16-101192�. Electrical
City & Federal way Permit #: 16 -101192 -00 -EL
Community Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003 Request Inspection Re Line: 25
Ph: (253) 835-2607 Fax: (253) 835-2609FILE p Q 3) 835-3050
Project Name: MAI
Project Address: 32124 33RD AVE SW Parcel Number: 8731901070
Project Description: Replace 125A with a 200A service panel
Owner
ARRIlican
Contractor
HUA Z MAI
ELDON BROWN
E G ELECTRICAL CONTROL
32124 33RD AVE SW
E G ELECTRIC CONTROL
EGELEC*OOOOR (9/19/16)
FEDERAL. WAY WA 98023
P.O. BOX 58984
PO BOX 58984
RENTON, WA 98058-1984
RENTON WA 98058
Additional Permit Information
Electrical Work Valuation?....................................1500 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 Thursday, March 9, 2017
Permit Issued on Wednesday, March 9, 2016
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
d e City of Federal Way.
Owner or agent: Date: 4
Ix
S
THIS CARD IS TO ON-SITE ti
"TY OF Construction In ection Record '
Federal Way INSPECTION REQ TS: (253) 835-3050
PERMIT #: 16 -101192 -00 -EL Address: 32124 33RD AVE SW
Project: HUA Z MAI FEDERAL WAY, WA 98023-2275
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)
0
Ditch cover (4030)
1:1Slab/Concrete
Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
❑
Pool Bonding (4195)
❑
Temporary Power (4275)
Final Electrical
Approved
❑
Service (4235)
By
Approved
Approved
Date
Approved
By
Date
By
Date
By
Date
❑
❑
Feeders/Sub-panels (4045)
E]
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
❑
Final - Electrical (4055)
Approved
By
Date —.0 2
Rough Electrical
Approved1:1
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF 'A
Federal Way
PERMIT NUMBER 1 0
MAR 0 9 2016
CITY OF FEDERAL WAY
CDS
E&CTRICAL
PERMIT APPLICATION
SUITE/UNIT/SPACE#
SITE ADDRESS:
PPROJEC/T' VALUATION
ASSESSOR'S TAX/PARCEL # I 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
f i
PRIMARY PHONE
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MAIL-- GADDRESS /
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STATE
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FAX
NAMEP
RIMARY PHONE
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MAILING ADDRESS /-
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STATE
ZIP /y
FAX
CONTRACTOR
WA(.STATE OR'S LII�CE SE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
�-CONT
NAME
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PRIMARY PHONE
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APPLICANT
MAILINb ADDRESS
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PROJECT CONTACT
NAMEf
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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 a part of this application.
SIGNATURE:
PRINT NAME:
Bulletin # 160 — January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application