13-101177City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2807 Fax (253) 835-2809
• `, Aectrical
Permit #: 13 -101177 -00 -EL
Inspection Request Line: (253) 835-3050
Project Name: NALBONE I ',
Project Address: 32224 40TH PL SW Parcel Number: 8731% 0360
Project Description: Low -voltage security alarm system.
Owner
Annlicant
Contractor
CARL NALBONE
TRAVIS GERRITS
MOUNTAIN ALARM
32224 40TH PL SW
MOUNTAIN ALARM
MOUNTA*966PE (10/5/14)
FEDERAL WAY WA 98023-2451
5911 ORCHARD ST W
5911 ORCHARD ST W
TACOMA WA 98467
TACOMA WA 98467
PERMIT EXPIRES Tuesday, September 10, 2013
Permit B464 on Thursday, March 14, 2013
I hereby certify that the above information is
the occupancy and Wl in accon:
Owner or agent:
and that the construction on the above described property and
ith the laws, rules and regulations of the S to of shington
:ity of Federal Way.
Date:
f
•
err
Federal Way
PERMIT #: 13 -101177 -00 -EL
Project: CARL NALBONE
1
THIS CARD IS TO MAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
Address: 32224 40TH PL SW
FEDERAL WAY, WA 98023-2451
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 (42 5)Ditch
cover (4030) Slab/Concrete Floor (4255)
Approved
Approved Approved to place concrete
By Date By
Date By Date
Pool Bonding (4195)
Temporary Power (4275) Service (4235)
Approved
Approved 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 _-i Date ._ I _ 1
El
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
A
CITY OF
Federal Way
f#CEIVED
MAR 14 2013
CITY OF FEDERAL WAY
CDS
ELECTRICAL
PERMIT APPLICATION
PERMIT NUMBER _Z 3 — Q / / 7 7— EL
SITE ADDRESS: --2222 L` `4 a ,1 L
SUITE/UNIT/SPACE t
PROJECT VALUATION
ASSESSOR'S TAX/PARCEL •
3 3
CURRENT/PROPOSED USE
$ C3 o
PROJECT NAME
(Tenant or Homeowner Last Name)
t C
U� G
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
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PRWARY PHONE
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NAILINGADDRESS
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CITY
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STATS
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ZIP
2-3
FAX
( ) -
NAME
PRDdARY PHONE
MAILING ADDRESS
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ELECTRICAL
CITY
I STATE
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FAX
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CONTRACTOR
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE k
Mcg L,\\,
NAME /�
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PRIMARY PHONE
93- sFs 1
APPLICANT
MAIdNG ADDRESS
E-MAIL
aj 1 1 ✓t_ a 17-1 - 1-3
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 as apart of this a li anon.
�3
SIGNATURE: DATE
PRINT NAME: iC1�v4 v' S 7
Bulletin # 160 — January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application