17-102641City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax (253) 835-2609
Project Name: MOMMY'S DUMPLING HOUSE
Project Address: 1636 S 312TH ST
Project Description: Change out 200 -amp meter & panel.
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Electrical
Permit #:17 -102641 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 785360 0182
Owner
Applicant
Contractor
MOMMY'S DUMPLING HOUSE
ACCEL ELECTRIC LLC
ACCEL ELECTRIC LLC
1636 S 312TH ST
802 4TH AVE SW
ACCELEL982RE (12/14/18
FEDERAL WAY WA 98003
PUYALLUP WA 98371
802 4TH AVE SW
PUYALLUP WA 98371
Is this an Online or O.T.C. application?.....
Additional Permit Informati
Yes
Alt. Srvc / Feeder 0 to 200 aml 1 Mast or Meter Re air (C e 1 1k4ff
•
PE MIT aturday, 2 nC,
P ue Friday, Junel
t
1 hereby certify that the M ' do correct and that the couction on the above described property
and the occupancy an thtsv a wi in accordance the laws, rules and regulations of the State of
gton the Ci f Federal Way.
Owner or agent: Date: 01—,2-17
r.
THIS CARD IS TO REMAIN ON-SITE
FeralVi/a Construction Inspection Record
Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 1710264100 Address: 1636 S 312TH ST
Project: MOMMY'S DUMPLING HOUSE FEDERAL WAY WA 980034900
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.
0
UFER Ground (4295)
0
Ditch cover (4030)
3❑
Slab/Concrete Floor (4255)
Approved
Approved
Approved
Approved
By
Approved to place concrete
By
Date
By
Date
By
Date
®
Pool Bonding (4195)0
®
Temporary Power (4275) ®
Service (4235)
Ceiling Cover (4020)
Approved
Approved
Approved
Approved
By
Date
By
Date
Date
0
Feeders/Sub-panels (4045)
®
Rough Electrical (4225)
®
Ceiling Cover (4020)
Approved
Approved
IBY
Approved
By
Date
By
Date
By
Date
10 Final - Electrical (4055)
Approved
By Date
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
1�C1W OF
Federal Way
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Building Division
33325 Eighth Avenue South
Federal Way, WA 98003-6325
Phone 253-835-2607 Fax 253-835-2609
CORRECTION NOTICE
ADDRESS: Cp S� • ��� 2n. S PERMIT#: k_77
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a �` ` F�. rL v►-�atc,' t� a v c�
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0 e�/J�( Z���l Ci� 2 > �v�z���� S•2 {^iii ,� r/ S �C/T/r N rG--�e � �L(,Q� 2 S.
IF YOU HAVE QUESTIONS CALL piJh�11 (253) 835- 2`G'
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS.
6-0— (7 75 . T
�
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE
Page ` of
CITY OF A
Federal Way
RECEIVED
JUN U 2 2017
CITY OF FEDERAL WAY
COMMUNfTY DEVELOPMENT
ELECTRICAL
PERMIT APPLICATION
PERMIT NUMBER
SITE ADDRESS: /iP v a , (� S
SUITE/UNIT/SPACE #
PROJECT VALUATION
ASSESSOR'S TAR/PARCEL #
-1 9 6
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
`
PROJECT DESCRIPTION
ra Nf-
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
( )
NAME ,,
PRIMARY PHONE
MAILING ADDRESS
/£ S
E-MAIL
ELECTRICAL
CONTRACTOR
CITY
STATE
//
ZIP
y/�
Q�i�FAR
WA STATEO TRACT LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
CCS s
APPLICANT
NAME
PRIMARY PHONE
( )
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
( )
PROJECT CONTACT
NAME
PRIMARY PHONE
yOs /
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 city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part o this appli on.
/ ' ")
SIGNATURE: 9_z::�ezl DATE / /
PRINT NAME:
Bulletin # 160 —April 14, 2016 Page 1 of 1 k:\Handouts\Electrical Permit Application