name)
I
C.G.e V^ a 4k/A.A0,1- - 662,&d
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PROJECT DESCRIPTION A ✓ k 1 eS z ) Z 5 -- 0 ,IS
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER L--e.--)Q . v'i--ev AS711 Ltlj41 i53so- s---th�
MAILING ADDRESS E-MAIL
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CITY STATE ZIP FAX
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NAMEPRIMARY PHONE
LA_ /p /rte kvl e_ cr ,,, ( ) -
MAILING ADDRESS / E-MAIL,z
ELECTRICAL tri
c.2.0.,c),
CONTRACTOR CITY n I i STATE ZIP FAX
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WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME
PRIMARY PHONE
r 11, G _ a5 O(.6 v EY' ( )
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( ) -
PROJECT CONTACT NAME
PRIMARY PHONE
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 arty person, including the undersigned,and filed against the city,
but only where such clai arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to t ity as a part of this application.
SIGNATURE: y,--Gt/ 24,1_e -- DATE / _0 3
PRINT NAME: S aviA. l.(-)Gt y\V f
Bulletin#160-January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application