14-100275City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
rte• -- ;a
�t
Project Name: MADERA WEST APARTMENTS UNIT A-201
Project Address: 31500 33RD PL SW UNIT A201
Project Description: Inspection of service for approval to re-energize.
0 i Electrical
Permit #: 14-100275-00-E L
Inspection Request Line: (253) 835-3050
Parcel Number: 500790 0050
Owner
Applicant
Contractor
MADERA WEST LLC
SOUTHGATE ELECTRIC INC
SOUTHGATE ELECTRIC INC
2125 WESTERN AVE SUITE 400
23444 30TH AVE S SUITE 101
SOUTHEI366PI (8/30/15)
SEATTLE WA 98121
KENT WA 98032
23444 30TH AVE S SUITE 101
KENT WA 98032
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
Alt. Serv./Feeder: 0 to 200 amps (I\ 1
PERMIT EXPIRES Wednesday, July 16, 2014
Permit Issued on Friday, January 17, 2014
I hereby certify that thea information is correct and that the construction on the above described property and
the occupancya7/711
will in ac ance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
12 ,( --
Owner or
N Gi 1 <h&a i 0+rAlk4H c,e Gi U1 ? "I o z - 3 24 - G7J�'t c
MAL
Date:_
r
CITY OF
Fadiera! Way
PERMIT #
. THIS CARD IS TO '-'MAIN ON-SITE
Construction Inection Record
INSPECTION REQUE TS: (253) 835-3050
14 -100275 -00 -EL
Address: 31500 33RD PL SW UNIT A201
Project: MADERA WEST LLC FEDERAL WAY, WA 98023-2295
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)
Ditch cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
1:1Approved
Approved
Service (4235)
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
❑
Pool Bonding (4195)
❑
Temporary Power (4275)
1:1Approved
Right of Way
Service (4235)
Date
Approved
By
Date
Approved
By
Date
Approved
By
Date
By
Date
By
Date
E]
❑
E]
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
❑
Final - Electrical (4055)
Approved
By
Date 2
Rough Electrical
Approved
1:1Approved
Final Electrical
1:1Approved
Right of Way
By
Date
By
Date
By
Date
I 4%* 0
CITY OF
FederatWay ELECTRICAL
JAN 17 2014 PERMIT APPLICATION
CITY OF FEDERAL. WAY
diyost electrical permits may be obtained on-line at www. citvoffederalway. com
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 i
the investigation and defense of such claim), which ay be made by any person, including the undersigned, and filed against the city,
but only where such claim arisesout of th li nce of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part o h' pplication.
SIGNATURE: C/ %�✓' DATE G
PRINT NAME: I if)e / S
33325 8'h Avenue South 1 PO Box 9718 ♦ Federal Way ♦ WA ♦ 95063-9718 ♦ 253-835-2607 ♦ fax: 253-835-2609 ♦ www.cityoffederalway.coni
Bulletin 9 160 — April 9, 2010 Page 1 of 2 k:\Handouts\Electrical Permit Application
PROPERTY INFORMATION
SITE ADDRESS: 7 /S40 73 Sp 74/q-4 S� �(,� C� •� /
J
SUITE/UNIT/SPACE #
60ir 46�- yq -,7,o
ASSESSOR'S TAX/PARCEL #
— — — — - — — —
PROJECT INFORMATION
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
G
PROJECT DESCRIPTION
Detailed description of work to
be included on this perndt only
:6
PEOPLE
- --.; �ERTY OWNER
NAMEPRIMARY
Q� R ��'; T
PHONE
(702-)3Zg- S.5/0
MAILING ADDRESS l
E-MAIL
CITY
STATE
ZIP
o'02- -3
FAX
( ) -
ELECTRICAL
CONTRACTOR
NAME
PRIMARY PHONE
I? G) -LAG
MAILING ADDRESS
E-MAIL
CITY
,fir W
STATE
w�
ZIP
�3Z
FAX
WA STATE CONTRACTOR'S LICENSE # EXPI.CF_TION DATE
FEDERAL WAY BUSINESS LICENSE #
(1/01-,vt ILL - , C' -6
APPLICANT
NAME
— /c -
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
/ FAX
t ) -
PROJECT CONTACT
NAME /
� L _t
PRIMARY PHONE
Z -)3Z -o -S IC
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 i
the investigation and defense of such claim), which ay be made by any person, including the undersigned, and filed against the city,
but only where such claim arisesout of th li nce of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part o h' pplication.
SIGNATURE: C/ %�✓' DATE G
PRINT NAME: I if)e / S
33325 8'h Avenue South 1 PO Box 9718 ♦ Federal Way ♦ WA ♦ 95063-9718 ♦ 253-835-2607 ♦ fax: 253-835-2609 ♦ www.cityoffederalway.coni
Bulletin 9 160 — April 9, 2010 Page 1 of 2 k:\Handouts\Electrical Permit Application