13-102775City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2807 Fax: (253) 835-2809
0 0 - Electrical
M_ Permit #: 13 -102775 -00 -EL
Inspection Request Line: (253) 835-3050
Project Name: WAVERLY APARTMENTS BUILDING C
Project Address: 35405 23RD AVE SW Parcel Number: 252103 9016
Project Description: Low -voltage wiring for pull handle alarm system.
Owner
Abnlicant
Contractor
MICHAEL MUSICA
MICHAEL MUSICA
OWNER IS CONTRACTOR
402 TACOMA AVE S UNIT 200
402 TACOMA AVE S UNIT 200
TACOMA, WA 98402-5400
TACOMA, WA 98402-5400
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes Is Use Educational or Institutional?....................... No
Service greater than 999 Amps? .............................No
Electrical Fixtures
Low Voltage - Fire Alarm (Comms 1
PERMIT EXPIRES Saturday, December 21, 2013
Permit Issued on Monday, June 24, 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 age Date: 2S��--�
FINALED
• • THIS CARD IS TOMAIN ON-SITE
CITY CW Construction Int,ection Record
Federal Way INSPECTION REQUS: (253) 835-3050
PERMIT #: 13 -102775 -00 -EL Address: 35405 23RD AVE SW
Project: MICHAEL MUSICA FEDERAL WAY, WA
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.
Fi 1- Electrical (4055)
Approved
By Date
UFER Ground (4295)Ditch
cover (4030)
Temporary Power (4275)Service
lab/Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Fi 1- 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
E]
Feeders/Sub-panels (4045)
Rough Electrical (4225)11
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Fi 1- 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
JFCEIVED
JUN 24 2013
CITY OF FEDERAL WAY
CDS
ELECTRICAL
PERMIT APPLICATION
PERMIT NUMBER / 3 _ — 0 O
SITE ADDRESS: 3 -5 l o -S c --93rD
SUITE/UNIT/SPACE t
PROJECT VALUATION
oo-o
ASSESSOR'S TAX/PARCEL f
-
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
PREMARY PHONE
G An & Z-
&�
CITY
STATE
'/
ZIP
FAX
ELECTRICAL
CONTRACTOR
NAME
( PRIMARY PHONE
MAILINGADDRrAS
E-lIAIL
CITY
STATE
zrn
FAX
WA STATE CONTRACTOR'S LICENSE A EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE ■
APPLICANT
NAME
0
PRIMARY PHONE
{ )
MAILDIG ADDRESS
E-MAIL
CITY
STATE
ZIP
/ FAX
l
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 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: /fes DATE
PRINT NAME:
Bulletin #160 —January 1, 2013 Page 1 of 2 k: flandoutsTlectrical Permit Application
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