11-104322 f e # 5
=Electrical
City of Federal Way Permit #: 11-104322-00-EL
0 ,
Community Development Services
PO.Box 9718
•
Federal Way, Fax
(253 9718
835- Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p a
Project Name: WARNER
Project Address: 30527 7TH AVE SW Parcel Number: 178880 0200
Project Description: Adding/altering 0-200 amp service
`
Owner Aoolicant Contractor
RUTH E WARNER ALTERNATIVE ELECTRIC ALTERNATIVE ELECTRIC
37301 28TH AVE S#1 PO BOX 422 ALTERE*891LA(6/1/13)
FEDERAL WAY WA RAINIER WA 98576 PO BOX 422
98003 RAINIER WA 98576
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Is Use Educational or Institutional No
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Alt. Serv./Feeder: 0 to 200 amps(F 1
PERMIT EXPIRES Wednesday, October 24, 2012
Permit Issued on Tuesday, October 25, 2011
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: Date: 10— Z L/— /
Eli/1
', 11/1111
THIS CARD IS TO MAIN ON-SITE , •
,
CITY OF ,I�� 66: n •
Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 11-104322-00-EL Address: 30527 7TH AVE SW
Project: RUTH E WARNER FEDERAL WAY, WA 98023-3922
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) 1J Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
S .
El Pool Bonding(4195) '0 Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
El Feeders/Sub-panels(4045) CI Rough Electrical(4225) ' to Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
• / nal-Electrical(4055)
Approved Date ( _ (--- l/
l
v ___.-----
0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
- 4- 2Z
CITY OF �x>.
Federal Way ELECTRICAL RECEIVED
PERMIT APPLICATION
OCT 2 5
**Most electrical permits may be obtained on-line at www.city pang 'a ' _; - A ,
SITE ADDRESS: S 05-2. 7 -j T'r t U e-- ' c"..) FED Q$Yq I_ W Ry �F} G$o z_5
SUITE/UNIT/SPACE M ASI ESSOR'S TAX R
ARCEL# � � - � � O O CURENT/PROPOSED USE
•
PROJECT NAME
(Tenant or Homeowner Last Name) n \ ► J1. I
L P N Gv 0*-.%-T LC-G 71 -I L.iA L
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME PRIMARY PHONE
f1-L-T ►2-N fi -t Je_ £z-Cer11-1 t-- (75g) 273- 2??c,
MAILAG ADDRESS E-MAIL
ELECTRICAL V. 0 `-(Z Z-
CONTRACTOR CITY STAT1 ZIP FAX
)Nt 041--- ' %S7 (, ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE N
NAME PRIMARY PHONE
APPLICANT ( )
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME PRIMARY PHONE
PROJECT CONTACT ( )
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: ��_ 4� / �✓ DATE /D r Z.$ /)
PRINT NAME:
33325 8ih Avenue South•Federal Way•WA•98003-6325•253-835-2607•fax:253-835-2609•www cityoffederalway.com
Bulletin#160-January 1,2011 Page 1 of 2 k:\Flandouts\Electrical Permit Application