14-103102a
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E Electrical
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Federal Way Permit #. 14-103102-00-E L
Community Econ. v. Services
33325 8th Ave S
Federal Way, WA 98003FILE
Inspection Request Line: (253) 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609 -
Project Name: SCOGINGS �j�i�✓ ��
Project Address: 30658 3RD AVE SW Parcel Number: 556000 0540
Project Description: Replace 100 amp panel
Owner
AAp lip cant
Contractor
D L SCOGINGS
CHARLES DEAN ELECTRIC LLC
CHARLES DEAN ELECTRIC LLC
30658 3RD AVE SW
28107 20TH AVE S
CHARLDE930LQ (6/18/15)
FEDERAL WAY WA
FEDERAL WAY WA 98003
28107 20TH AVE S
98023-3909
FEDERAL WAY WA 98003
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes
Service greater than 999 Amps? .............................No
Is Use Educational or Institutional?.......................No
Electrical Fixtures a .
Alt. Srvc / Feeder 0 to 200 amps (C 1
PERMIT EXPIRES Tuesday, December 23, 2014
Permit Issued on Thursday, June 26, 2014
1 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 ty of Federal Way.
OF
Owner or agent: Date: 14
-2&-Iq
FINALED
r t
THIS CARD IS TOMAIN ON-SITE
CITY OF Construction In ection Record '-
Federal Way INSPECTION REQU TS: (253) 835-3050
PERMIT #:
14 -103102 -00 -EL
Address: 30658 3RD AVE SW
Project: D L SCOGINGS FEDERAL WAY, WA 98023-3909
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.
11 Final - Electrical (4055)
Approved
By Date
LIFER Ground (4295)11
Ditch cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
11 Final - Electrical (4055)
Approved
By Date
Pool Bonding (4195)
Temporary Power (4275)
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
❑
Rough Electrical (4225)
Ceiling Cover (4020)
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
By
Date
By
Date
11 Final - Electrical (4055)
Approved
By Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF
Federal Way
PERMIT NUMBER _14-
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JUN 2 6 2014
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SITE ADDRESS: � Q b �--�
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PROJECT VALUATION
$ I �
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ASSESSOR'S TAIL/PARCEL#
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CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
5 C ( n
S
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
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PROPERTY OWNER
NAME
0 #1
5C. 0!9
PRIMARY PHONE
( ) -
MAILING ADDRESS
E-MAIL
CITY
STATE
I ZIP
FAX
ELECTRICAL
CONTRACTOR
IEC
ka,{ CS, C eC* f , C
Speqn
) PRIMARY PHONE 9,716
MAILING ADDRESS -
6 1 D 7 2� V -C 5
E-MAIL
CITY
STATE -
ZIP
( ) FAX
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
C4qj.q 30La7-
FEDERAL WAY BUSINESS LICENSE #
o35 Foo L
APPLICANT
NAME
PRIMARY PHONE
( )
MAILING ADDRESS
E-MAIL
CITY -
STATE
I 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 certtfy 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:
TE q
Bulletin # 160 —January 1, 2013 Pagel of 2 k:\Handouts\Electrical Permit Application