14-105734t
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Electrical
Permit #: 14 -10573`4 -00 -EL
Inspection Request Line: (253) 835,3050
Project Name: IONG COUNTY HOUSING AUTHORITY 'yj7 (�7fl
Project Address: 1048 SW 308TH ST Parcel Number: 178830 0100
Project Description: REPLACE METER BASE, 125 AMP PANEL AND ALTERING 4 CIRCUITS
Owner
TOM JENKINS
ARRlican
TOM JENKINS
Contractor
OWNER IS CONTRACTOR
KC HOUSING AUTHORITY
KC HOUSING AUTHORITY
600 ANDOVER PARK W
600 ANDOVER PARK W
TUKWILA WA 98188
TUKWILA WA 98188
Additional Permit information
Is this an Online or O.T.C. application? ................. es Is Use Educational or Institutional? ....................... No
Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 amps (F 1 Circuits - Residential ...................... 4 Mast or Meter Repair (ResidentiaU 1
PERMIT EXPIRES Sunday, May 3, 2015
Permit Issued on Tuesday, November 4, 2014
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and t will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way. ` ,t
Owner or agent: 1 Date:
THIS CARD IS TO MAIN ON-SITE '
cr"� Construction In ectlon Record
Federal Way INSPECTION REQ TS: (253) 835-3050
PERMIT #: 14 -105734 -00 -EL Address: 1048 SW 308TH ST
Project: TOM JENKINS FEDERAL WAY, WA 98023-8237
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.
Pool Bonding (4195)
LIFER Ground (4 95)
Ditch cover (4030)
❑
Slab/Concrete Floor (4255)
Service (4235)
Approved
By
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
Rough Electrical
Approved
Temporary Power (4275)
Final Electrical
Approved
Service (4235)
Approved
By
Date
Approved
By
Date
Approved
By Date
Date
By
Date
By
Date
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By Date
By
Date 1-,
By
Date
Final - Electrical (4055)
Approved
By _\,, Date _
❑
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF 4&
Federal Way
PERMIT NUMBER ) y
� ECTRICAL
PERMIT APPLICATION
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SITE ADDRESS: � O,G�C�
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SUITE/UNIT/SPACE #
PROJECT VALUATION
$ ME 4
ASSESSOR'S TAS/PARCEL #
- CIV OF FC
CIVVS
CURRENT/PROPOSED USE
PROJECf NAME
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
125 P we— LCL 4 G ticu t—,.5
PROPERTY OWNER
NAMEPRIMARY
t�! Ou
Si
PHONE
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MAILING ADDRE S
E-MAIL
CITY
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STATE
lAJA
ZIP
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FAX
(2o6 n? 4 - 1223
ELECTRICAL
CONTRACTOR
NAME
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PRIMARY PHONE
( ) -
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME r
PRIMARY PHONE
MAILING ADD S�
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E-MAIL
CITT___
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ZIP
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(� )5n4 FAX
PROJECT CONTACT
NAME
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PRIMARY PHONE
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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 ane e e of such claim), which maybe made by any person, including the undersigned, and filed against the city,
but only where suc claim ses out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplie o the ity as apart of this application. r
SIGNATURE: l� L�`> DATE
PRINT NAME:
Bulletin # 160 —January 1, 2013 Page 1 of 2 k: flandouts\Electrical Permit Application