13-100448F
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
10 Electrical
Permit #: 13 -100448 -00 -EL
Inspection Request Line: (253) 835-3050
Project Name: ENGLAND
Project Address: 32211 25TH AVE SW
Project Description: 200 -service upgrade.
Parcel Number: 873180 0360
Owner
Applicant
Contractor
JOHN ENGLAND
CHARLES DEAN ELECTRIC LLC
CHARLES DEAN ELECTRIC LLC
32211 25TH AVE SW
28107 20TH AVE S
CHARLDE930LQ (6/18/13)
FEDERAL WAY WA 98023
FEDERAL WAY WA 98003
28107 20TH AVE S
FEDERAL WAY WA 98003
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes Is Use Educational or Institutional? ....................... No
Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 amps (F 1
PERMIT EXPIRES Sunday, July 28, 2013
Permit Issued on Tuesday, January 29, 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: Date:
CITY OF
Federal Way
PERMIT #:
Project:
THIS CARD IS TOMAIN ON-SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
13 -100448 -00 -EL Address: 32211 25TH AVE SW
JOHN ENGLAND FEDERAL WAY, WA 98023-2508
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.
Final - Electrical (4055)
Approved
Date�_3�
El
UFER Ground (4295)Ditch
cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
❑
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
Date�_3�
El
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 - Electrical (4055)
Approved
Date�_3�
El
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
-4.'S�'
CITY OF
Federal Way
PERMIT NUMBER
RE(WVED
.IAN 29 2013
CITY OF FEDERAL WAY
CDS
ELECTRICAL
PERMIT APPLICATION
SITE ADDRESS: �Z 2 2-.57 �% � S
SUITE/UNIT/SPACE N
PROJECT VALUATION
dD°°
ASSESSOR'S TAR/PARCEL N
CURRENT/ PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
�n
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
2,OOA Std ,C-eN4p qtq ke---
PROPERTY OWNER
NAME{-�
6I� �� !1
PRIMARY PHONE
l4_ �) 77e .7 a 21
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
( FAX
l )
ELECTRICAL
CONTRACTOR
NAME
c s D�ea� C-(tct^ -1
PRIMARY PHONE
709 1 � U
MAILING ADDRESS C
0 7 Z 0�`' J 0,
E-MAIL
CITYFW
STATE�
zl� AO 3
( ) FAX
WA STATE CONTRACTOR'S LICENSE N EXPIRATION DATE
c 93OLO.
FEDERAL WAY BUSINESS LICENSE k
67 (o 33Y 8 Gb
APPLICANT
NAME
PRIMARY PHONE
( )
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAr7
PRIMARY PHONE
)7 9-q 3
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 a part of this application.
SIGNATURE: DATE 1-2-9-)3
PRINT NAME:4
Bulletin # 160 —January 1, 2013 Page 1 of 2 k:\fiandouts\Electrical Permit Application