18-104102City of Federal Way
Community Development Dept.
33325 8th Ave S
Fcdaal Way, WA 98003
Ph: (253) 8352607 Fax (253) 835-2609
Electrical
Permit #:18 -104102 -00 -EL
Inspection Request Line: (253) 835-3050
Project Name: BETHEL CHRISTIAN CHURCH UNIT 115
Project Address: 115 SW MIRROR LAKE PARK "Parcel Number: 072104 9003
Project Description: Electrical permit to rewire home, change service panel, install new furnace, water heater,
dryer, kitchen appliances, dishwasher, hood, range and new lighting.
Owner
Applicant
Contractor
DENNIS C. AUSTINBETHEL CHRISTIAN
WESLEY HAWKESHAWKEYE ELECTRIC
HAWKEYE ELECTRIC LLC
CENTER
LLC
HAWKEEL867K7 (6/1/20)
414 SE 312TH ST
PO BOX 3095
FEDERAL WAY WA
RENTON WA 98059
PO BOX 3095
98003
RENTON WA 98059
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
i..
Alt. Serv./Feeder: 1 to 200 .
PERMIT EXPIRES Wednesday, 4 September, 2019
Permiit Issued on Tuesday, September 4, 2018
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 and the City of Federal Way.
Owner or agent: Dater
S:7 L) C:2�
THIS CARD IS TO REMAIN ON-SITE •,
FbConstruction Inspection Record
Federal waY INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 18104102 00 Address: 115 SW MIRROR LAKE PARK
Project: DENNIS C. AUSTIN FEDERAL WAY WA 98023
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)
0
Ditch cover (4030)
0
Slab/Concrete Floor (4255)
Service (4235)
Approved
Approved
Approved
By
Approved to place concrete
By
Date
By
Date
By
Date
®
Pool Bonding (4195)
® Rough Electrical (4225)
®
Temporary Power (4275)
®
Service (4235)
Approved
Approved
Approved
By
Approved
Date p ..- -3—LA
Approved
By
Date
By
By
Date
By
Date L.
0
Feeders/Sub-panels (4045)
® Rough Electrical (4225)
®
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
Date p ..- -3—LA
By
Date
10 Final - Electrical (4055)
Approved
By QAJba Datei
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
CITY OF A
Federal Way
RECEIVED
SEP 0 4 2018 ELECTRICAL
CITY OF FEDERAL WAY PERMIT APPLICATION
COMMUNITY DEVELOPMENT
PERMIT NUMBER B _ l Q GI C) 2-
SUITE/UNIT/SPACE #
-
SITE ADDRESS: / I M kt Pa ✓ k
SUITE/UNIT/SPACE#
PROJECT VALUATION
ASSESSOR'S TAR/PARCEL #
2 o n o 3
CURRENT/PROPOSED USE
$ /y��
o t
PROJECT NAME
Homeowner
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Re
(Tenant or Last Name)
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PROJECT DESCRIPTION
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Detailed description of work to
be included on this permit only
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PRIMARY PHONE
PROPERTY OWNER
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MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
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NAME
PRIMARY PHONE
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MAILING AD6RESS
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CONTRACTOR
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STATE
ZIP
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WA STATE jCONTRACTOR'S LICENSE1# EXPIRATION DATcE�
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FEDERAL WAY BUSINESS LICENSE #
NAME
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PRIMARY PHONE
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APPLICANT
MAILING AD S
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PROJECT CONTACT
NAME
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PRIMARY PHONE
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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
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 apart of this application.
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PRINT NAME:
Bulletin # 160— April 14, 2016 Page 1 of 1 Ul-landoutsTlectrical Permit Application
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