14-103941City 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 -103941 -00 -EL
V:ILE Inspection Request Line: (253) 835-3050
Project Name: CALVARY COVENANT CHURCH
Project Address: 700 SW 320TH ST
Parcel Number: 072104 9092
Project Description: Install exhaust systems wiring for associated new type I kitchen hood
Owner
B4Oplicant
Contractor
CALVARY COVENANT CHURCH
PRIMA ELECTRIC
PRIMA ELECTRIC
700 SW 320TH ST
8408 18TH AVENUE W SUITE 8-105
PRIMAE*881JL (4/19/16)
FEDERAL WAY WA 98023
EVERETT WA 98204
8408 18TH AVENUE W SUITE 8-105
EVERETT WA 98204
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes
Service greater than 999 Amps? .............................No
Electrical Fixtures
Low Voltage - Other (Commercial 1
Is Use Educational or Institutional? ....................... No
PERMIT EXPIRES Sunday, February 1, 2015
Permit Issued on Tuesday, August 5, 2014
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
an5,,41b City of Federal Way.
Owner or agent: Date:
a�/��
CITY OF
Federal Way
PERMIT #:
Project:
• THIS CARD IS TO MAIN ON-SITE
Construction In ection Record
INSPECTION REQ TS: (253) 835-3050
14 -103941 -00 -EL Address: 700 SW 320TH ST
CALVARY COVENANT CHURCH FEDERAL WAY, WA 98023-4637
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.
Final - Electrical (4055)
Approved
By Date
UFER Ground (42 5)
Ditch cover (4 30)
Temporary Power (4275)
Slab/Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date
Pool Bonding (4195)
El
Temporary Power (4275)
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
11
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
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
i).vrE IN',4PECTOR AREA AND TYPE INSPECTION
AJ
CITY OF 1A
Federal Way
PERMIT NUMBER 1'�
# »-','
E CTRICAL
PERMIT APPLICATION
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AUG 0 5 2014
SITE ADDRESS: �� �� sf
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PROJECT VALUATION
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AS� S� TL�AR� # � � - � Q 92 ---
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or -Homeowner Last Name)
(,� l C,
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
PRIMARY PHONE
( ) -
MAILING ADDRESS
EMAIL
CITY
STATE
ZIP
( FAX
l ) -
ELECTRICAL
CONTRACTOR
NAME
PRIMARY PHONE
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MAILING ADDRESSLL
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E-MAIL
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CITY
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ZIP
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FAX
( ) -
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME
PRIMARY PHONE
MAILING ADDRESS
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E-MAIL
CITT ��v C- i �
STATE
W
ZIP
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/ FAX
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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 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 apart of this application.
SIGNATURE:
PRINT NAME:
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Bulletin 4160 — January 1, 2013 Pagel of 2 k:\I-Iandouts\Electrical Permit Application
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