12-103020`r Viectrical
City of Federal Way Permit #. 12 -103020 -00 -EL
Community &Econ. Dev. Services =� F •
33325 8th Ave S
Federal Way, WA 98003 Request Inspection Re Line:
Ph: (253) 835-2607 Fax: (253) 835-2609 P q (253) 835-3050
Project Name: FEDERAL NATIONAL MORTGAGE
Project Address: 35030 19TH AVE SW Parcel Number: 795630 0040
Project Description: Replace service mast; service previously modified - adding outlets in bedrooms.
Owner
A n�
Contractor
FEDERAL NATIONAL MORTGAGE
INTEGRATION ELECTRIC LLC
INTEGRATION ELECTRIC LLC
P O BOX 650043
16320 81ST PL NE
INTEGEL922134 (1/24/14)
DALLAS TX 75265
KENMORE WA 98028
16320 81ST PL NE
KENMORE WA 98028
Additional Permit Information
Is Use Educational or Institutional? ....................... No
Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 amps (F 14 1
qN1%
PERMIT EXPIRES Saturday, Dec#
Permit Issued on Monday, July
I hereby certify that the above information is correct and that the
the occupancy and the use will be in accordance with the laws,
and the City of
Owner or agent
Ron tf� ribed property and
regulatio o tate of Washington
m ate: 1117,4",
THIS CARD IS TO REMAIN ON-SITE r.
CMY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 12 -103020 -00 -EL Address: 35030 19TH AVE SW
Project: FEDERAL NATIONAL MORTGAGE FEDERAL WAY, WA 98023-6914
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.
EJ
UFER Ground (4295)
Ditch cover (403)
Temporary Power (4275)13
Slab/Concrete Floor (4255)
❑Right
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
EJ
Pool Bonding (4195)
Temporary Power (4275)13
❑Right
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
AE��.-
"AV Date
'L
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
EJ
Rough Electrical
Approved
Final Electrical
Approved
❑Right
of Way
Approved
By
Date
By
Date
By
Date
ti
CITY OF Building Division
3332.1f Eighth Avenue South
Federal Way, 98003-6325
Federal Way Phone 253-835-2607 Fax
253-835-2609
CORRECTION NOTICE
ADDRESS: so 3,�, \ 91�, A-,,, w PERMIT#: I- a- t 0 13 a, 10 - t L.
'S ', 11 Q �' , y\ �� - c 1 �(. �, e �_ Y\ Q Com_ c ►-,', ,
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S-14 L'Y\ tLl'�,1t
IF YOU HAVE QUESTIONS CALL
e)
(253) 835- a 1 -i -1
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.
r-1 ` 1. �\ -1 '-I—
DATE IN E TOR
DO NOT REMOVE THIS NOTICE
Page of
-lo
CITY of RECEIVED
Federal Way ELEC'T'RICAL
PERMIT APPLICATION JUL 02 2012
OITY OF FEDERAL WAY
**Most electrical permits may be obtained on-line at www. cityo federalway.&W
SITE ADDRESS:
SUITE/UNIT/SPACE it ASSESSOR'S TAR/PARCEL # CURRENT/PROPOSED USE
S 3
PROJECT NAMEU k� ,{ J
(Tenant or Homeowner Gast Name) F W
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME, PRIMARY PHONE
PROPERTY OWNER F � ( -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
(
NAME PRIMARY PHONE
MAILING AJADRESS E-MAIL
ELECTRICAL % 6 ; S
CONTRACTOR CITY STATE ZIP F
WA STATE CONTRACTOR'S LICENSE M EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE N
T1 9
NAME _ / PRIMARY PHONE
APPLICANT-
MAILING ADDRESS E-MAIL
CITY STATE ZIP / FAX
AMERIMARY PHONE
PROJECT CONTACT / (y� _ )�--
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 the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
SIGNATURE: DATE %/i' ,?
PRINT NAME: , %t n < <
33325 8" Avenue South ♦ Federal Way ♦ WA ♦ 98003-6325 ♦ 253-835-2607 1 fax: 253-835-2609 ♦ www_cityoffederalway.com
Bulletin #160 — January 1, 2011 Page 1 of 2 k:\Handouts\Electrical Permit Application