17-100438City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 8352609
Electrical
Permit #:17 -100438 -00 -EL
Inspection Request Line: (253) 835-3050
Project Name: REGENCY RIDGE CONDOMINIUM
Project Address: 36850 19TH WAY S Parcel Number: 721245 0000
Project Description: Water damage repair that consist of replacing wires, canned lights in kitchen, ceiling and
hallway.
Owner
Applicant
Contractor
TARGA REAL ESTATE SERVICES /
GREGORY M CLARKFULL SPECTRUM
FULL SPECTRUM ELECTRICAL
REGENCY RIDGE CONDO ASSN
ELECTRICAL CONTRACTOR
CONTRACTING
720 S 348TH ST UNIT A-2
11515 83RD AVE SW
FULLSSE972QE (11/5/18)
FEDERAL WAY WA 98003
LAKEWOOD WA 98498
11515 83RD AVE SW
EWOOD WA 98498
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes r `"
PERMIT EXPIRES Rday, 30 J,it nary
Permit Iss on'anday, Jan ryi3o,�
n
I hereby certify that the above info atio rrect and the the const ctio
and the occupancy and the use accordance4ith th rule:
7ton and the`bity of I Way.
Owner or agent:
•
N4"
0
on the above described property
and regulations of the State of
Date: l - 30 - /
THIS CARD IS TO REMAIN ON-SITE
`""Construction Inspection Record
FES INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 17100438 00 Address: 3685019TH WAY S
Project: TARGA REAL ESTATE SERVICES FEDERAL WAY WA 98003-7746
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
LIFER Ground (4295)
0
El
Ditch cover (4030)
Ul
Slab/Concrete Floor (4255)
Approved
Approved
Approved
I
Approved
BY
Approved to place concrete
BY
Date
By
By
Date
BY
Date
U
Pool Bonding (4195)
0
Temporary Power (4275)
®
Service (4235)
Approved
Approved
ht of Way
Approved
I
Approved
BY
Date
By
Date
By
Date
El
Feeders/Sub-panels (4045)
® Ron h Electrical (4225)
1:1
Ceiling Cover (4020)
Approved
Approved
ht of Way
Approved
By
Date
Date 2—
By
Date
Hol Final - Electrical (4055)
Approved
By Date
E]
Rough EllectricalFinal
1:1
Electrical
El
ht of Way
ApprovedApproved
IBY
Approved
By
Date
BY
Date
Date
ELECTRICAL
CITY Of
Federal Way N ,� PERMIT APPLICATION
Vaok WAS' 'J
PERMIT NUMBER / `
SITE ADDRESS: Z O "1 3 6,1 -1,1
SUITE/UNIT/SPACE#
PROJECT VALUATIONN
¢_ i1 O
ASSESSOR'S TAX/PARCEL # /
2 ' it �� _ ® Cs�
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
1
��
PROJECT DESCRIPTIONf=
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
i
PRIMARY PHONE
MAILI G DOES - � � � � � � �
?2G
E-MAIL
CITY
l � J.0, r '4
STATE
ZIP
FAX
-
NAME
FML ��
PRIMARY PHONE
(� �- Z2Z
MAILING ADDRESS
EMAIL
ELECTRICAL
CONTRACTOR
CITY
STATE
Z
FAX
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
-u ,� f, 9 Z I ! / / 9
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
APPLICANT
e l
( a22--
MAILING ADDRE
E-MAIL
CITY
STATE I
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 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:
PRINT NAME:
V rn, c4RrX
1- 3o- )�
Bulletin # 160 —April 14, 2016 Page 1 of 1 k:\Handouts\Electrical Permit Application