13-1032154 , it
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
0 -Electrical
Permit #: 13 -103215 -00 -EL
Inspection Request Line: (253) 835-3050
Project Name: CLARK lvo l
Project Address: 30807 6TH PL SW Parcel Number: 771620 0010
Project Description: Overhead 200 -amp service change, meter relocation and installation of (6) can lights.
Owner
A p�
Contractor
PATRICK CLARK
ACCURATE ELECTRIC & SVC INC
ACCURATE ELECTRIC & SVC INC
30807 6TH PL SW
1924 AVENUE 'D" SUITE 356
ACCURES885JL (4/13/14)
FEDERAL WAY WA 98023
SNOHOMISH WA 98290
1924 AVENUE "D" SUITE 356
SNOHOMISH WA 98290
Additional Permit Information
Is this an Online on O.T.C. application?.................Yes Is Use Educational or Institutional? ....................... No
Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 amps (F 1
PERMIT EXPIRES Wednesday, January 15, 2014
Permit Issued on Friday, July 19, 2013
1 hereby certify that the above in f rmation is correct and that the co struction on the above described property and
the occupancy and theysa�lvIII in accurdans I s, I and regulations of the State of Washington
City F r ay.
Owner or agent: Date: Ci zlr_ (3
THIS CARD IS TOMAIN ON-SITE
CITY OF Construction In ction Record
Federal Way INSPECTION REQU TS: (253) 835-3050
PERMIT #: 13 -103215 -00 -EL Address: 30807 6TH PL SW
Project: PATRICK CLARK FEDERAL WAY, WA 98023-4676
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.
0
UFER Ground (4295)
Ditch cover (4030)
El
Slab/Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
I By
Date
0
Pool Bonding (4195)
Temporary Power (4275)
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electric
/f Approved
Date
El
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY of �•
Federal Way
RIVED
JUL 19 2013
CITY OF FEDERAL WAY
CDS
PERMIT NUMBER _ ®�-
ELECTRICAL
PERMIT APPLICATION
SITE ADDRESS:
SUITE/UNIT/SPACE
PROJECT VALUATION
$ 3��® —
ASSESSOR'S TAX/PARCEL t
QJ D_
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
Caw,
PROPERTY OWNER
NAME
PRIMARY PHONE
-
MAILING ADDRESS
-Logoq
E-MAIL
CITY
STATE
ZIP
FAX
ELECTRICAL
��
CONTRA.�v;,�v/,�1
NAME
Ay--,- o rrd: J- S�ry
PRIMARY PHONE
21-3- q4--j�
MAILING ADDRESS
(4Z A�
E-MAIL
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE N EXPIRATION DATE
FEDERAL WAY BUSrNESS LICENSE M
APPLICANT
NAME
PRIMARY PHONE
)
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
( FAX
t )
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 de/ens of such claim), which may be made by any person, including the undersigned, and filed against the city,
but only where such claim Imnses out of the reliance of the i luding its officers and employees, upon the accuracy of the
information supplied to ty as 'on
1
SIGNATU �- —tai -�x ►3
DATE
PRINT NAME C Vi6 �
Bulletin #1160 — January 1, 2013 Page 1 of 2 k: HandoutsTlectrical Permit Application