10-104490City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: BENNET
Project Address: 31926 45TH PL SW Unit
Project Description: Replace 200 -amp panel.
Electrical.
Permit #: 10 -104490 -00 -EL
Inspection Request Line: (253) 835-3050
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Parcel Number: 873179 0120
Ownr
Applicant
Contractor
ERICA BENNET
EVERGREEN STATE ELECTRIC INC
EVERGREEN STATE ELECTRIC INC
31926 45TH PL SW
PO BOX 849
EVERGSE066JA (4/1/12)
FEDERAL WAY WA 98023
SUMNER WA 98390
PO BOX 849
SUMNER WA 98390
Is Use Educational or Institutional? ....................... No
Service greater than 999 Amps? .............................No
Alt. Serv/Feeder: 0 to 200 amps (A 1
PERMIT EXPIRES Saturday, October 22, 2011
Permit Issued on Friday, October 22, 2010
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and thefuse will bzinac rdance with the laws, rules and regulations of the State of Washington
and t e Cz
ederal Way.
/t,- �._
Owner or agent: Date: � tJ
t
crry OF
Federal Way
THIS CARD IS TO REMAIN ON-SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 10 -104490 -00 -EL Address: 31926 45TH PL SW Unit D
Project: ERICA BENNET FEDERAL WAY, WA 98023-2445
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.
Final - Electrical (4055)
Approved
By Date -A
UFER Ground (4295)Ditch
cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date -A
Pool Bonding (4195)
Temporary Power (4275)
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
E]
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 -A
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
? A
0 -f Q - -
- L -14 E s
an CW
FWeral Way
ELECTRICAL
10QERMIT APPLICATION
*Aft61eSc1rir,4P&mits
maybe obtained / at www. do,ra1wW.com**
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! ixrtify under penalty of perjury that I am the property owner or authorised agent of the property owner. I certVy that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certVy that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorised by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with total, 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 ckdn* which may be made by any person, including the undersigned, and flied against the city,
but only where such claim arises out of the reliance of the city, including its 00%cers and emrployess, upon the accuracy of the
in formation supplied to the city as a part of this application.
SIGNATURE: �� !, � _ v ee� G t
PRINT NAME:
33325 8t° Avenue South ♦ PO Box 9718 ♦ Federal Way ♦ WA ♦ 98063-9718 ♦ 253-835-2607 ♦ fax: 253-835-2609 ♦ www.cityoffederWway.com
Bulletin # 160 — April 9, 2010 Page 1 of 2 k:\Handouts\Electrical Permit Application
CONSTRAON PERMIT APPLICATION
CITY OFAPPUCATION NUMBER: - - - - - - - - - -
Federal Way APPUCATION NUMBER: - - - - - - - - - -
APPLICATION NUMBER: -
"The fbilowing Is required information - Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
SITE ADDRESS: 31926 - 45M Pl. S.W. ASSESSOR'S TAX/PARCEL #: -7 g o t 9
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
Condominium
TYPE OF PROJECT (This application): o BUILDING o PLUMBING o MECHANICAL a DEMOLITION
x ELECTRICAL o ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
Remove and replace 200 amp panel
PROJECT NAME: Erica Bennet
PROPERTY OWNER.
wel" 1 il-ToIll
NAME: DAYTIME PHONE:
Erica Bennet (ac(p) 4o --i - t4o3D
MAILING ADDRESS (STREET" ADDRESS; CITY, STATE, ZIP):
s 14g &2 - L) -5-6 p I . s . j,0.
NAME:
DAYTIME PHONE:
Everarem State Electric
( 253 ) 770 0656
MAILING ADDRESS (Si ADDRESS; CITY, STATE, IIP):
t3CZCZLP 3bLMnCr-,
3q 0
EVENING PHONE:
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
0 6
FAX NUMBER:
' r-10
CONTRACTORS REGISTRATION NUMBER:
E7
DATE:
(copy of card requkiW
APPLICANT: NAME: DAYTIME PHONE:
-�Z��) -7-10-
u7vtrArc-�n ,T - F lfctric" ( Ole 56
MAILING (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE:
?,D--eCN- '94,q S�-rn near LQNo
RELATIONSHIP TO PROJECT: I FAX NUMBER:
oARCHITECT oTENANT MOTHER (DESCRIBE):EIeI�YW6 ('DP+- (Q_%)
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: oPROPERTY OWNER iiAPPLICANT KCONTRACTOR W(Qd\je.,,i
EXISTING USE: Aload o ry� l ir\ I U 0A. EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE:
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER:
PROPOSED VALUATION FOR IMPROVEMENTS: $
o YES mi -NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: o YES o NO
KLAKEHAVEN o HIGHLINE o TACOMA o PRIVATE (WELL)
SEWER SERVICE PROVIDER: MLLAKEHAVEN o HIGHLINE 13 PRIVATE (SEPTIC)