13-105162l'Eiectrical
City of
I Permit #: 13 -105162 -00 -EL
Communityty&Econ. Dev. Services w
33325 8th Ave S
Federal Way, WA 98003 v P
Ph: (253) 835-2607 Fax: (253) 835-2609 d " -- Inspection Request Line: (253) 835,3050
Project Name: SHODA
Project Address: 717 S 313TH ST Parcel Number: 555960 0120
Project Description: Electrical work for addition.
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes Is Use Educatiogl or Institutional?....................... No
hereby certify that the above information is correct and
the occupancy and the use will in accordance with tt
/0 and the Cy
Owner or agent:
constkction on the above described property and
rules #V regulations of the State ofWngton
pI a -
ob Date:11'11k;13
Owner
A n�
Contractor
COLLEEN SHODA
REDAX COMPANY LLC
OWNER IS CONTRACTOR
717 S 313TH ST
31811 PACIFIC HWY S SUITE B-103
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes Is Use Educatiogl or Institutional?....................... No
hereby certify that the above information is correct and
the occupancy and the use will in accordance with tt
/0 and the Cy
Owner or agent:
constkction on the above described property and
rules #V regulations of the State ofWngton
pI a -
ob Date:11'11k;13
`Federal Way
CII'N OF
Building Division
33325 Eighth Avenue South
Federal Way, WA 98003-6325
Phone 253-835-2607 Fax 253-835-2609
CORRECTION NOTICE
ADDRESS:Y1 I �J. ¢ z�. -.:>, t_ (, PERMIT#: I ---, _ i c\ !��d -j _g-, L
IF YOU HAVE QUESTIONS CALL
(253) 835- r. 6 Z-1
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS.
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
CITY OF V;tl�
Federal Way
PERMIT #:
Project:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
13 -105162 -00 -EL Address: 717 S 313TH ST
COLLEEN SHODA FEDERAL WAY, WA 98003-5265
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.
El
UFER Ground (4295)Ditch
cover (4030)
By
Slab/Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
El
Pool Bonding (4195)
Approved
By
Date
Right of Way
Approved
By
Feeders/Sub-panels (4045)
Approved
By
Date
By
Date
Final - Electrical (4055)
Approved
By
Date
El
Temporary Power (4275)
Approved
By
Date
Right of Way
Approved
By
Rough Electrical (4225)
Approved
By
Date
El
Service (4235)
Approved
By
Date
Right of Way
Approved
By
Ceiling Cover (4020)
Approved
By
Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF VA�
Federal Way
RECEIVED ELEC'T'RICAL
NOV 18 2013 PERMIT APPLICATION
CITY OF FEDERAL WAY
PERMIT NUMBER /3 — �Db 51 `ICS 2� — ,
VVV
SITE ADDRESS' V' g -� I �, �
SUITE/UNIT/SPACE ii
PROJECT VALUATION
ASSESSOR'S TAR/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
NAS f
PRIMARY PHONE
MAILING ADDRESS
EMAIL
CITY
STATE
ZIP
FAX
ELECTRICAL
CONTRACTOR
NAME `
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE M EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE M
APPLICANT
NAND
( ✓
PRIMARY PHONE
39( - o� 5
MAILIM ADDRESS
E-MAIL
CITY r9 F cA
1. �
ZIP v
FAX
( -
PROJECT CONTACT
NAM"
� �..� C � c � e C/
PRIMARY 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 authorised 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 po roLf this application.
SIGNATURE: DATE `
PRINT NAME: `� c•. C F -ll
Bulletin # 160 —January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application