14-101510City of Federal way
Aculicant
Community 8 Eco. Servi ces
FILE
33325 8th Aveve S
MADSEN ELECTRIC
Federal way, WA 98003
MADSEN ELECTRIC
Ph: (253) 835-2607 Fax: (253) 835-2609
FEDERAL WAY WA 98003-5227
Project Name: E & A PROPERTY LLC
Project Address: 31735 7TH PL S
Project Description: Replacing burnt meter and panel
A<
Electrical
Permit #: 14 -101510 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number. 794150 0170
Owner
Aculicant
Contractor
SCOTT J GARNER
JOHN REARDEN
MADSEN ELECTRIC
31735 7TH PL S
MADSEN ELECTRIC
MADSEE' 140P8 (4/30/14)
FEDERAL WAY WA 98003-5227
3939 S ORCHARD ST
3939 S ORCHARD ST
TACOMA WA 98466
TACOMA WA 98466
PERMIT EXPIRES Tu�a� tember 30, 2014
Permit Issued on T u , April 3, 2014
I hereby certify that the above information is correct that itheInstruction on the above described properly and
the occupancy and the use will be in accordan the laand regulations of the State of Washington
Inn City�Fqy
Owner or agent: Imp .. w- _ Date:
MY OF 441&
Federal Way
PERMIT #:
Project:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
14 -101510 -00 -EL Address: 31735 7TH PL S
SCOTT J GARNER FEDERAL WAY, WA 98003-5227
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.
0 Final - Electrical (4055)
Approved
By Date
Rough Electrical Final Electrical Right of Way
Approved 1:1Approved 1:1Approved
By Date By Date By Date
UFER Ground (42 5)11
Ditch cover (403)
0
Slab/Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
0 Final - Electrical (4055)
Approved
By Date
Rough Electrical Final Electrical Right of Way
Approved 1:1Approved 1:1Approved
By Date By Date By Date
Pool Bonding (4195)
Temporary Power (4275)Service
(4235)
Approved
Approved
Approved
By
Date
By
Date
ByU6
Date _P_/
P-
❑
0
0
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
0 Final - Electrical (4055)
Approved
By Date
Rough Electrical Final Electrical Right of Way
Approved 1:1Approved 1:1Approved
By Date By Date By Date
04/03/2014 11:12 FAX
AW
CITY OF
Federal Way
1-9163-3.35 d6o /
ELECTRICAL
PERMIT APPLIqAgjepN
PERMIT NUMBER I q _ t 0 I 15 1 0 _ �(J
APR 012014
SITE ADDRESS: 73 W Sa
SUITE/UNIT/6P�(1,
PROJECT VALUATION
0 0 L 0-0.
ASSESSOR'S TAX/PARCEL h
_ -
CURRENT/ PROPOSED USE
PROJECT NAME
(Tenant or hlorrucowrtr:r Last Name)
h
PROJECT DESCRIPTION
Detailed description of toork to
be included on this permit only
PROPERTY OWNER
NAME
L
PRIMARY PHONE
(y gVQ -
UAILING AbDREa.
/
E-MAIL
CIT
be(
STATE
ZIP
FAX
► -
NAMEPRIMARY
Ptw(�a]z
MA Into ADDRsea
ELECTRICAL
STATE
FAX L cor
CONTRACTOR
WA STATE CONTRACTOWE; LICENSE M E%PIRATION DATE
FEDERAL WAY RUGINEBs LICENSE M
L,,. i i
APPLICANT
NAldt
PRIMARY PEIGNE
MAILING ADDRESS
7LE6AII.
CITX
C_NAM-c-
eTATE
zIP
FAX
PROJECT CONTACT
NAME
E
PRIMARY PHONE
} _�
I certify under penalty of perjury that I am the property owner or authoritred 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 certVy that I will comply with
all applicable City of Federal Way regulations pertaining to the wark authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owners responsibility for compliance with local, state, or federal taws regulating
construction or environmental laws.
[further agree to hold harmless the City of Federal Way as to any oWm (including costs, Wcnses, and attorneys' fees incurred in
the investigation and defense of such claim/, which may be made by any person, including the undersigned, and flied against the city,
but only where Ouch tlat arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information sappl a the iib as a part of this application.
� L' -'g L / -
PRINT
Bulletin #160—.lanuary 1. 2013 Page i of 2 kAHandouls\E1cctr1ci1 Permit Application