14-100684Electrical
City of Federal Way
Community & Econ. Dev. Services Permit #: 14 -100684 -00 -EL
33325 8th Ave S
Federal Way, WA 98003 f ! Ins ection Request Line: 253 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609„ p Q
Project Name: FIRE STATION 68
Project Address: 1405 SW 312TH ST Parcel Number: 072104 9209
Project Description: Relocate outlet for new monitor.
Owne
A1212lican
Contractor
SOUTH KING FIRE & RESCUE
SOUTH KING FIRE & RESCUE
OWNER IS CONTRACTOR
31617 1ST AVE S
31617 1ST AVE S
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
Additional Permit Information ,
Is this an Online or O.T.C. application? ................. es Is Use Educational or Institutional? ....................... No
Service greater than 999 Amps? .............................No
Electrical Fixtures
Circuits - Commercial .................... 1
PERMIT EXPIRE Od�a�i, ust 1, 2014
Permit Issued on Wed February , 2014
1 hereby certify that the above information is correct that the n on the above described property and
the occupancy and the use will be in accorda the laws, gulations of the State of Washington
MP e City o#f&,Fe ay.
Owner or agent:
Date: Z' -1Z -1V
CITY of
Federal Way
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 14 -100684 -00 -EL Address: 1405 SW 312TH ST
Project: SOUTH KING FIRE & RESCUE FEDERAL WAY, WA 98023-4518
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)11
Ditch cover (4030) Slab/Concrete Floor (4255)
By
Approved
Approved Approved to place concrete
By
Date By
Date By Date
By
Pool Bonding (4195)
Temporary Power (4275) Service (4235)
Approved
Approved Approved
By
Date By
Date By Date
Feeders/Sub-panels (4045) E]
Rough Electrical (4225) E] Ceiling Cover (4020)
Approved
Approved Approved
By
Date
Date -7,. __ By Date
Final - Electrical (4055)
Approved
By
Date
Rough Electrical
Approved
1:1Approved
Final Electrical
0
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF 40A
Federal Way
MCEM ELECTRICAL
FEB 112014 PERMIT APPLICATION
[� CITY OF FEDERAL WAY
PERMIT NUMBER / _ j 6 L
SITE ADDRESS: 1 L/ 0 5 S 3 1-ZT" S .
SUITE/UNIT/SPACE #
PROJECT VALUATION
$ /OD ,
ASSESSOR'S TAR/PARCEL #
Q-7 Z I O H_ O
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
C -t yLT� o hl Co p
p Nl Z'b
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
v -t a A ccs nA
T✓ AA4
PROPERTY OWNER
NAME
JTN -A0 scv�
,pPRI�MARY PHONE
iZ5 3 1 N4► -13C{ i
MAILING ADDRESS
3«0 17 15'r AvF-S'
laAre .16oc-1 '
So ✓iitkl �I>�' , uI`
CrIT�Y
�,�(�
/ "— 6Q. YV
STATE
M14
ZIP
y
L(/DO
/ FAX
l )
ELECTRICAL
CONTRACTOR
NAME
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
CITY
STATE
I ZIP
FAX
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME
`' P,zE ,allo Sc UE
PRIMARY PHONE
3) `116 - 7 3 4t
MAILING ADDRESS
3t� 17 / sT A S
E-MAIL
Wa
ISTATE
WA
ZIP
191003
FAX
( ) -
PROJECT CONTACT
NAME
"me -'r Be
PRIMARY PHONE
3) 2l? - l25 S
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.
SIGNATURE: rz" `-� ���� DATE
PRINT NAME:
Bulletin #160 —January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application