14-103594City of Federal Way
community & Econ. Dev. Services
33325 8th Ave S FILE
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Electrical
Permit #: 14 -103594 -00 -EL
Project Name: KING COUNTY FIRE STATION 64
Project Address: 3700 S 320TH ST
Project Description: move two outlets and replace light fixtures in lobby
Inspection Request Line: (253) 835-3050
Parcel Number: 551560 0037
Owner
SOUTH KING FIRE & RESCUE
ARRlsant
LANCE BOE
Contractor
OWNER IS CONTRACTOR
31617 1 STAVE S
SOUTH KING FIRE & RESCUE
FEDERAL WAY WA 98003
1405 SW 312TH ST
FEDERAL WAY WA 98023
Additional Permit IMorrnatlon
PERMIT EXPIRES Wim, ary 1�2015'
Permit Issued o F ay, 18, 2014
I hereby certify that the above information is correct and tholfthe cons
the occupancy and the use will be in accordancew' laws, rules
and the I f Fe00J
Owner or agent
above described property and
s of the State of Washington
Date: �— �D
CFrV CW VAI�
Federal Way
PERMIT #:
THIS CARD IS TO REMAIN ON-SITE A . ,
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
14 -103594 -00 -EL Address: 3700 S 320TH ST
Project: SOUTH KING FIRE & RESCUE FEDERAL WAY, WA 98001-3114
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)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
Temporary Power (4275)Service
(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
B3�y(
Date �_ 2�
By
Date
❑
Final - Electrical (4055)
Approved
By
Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF I& JUL 18 2014
Federal Way CITY OF FEDERAL WAY
CDS
PERMIT NUMSER Z 3 Ei.!2
'�—�/ _
ELECTRICAL
PERMIT APPLICATION
Z certgy under penalty 4% perjury that Z am the property owner or authorised agent of the property owner. Z certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct Z certgy that Z will comply with
all applicable City of Federal Way regulations pertaining to the work authorised by the issuance of a permit Z 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.
Z further agree to hold harmless the City of Federal Way as to any claim lincluding 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 gpicers and employees, upon the accuracy of the
information supplied to the city as apart of this application.
SIGNATURE:
PRINT NAME:
-7-1?- 1 V
Bulletin #160 - January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application
SUITE/UNIT/SPACE #
SITE ADDRESS: 3-700 S 3 2 0 T-" Sr
PROJECT VALUATION
ASSESSOR'S TAS/PARCEL #
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
_,
l_O'd (,i D AT -C v (mac
TWO
W4Ac—a7 LI G N T fr, g S
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME /� _
Soil rb+ lel r't f Md Ag-scy '
PRD[ARY PHONIC
(2�3) W6 -7344
MAII.IxOADDRIC88
31� 17 srAv,,F S.
JQACQ, (ap,J-KAU' C
5 (,N,.i +h kA Al nz .
STATIC
ZIP
FAX
�G"/- W
WA 1
9 FZ6 -3
( ) -
NAME
Somal KI f44 Fat 4NO --SCUE
PRDfARY PHONE
s4 - '7 3 4
MAHJNO ADD
-311v 1 7 5i �✓�
R -MAIL
ELECTRICAL
��'
CrMr
STATE
I ZIP
FAX
CONTRACTOR
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
S o VTH K 9 15 Iry 5115/ s
NAME
SO � ^x' ��` SCV lam'
PRIMARY PHONE
(253) - 73`{ l
APPLICANT
MAD.D#O ADDRESS
3 i& 1-7 / rr A✓F�S'.
IC -MAIL
CIr'OEXaL �iJ'
l�R
ZIP
FAX
PROJECT CONTACT
NAMEPRIMARY
�4N�f �DE
PHONE
(ZS3 )217 - 2 S
Z certgy under penalty 4% perjury that Z am the property owner or authorised agent of the property owner. Z certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct Z certgy that Z will comply with
all applicable City of Federal Way regulations pertaining to the work authorised by the issuance of a permit Z 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.
Z further agree to hold harmless the City of Federal Way as to any claim lincluding 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 gpicers and employees, upon the accuracy of the
information supplied to the city as apart of this application.
SIGNATURE:
PRINT NAME:
-7-1?- 1 V
Bulletin #160 - January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application