12-103444City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003,
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: SPLISH SPLASH
Project Address: 1606 SW DASH POINT RD Suite B
Project Description: Mast meter repair
`Electrical
Permit #: 12 -103444 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 189880 0010
Owner
A u� Ilcant
Contractor
DASH POINT VILLAGE LLC
KANON ELECTRIC
KANON ELECTRIC
PO BOX 52850
PO BOX 1745
KANONEI947BE (1/10/14)
BELLEVUE WA 98015
MILTON WA 98354
PO BOX 1745
MILTON WA 98354
PERMIT EXPIRES Monday,
Permit Issued on Wednesdd
I hereby certify that the above information is correct and that the
the occupancy and the use will be in accordance with the laws,
�nd the pity of Fede
Owner or agent:
t ,r
�c.
b'?
*nst on on a above described property and
rule d regula ' of the State of Washington
'aIY• i t
'1
CITY OF
Federal Way
PERMIT #:
Project:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
12 -103444 -00 -EL Address: 1606 SW DASH POINT RD Suite B
DASH POINT VILLAGE LLC FEDERAL WAY, WA 98023
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)
Slab/Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
1:1Approved
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
By'
Date
By
Date
❑
Final - Electrical (4055)
Approved
By
Date
Rough Electrical
Approved
1:1Approved
Final Electrical
Right of Way
Approved
By
Date
By
Date
By
Date
A
1 z_
l a zf 44
CITY OF
Fe && Wfiq
ELECTRICAL
JUL 2 5 2012 PERMIT APPLICATION
CITY OF FEDERAL WAY
CDS`*Most electrical permits may be obtained on-line at www. cityo ederalway.com**
SITE ADDRESS: /
N�Xj-
SUITE/UNIT/SPAV-v A
ASSESSOR'S TAR/PARCEL N
CURRENT/PROPOSED USE
PROJECT NAME
l•�"�
(Tenant or Homeowner Last Name)
-�I
!
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
CITY STATE ZIP
FAX
NAME_ _
PRIMARY PHONE
ELECTRICAL
MAILING ADDRESS ^7 //
/
C` ` ' ' ' f ! '"(
WMAU,
CONTRACTOR
CITY STATE ZIP_
i�L C'n; l �, J 5 q
FAX
WALATE CONTRACTOR'S LICENSE M EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE M
NAME
PRIMARY PHONE
APPLICANT
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 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 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 flied 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.
SK3NATURE:
PRINT NAMV' VL P+7 t S Y/c rw c L ;