13-102475Eleetrieal
City of Federal ay
Comm pity &Econ. Dev. Services _ Permit #: 13 -102475 -00 -EL
33325 8th Ave S C r
Federal Way, WA 98003 T k' Inspection Request Line: 253 8353050
Ph: (253) 835-2607 Fax (253) 835-2609 T , a _ p q
Project Name: POVERTY BAY HOA
Project Address: 29514 12TH AVE SW
Parcel Number: 119600 4695
Project Description: Installing a 100 amp meter and panel with 3 breakers, 3 lights and low voltage automated
gate systems.
Owner
ARRlican
Contractor
PAUL BUTTICE
AUTOMATED EQUIPMENT CO
AUTOMATED EQUIPMENT CO
LAURA L SCIBA
10847 E MARGINAL WAY S
AUTOWC993OR (9/19/13)
2951412TH AVE SW
SEATTLE WA 98168
10847 E MARGINAL WAY S
FEDERAL WAY WA 98023
SEATTLE WA 98168
Additional Permit Information
Is this an Online or O.T.C. application? ................. es Is Use Educational or Institutional? ....................... No
Electrical Fixtures
Alt. Serv./Feeder. 0 to 200 amps (F 1
PERMIT EXPIRES Monday, December 2, 2013
Permit Issued on Wednesday, June 5, 2013
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
and the City of Federal Way.
Owner or agent
?R A-
— Date:
TIIIS CARD IS TOre
ON-SITE
CRV OP Construction In on Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 13 -102475 -00 -EL Address: 29514 12TH AVE SW
Project: PAUL BUTTICE FEDERAL WAY, WA 98023-3434
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.
LIFER Ground (4295)Ditch
cover (4030)
Slab/Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By Date
By Tc� Date • - i -
By Date
Service (4235)
0
Feeders/Sub-panels (4045)
0 Rough Electrical (4225)
Right of Way
Approved
Approved
Date
Approved
Approved
By
Date
Date �" ""
By
Date
By Date
❑
Ceiling Cover (4020)
0
Final - Electrical (4055)
Approved
Approved
By
Date
By C
Date _ 1
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date �" ""
Jun.05.2013 10:03 AM PAGE. 2/ 3
RE01VE
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Federal V4/ay
JUN 0 5 NO
CITY OF FEDERAL WAY
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ELECTRICAL �Dl�a
PERMIT APPLICATION
SITE ADDRESS: �Z q 14 1 2, qig e S_ CC 0
$MTE/MvSPACE f
PROJECT VALOATIGN
$ o®,000
ASSF.EEORIB TAX/PARCEL !
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CURRMIPROPOW VU
PROJ9CT NAME
Po ®r
ITenant or Homeowner Last Name)
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PROJECT DESCRIPTION
Detailed description of work to
be inducted an this permit ondy
NAM
FRUTART PRONE
PROPERTY OWNER
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PROJECT CONTACT
NAM
PROD" PRO=
I c+erd{ fy an4 ' penalty of pedury that I an the property owner or authorized agent of the property owner. I cwt{ fy that to the best
of my kno-Uv(p% the information submitted In support of this permit application to tme and correct I cart] y that I wig Comply wlth
all applicable City of Fcdoral Way reWatfona pertai tiay to the therk aruthorixed by the fasruaaee of a permit. I understand that the
faineance of this permit does not remora the oamor's raspoasibiLity for CrYmpliadree with leaay atata, or federal faiths rog
owkstrueden or andironmental laws atading
I further agree to hold harmGass the City of Federal Wag as to any claim {including casts, expenses, and attorneys' fees incurred in
theinveatigad►an and defense of sash a", which may be mane by any person, including the undersigned, and jiled against the city,
but oerty where such elaim arisea out of the reliance of the city, including its officers and employees, upon the accuracy of the
Wormotlon anpplfed to the city as a part 4f this application.
SIGNATURM DATE
Bulletin # 160 - January 1, 2013 Page 1 of 2 k:li landoutsTlectricat hermit Application
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Bulletin
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