14-105503City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Electrical
F I L Permit #: 14 -105503 -00 -EL
Inspection Request Line: (253) 835-3050
Project Name: SOUTH KING FIRE AND RESCUE DISTRICT #39
Project Address: 31617 1ST AVE S Parcel Number: 072104 9210
Project Description: Adding/altering (2) circuits for charging receptacles for battery system in vehicles
Owner
Anolicant
Contractor
LAKEHAVEN UTILITY DISTRICT
D & A ELECTRIC LLC
D & A ELECTRIC LLC
31617 1ST AVE S
33410 30TH AVE SW
DELEC" E897D5 (4/5/15)
FEDERAL WAY, WA 98003-5201
FEDERAL WAY WA 98023
33410 30TH AVE SW
FEDERAL WAY WA 98023
PERMIT EXPII
Permit Issued on
I hereby certify that the above information is correct
the occupancy and the use will be i ce the
and City of
Owner or agent:
A*
Ift A*
� I
�r
1(V
i10'April 20, 2015
17, October 4
the con on the above described property and
rs, d regulations of the State of Washington
Date: l0 --J' Z - / `-j
CITY Of
Federal Way
PERMIT #:
THIS CARD IS TO REMAIN ON-SITE `
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
14 -105503 -00 -EL Address: 31617 1 STAVE S
Project: LAKEHAVEN UTILITY DISTRICT FEDERAL WAY, WA 98003-5201
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)Service
Slab/Concrete Floor (4255)
1:1Approved
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
Temporary Power (4275)Service
1:1Approved
(4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
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
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date
s 1
C1W OF
Federal Way
c
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Building Division
33325 Eighth Avenue South
Federal Way, WA 98003-6325
Phone 253-835-2607 Fax 253-835-2609
CORRECTION NOTICE
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IF YOU HAVE QUESTIONS CALL (::(253) 835- ' 2- 3
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.
11 Z
D E INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
CITY OF
vi!t*�L Federal Way
Building Division
33325 Eighth Avenue South
Federal Way, WA 98003-6325
Phone 253-835-2607 Fax 253-835-2609
CORRECTION NOTICE
ADDRESS: 3 a to 11
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IF YOU HAVE QUESTIONS CALL r'"101-17
(253) 835- '14 70
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.
113LAf
1 EINSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
Cmr Of
Federal Way
ELECTRICAL
PERMIT APPLI9"N
PrjtxrT Nummm 27 00
OCT 2 2 2014
%-i I I yr rr-u
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SITE ADDRESS: � 16 � � 1 S F d v� Jr, � �'M
PROJECT VALUATION
ASSESSOR'S TAR/PARCEL # CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
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PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
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PRIMARY PHONE
(Z�T) Z17
MAILINGADDRESS
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E-MAIL
CITY
STATE
ZIP
FAX
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MAUJNG ADDRESS
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ELECTRICAL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LIC #SE # EXPIRA�TII-ON DATE
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FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME
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PRIMARY PHONE
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MAILING ADDRESS
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PROJECT C
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PRIMARY PHONEONTACT
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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
applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance o- 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 of and employees, upon the accuracy of the
information supplied to the city as_g�act-af this�apPlication
SIGNATURE:
PRINT NAME:
v- 2 -Z -19
Bulletin # 160 - January 1, 2013 Page I of 2 k:\Handouts\Electrical Permit Application
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