13-102620ti
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2807 Fax: (253) 835-2809
Project Name: MANGUM
Project Address: 132 SW 313TH ST
Project Description: 200 -amp service change.
f Electrical ,
Permit #: 13 -102620 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 555780 0120
Owner
A RIS *cant
Contractor
DERRELL L MANGUM
BURRIS ELECTRIC LLC
BURRIS ELECTRIC LLC
CAROL A MANGUM
14917 82ND AVE NW
BURRIEL923DL (3/16/14)
132 SW 313TH ST
GIG HARBOR WA 98329
14917 82ND AVE NW
FEDERAL WAY WA 98023
GIG HARBOR WA 98329
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes Is Use Educational or Institutional? ....................... No
Electrical Rctums
Alt. Serv./Feeder. 0 to 200 amps (F 1
PERMIT EXPIRES Wednesday, December 11, 2013
Permit Issued on Friday, June 14, 2013
I hereby certify that the above i formation is correct and that the construction on the above described property and
the occupancy and the use n accordance with the laws, rales and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date:
TRIS CARD IS TO MAIN ON-SITE
°Y� Construction In ection Record
Federal Way INSPECTION REQ TS: (253) 835-3050
PERMIT #: 13 -102620 -00 -EL Address: 132 SW 313TH ST
Project: DERRELL L MANGUM FEDERAL WAY, WA 98023-4628
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)
Final Electrical
Slab/Concrete Floor (4255)
Service (4235)
Approved
Approved
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
Temporary Power (4275)
Final Electrical
Service (4235)
Right of Way
Approved
Date
Approved
By
Date
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
1:1Approved
Right of Way
By
Date
By
Date
By
Date
CITY OF
Federal Way
i
RECEIVED
JUN 13 2013
ELECTRICAL
PERMIT APPLICATION
CITY OF:
F D�JQgL A _
PERMIT NUMBER _/.=/ /
- / U ;;D_ V
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 t;; as apart of this application. 2
SIGNATURE: DATE
PRINT NAME:
Bulletin # 160 —January 1, 2013 Page l of 2 k:\Handouts\Electrical Permit Application
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SUITE/UNIT/SPACE #
SITE ADDRESS:
PROJECT VALUATION
ASSESSOR'S TAR/PARCEL i
CURRENT/PROPOSED USE
Sl , __0
-
PROJECT NAME
(Tenant or Homeowner Last Name)
Z6>0,4 L ✓/ C—(_ G k q_
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME J
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PRIMARY PHONE
(2S�) `/ / - C, S 3
WMLING ADDRESS
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E-MAIL
CMR
STATE
ZIP
FAX
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NAME
PRIMARY PHONE
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MAILMG ADDRESS
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E-MAM
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ELECTRICAL
CITY
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STATE
ZIP
23 2 7
FAX
( ) -
CONTRACTOR
WA STATE CONTRACTOR'S LICENSE # EXrntATION DATE
z
NAME �^
S
FEDERAL WAY BUSINESS LICENSE #
PRIMARY PHONE
-
APPLICANT
MAMING ADDRESS
E -MAH.
CITY
STATE
ZIP
FAX
( )
PROJECT CONTACT
NAME
�(�,..�_ �;�� �� 5
PRIMARY PHONE
253 --;, z s -i
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 t;; as apart of this application. 2
SIGNATURE: DATE
PRINT NAME:
Bulletin # 160 —January 1, 2013 Page l of 2 k:\Handouts\Electrical Permit Application
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