16-101545City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: CHRIST THE KING BIBLE FELLOWSHIP
Project Address: 35448 11TH AVE.SW
0
Electrical
Permit #: 16 -101545 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 302104 9006
Project Description: Install 100 amp feeder from existing building service to feed electrical to new 720 square
foot portable classroom install
Owner
ApRlican
Contractor
CHRIST THE KING BIBLE FELLOWSHIP
HONEST ELECTRIC
HONEST ELECTRIC
35448 11TH AVE SW
3301 6TH PL S
HONESEL909PN (10/15/16)
FEDERAL WAY WA 98023,
RENTON WA 98056
3301 6TH PL S
RENTON WA 98056
Additional Permit Information
Electrical Work Valuation?....................................1000.00 Is this an Online or O.T.C. application? ................. Yes
Is Use Educational or Institutional? ....................... No - Service greater than 999 Amps? ............................. No
Electrical Fixtures
Alt. Srvc / Feeder 0 to 200 amps (C 1
PERMIT EXPIRES Thursday, March 30, 2017
Permit Issued on Wednesday, March 30, 2016
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
D
and the City of Federal Way.
Owner or agent�I/( 1 Date:
. THIS CARD IS TI*MAIN ON-SITE. _
C,r. of Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 16 -101545 -00 -EL Address: 35448 11TH AVE SW
Project: CHRIST THE KING BIBLE FELLOVI FEDERAL WAY, WA 98023-6911
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 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.
UFER Ground (4295)
0
Ditch cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
❑
Approved
Right of Way
Approved
Approved to place concrete
By
Date
By
Date C�. I (L
By
Date
Pool Bonding (4195)
1:1Approved
Temporary Power (4275)
❑
Service (4235)
Right of Way
Approved
Approved
Approved
By
Date
Date
By
Date
Date
By
Date
Date
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
V4 Date 411-111,
By
Date
By
Date
Final - Electrical (4055)
Approved
By
L49 Date �}� do ( b
Rough Electrical
Approved
1:1Approved
Final Electrical
1:1
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF
Federal Way
PERMIT NUMBER 1 (0
� ELECTRICAL
PERMIT APPLICATION
175- - 0 D MAR 30 2016
QTY Or
NIT/SPACE #
SITE ADDRESS:3 / /57 Av �� 0 CDS
/
PROJECT VALUATION
ASSESSOR'S TAX/PARCEL #
CURRENT/PROPOSED USE
PROJECT NAME
C- I ' {� I ( l v� �j,% j'� � % % />
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(Tenant or Homeowner Last Name)
-0�
! 1" L`—�L-ti� W 1
PROJECT DESCRIPTION
Detailed description of work to
1 G ,) 2,a
be included on this permit only
PROPERTY OWNER
NAME
PRIMARY PHONE
-767,j
MAILING ADDRESS
Aje
E-MAIL
CITYSTATE
P�ef
ZIP
FAX
NAME I
PRIMARY PHONE
MAILING ADDRESS ,p f
> � N
E-MAIL
ELECTRICAL
=
CITY
STATE
ZIP r
FAX
CONTRACTOR
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
i,> / '3I
NAME j� f
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
-336 N 1tG,
E-MAIL
CITYTATE
ZIP
FAX
PROJECT CONTACT
/j'
NAME r, LJ,
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PRIMARY PHONE
(.�) :;,� _ 5 -Z-
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. 1 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.
i
SIGNATURE:J !' ``" DATE >
PRINT NAME: � Y't ` y, - rc
Bulletin #160 — January 1, 2013 Page 1 of 2 k:lHandouts\Electrical Permit ApplicatiA