14-1011811
City of Federal Way
Community & Econ. Dev. Servioes
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: N L C HOMES LOT 2
Project Address: 2648 S 298TH ST
FAectricai
Permit #: 14 -101181 -00 -EL
LEInspection Request Line: (253) 835-3050
Project Description: Low -voltage wiring for security alarm and CCTV.
Parcel Number: 768380 0017
Owner
ARR111cant
Contractor
NLC HOMES INC
NW ELECTRIC SERVICES INC
NW ELECTRIC SERVICES INC
31709 47TH CT S
32419 3RD AVE SW
NWELEES925DL (3/27/14)
AUBURN WA 98001
FEDERAL WAY WA 98023
32419 3RD AVE SW
FEDERAL WAY WA 98023
Owner or agent:
Date: '3
AV THIS CARD IS TO REMAIN ON-SITE
erre _ Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 14 -101181 -00 -EL
Project: NLC HOMES INC
Address: 2648 S 298TH ST
FEDERAL WAY, WA 98003
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.
Right of Way
Approved
UFER Ground (4295) 0
Ditch cover (40 0) Slab/Concrete Floor (4255)
Approved
Approved Approved to place concrete
By
Date By
Date By Date
0
Pool Bonding (4195) E]
Temporary Power (4275) Service (4235)
Approved
Approved 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
Right of Way
Approved
By
Date
By
Date
By
Date
'°° ELECTRICAL
deral Way MAR 17 2014 PERMIT APPLICATION
/Crry OF FEDERAL W
PERMIT NUMBER /_ / 1 / /C Z_
SITE ADDRESS: 7_KT` /-�? S :19,? �? l"j`�
J �% /�
�U��RK �v�
SUITE/UNIT/SPACE #
PROJECT VALUATION
ASSESSOR'S TAX/PARCEL i
CURRENT/PROPOSED USE
- -
PROJECT NAME
W7 -
- -
(Tenant or Homeowner Last Name)
`p
S
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
PRDAARY _ PHONE
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
NAME
f
PRIMARY PHONE
ELECTRICAL
MAILING ADDRESS
3Z 93 U6
51Aj
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
-
WA�STATE
. CONTRACTOR'S LI ENSE i
IItATION LIAITE
FEDERAL WAYBUSIIUs`SS LICENSE i
A9V 2 -
NAME
PRIMARY PHONE
APPLICANT
5"n PP
0
/�
( ) —
D,
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
( )
PROJECT CONTACT
NAME
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 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 t C of Fe I Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation and defense of su cl m), w c may be made by any person, including the undersigned, and filed against the city,
but only where such claim oris out oft r iance of the city, including its officers and employees, upon the accuracy of the
information supplied to the pity a of application.
SIGNATURE:
PRINT NAME:
Bulletin # 160 —January 1, 2013 Page 1 of 2 k:lHandouts\Electrical Permit Application