Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
19-101370
t is Electrical City of Federal Way Permit #:19-101370-00-EL Community Development Dept 33325 8th Ave S Federal Way,WA 98003 Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax:(253)835-2609 Project Name: RETREAT AT MAPLE HILLS BUILDING 13 Project Address: 32126 20TH LN SW Parcel Number: 132103 9101 Project Description: Temporary power for job shack. Owner Applicant Contractor BMF IV WA RETREAT MAPLE HILLS C T R ELECTRIC INC C T R ELECTRIC INC 111 E SEGO LILY DR SUITE 400 PO BOX 7475 CTRELI*07700(9/22/19) SANDY UT 84070 KENT WA 98042-0043 PO BOX 7475 KENT WA 98042-0043 Additional Permit Information Is this an Online or O.T.C.application? Yes ;. .s 4„'7'.,X, ;a ,t•sry � •;yip >.;,p.. ;'':,;,",'1:,;,;7;i1 `. ..x, > .;... .S 3 .0 � ,7 ' x 7 4,. :3''4 •�: 3 Temp. Service:0-60 amps(A 1 PERMIT EXPIRES Tuesday,24 March,2020 Permit Issued on Monday,March 25,2019 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 and the City of Federal Way. Owner or agent: G4 Date: .3/Z % 1 'V� • '40THIS CARD IS TO REMAIN ON-SITE Fecierai Wa Construction Inspection Record y INSPECTION REQUESTS:(253)835-3050 PERMIT#: 19 101370 00 Address: 32126 20TH LN SW Bldg 13 Project: BMF IV WA RETREAT MAPLE HIL FEDERAL WAY WA 98023 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. El UFER Ground(4295) 0 Ditch cover(4030) 0 Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date ] Pool Bonding(4195) 0 Temporary Power(4275) © Service(4235) Approved Approved Approved By Date By 4417 Date ""-AA By Date 0 Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020) Approved Approved Approved By Date By Date By Date 0 Final-Electrical(4055) Approved BY e Date /‘47-1 l Rough Electrical 0 Final Electrical Right of Way Approved Approved Approved By Date By Date By Date RECEIVED ELECTRICAL CITY OF Federal Way MAR 2 5 2019 PERMIT APPLICATION CITY OF FEDERgL WAY COMMUNCTY DEVELOPME ...MUT NUMBER 2 / _ I 0 L3 ._2 - E SITE ADDRESS: 321SUITE/UNIT/SPACE 0 2 �� S �L10G 13 PROJECT VALUATION ASSESSOR'S TAX/PARCEL P CURRENT/PROPOSED USE tl $ z 13 2 _l_ ci ,a - i_ / 0 1 A -1,,,, 4-5 PROJECT NAME !iIIP P eh"er�l t (Tenant or Homeowner Last Name) frid io k,E Rill Di 6klark Tiii,44p pcx.ver PROJECT DESCRIPTION Detailed description of work to be included on this permit only NAMEPRIMARY PHONE PROPERTY OWNER OV-lJAc it Ve5f(l tr t .6✓`oi j,0 (g0 I ) 7/6 - 4/3-00 131.1F MF I V 014 MAILING DRESS E-MAIL g.etveat Marie t-{?(k Ill Ea-5+ Svo ii/yd et CITY y rf, Vag E ZTP FAX -Ca-ti y ae i U g�(0 70 ( ) - J NAMEC /'�' /ec+ V is I G. (153) 550 PRIMARY 0 A4 MAILING ADDRESS ,, it-MAIL ELECTRICAL 33�Zbl ZU‘ rtt Pi. --SF C'1-verg ktray, eat( CONTRACTOR CITY STATE ZIP FAX 61ludu40 !,U1q ego?: ( ) - WA STATE CONTRACTOR'S LICENSE It EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# CTRI` k o7 3C) ?'7 3 iaot9 2:©-t -loyZ18-00-BLL 11' �"L NAME PRIMARY PHONE APPLICANT ( )`MAILING ADDRESS &MAD, CITY STATE ZIP FAX ( ) - PRIMARY PHONE PROJECT CONTACT N Pexeck (Z53)432- 57'/z 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: ] W DATE %�'$A9 PRINT NAME: 1,4k< / / PERMIT CENTER+33325 8th Avenue South+ Federal Way,WA 98003-6325 253-835-2607+ FAX 253-835-2609+permitcenter{a?cityoffederalway.com Bulletin#160-April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application