13-104909' ledrical
City of Federal Way Permit #: 13-104909-00-E L
Community &Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: DIWAN
Project Address: 35017 28TH Av1 %Sw Parcel Number: 351800 0170
Project Description: Repair meter underground riser (from wires illegally tapped).
Owner
Applicant
Contractor
RUCCHI DIWAN
N T L ELECTRIC
N T L ELECTRIC
9520 HANCOCK AVE SE
704 228TH AVE NE UNIT 132
NTLEL**985M4 (9/20/14)
SNOQUALMIE, WA 98023
SAMMAMISH WA 98074
704 228TH AVE NE UNIT 132
SAMMAMISH WA 98074
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes Is Use Educational or Institutional? ....................... No
Electrical Fixtures
Mast or Meter Repair (ResidentiaV 1
PERMIT EXPIRES Tuesday, April 29, 2014
Permit Issued on Thursday, October 31, 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 of Federal Way.
Owner or agent: s Date: /
,`CITY OF
Federal Way
PERMIT #:
13 -104909 -00 -EL
THIS CARD IS TO UMAIN ON-SITE w
Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
Address: 35017 28TH AVE SW
Project: RUCCHI DIWAN FEDERAL WAY, WA 98023-3082
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.
❑
UFER Ground (4295)
E]
Ditch cover (4030)
Final Electrical
Slab/Concrete Floor (4255)
Approved
By
Approved
By
Approved to place concrete
By
Date
By
Date
By
Date
❑
Pool Bonding (4195)
E]
Temporary Power (4275)
Final Electrical
Approved
Approved
By
Date
By
Date
Date
E]
Date
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Approved
Approved
By
Date
By
Date
Final - Electrical (4055)
Approved
By
W6 Date ( 2-I 3
❑
Rough Electrical
Approved
1:1Approved
Final Electrical
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF
Federal Way
PERMIT NUMBER
RkEIVED
OCT 3 12013
CITY OF FEDERAL WAY
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ELECTRICAL
PERMIT APPLICATIO
it'
SITE ADDRESS: jl 1 "7 At/�
c/ v 6 /ASSESSOR'S
SUITE/UNIT/SPACE #
l
PROJECT VALUATION
TAR/PARC/EL(#
CURRENT/
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
_
) [ e>
PROJECT DESCRIPTION
_
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
I -y`
PRIMARY PHONE
S� - 3 * ��
MAILING ADDRESS
E-MAIL
CITY ,
STATE
ZIP
FAX
NAME
U i Z_
PRIMARY PHONE
s - -/62b
MAILING ADDRESS
E.]/AIL
ELECTRICAL
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CONTRACTOR
ChT
�kmm er r, t S
S'T'A'T'E
16,k-
11P
780'7
_
FAX
( ) -
WA STATE CONTRACTOR'S LICENSE # ERPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
/ FAX
PROJECT CONTACT
NAME
PRIMARY PHONE
-7 , 6ZU
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 Iaws 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:
PRINT NAME:
DATE /Z/3 i 3
Bulletin # 160 —January 1, 2013 Page 1 of 2 k:� Iandouts\Electrical Permit Application