19-102789 WI".
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Electrical
City of Federal Way Permit #:19-102789-00-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: JOHNSON/ORBINO
Project Address: 30700 5TH AVE SW Parcel Number: 178890 0460
Project Description: 200-amp service change;add(3)circuits.
Owner Applicant Contractor
MARCUS JOHNSON ART ELECTRICAL LLC ART ELECTRICAL LLC
30700 5TH AVE SW PO BOX 1586 ARTELEL839BP(1/17/21)
FEDERAL WAY WA 98023 MILTON WA 98354
PO BOX I586
MILTON WA 98354
Additional Permit Information
Is this an Online or O.T.C.application? Yes
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Alt.Serv./Feeder:0 to 200 ami 1
PERMIT EXPIRES Tuesday,9 June,2020
Permit Issued on Monday,June 10,2019
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
t Washington and the City of Federal Way.
Owner or agent: e-'-y Date: 6//o/"1
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t
THIS CARD IS TO REMAIN ON-SITE
Federal
'INr �;
t Federal Way Construction Inspection Record
INSPECTION REQUESTS:
PERMIT#: 19 102789 00 Address: 30700 5TH AVE SW
Project: ARLENE ORBINO FEDERAL WAY WA 98023-3915
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.
0 UFER Ground(4295) Ditch cover(4030) i'Q Slab/Concrete Floor(4255) ,
Approved Approved Approved to place concrete
By Date By Date •By Date
® Pool Bonding(4195) El Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date
By Date By /, i Date -.
El Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020)
Approved Joved Approved
By Date By , ApprDate ,
By Date
El Final-Electrical(4055)
Approved
By ,? Date 4-ILA 15
0 Rough Electrical ❑ Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date
By Date
RECEIVED ELECTRICAL
CITY of 1/
Federal Way JUN 10 2019 PERMIT APPLICATION
CITY CP FEDERAL WAY
COMMUNITY DEVELOPMENT / 9 -
/ D a ,,F
ERMIT NUMBER
_ 1...
SUITE/UNIT/SPACE#
SITE ADDRESS: 30700 S ° A Ue- S 1ni
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ a , o00 / 7 7 7 1_ 0 - 0 V' °
PROJECT NAME
(Tenant or Homeowner Last Name) e. 1'CwSt( f‘) L L"rte_
PROJECT DESCRIPTION ✓e—{ 1)1C- (IL a-4' 1 a 00 ,9-,„
Detailed description of work to , 3 L, 1 6-.S V
be included on this permit only
NAM I PRIMARY PHONE
PROPERTY OWNER rt a (C AA.5 0 l 0 SpA ( 14)' )5.19 - 77 6 9
MAILING ADDRESS E-MAIL
-- Co"?0� �e A- s t
�$,ITY STATE ZIP FAX
\-e_g wa- W 4 7E043 ( ) -
NAtIE PRIMARY PHONE
Art 1& CA(;CQJ LtC ( ) _
MAILING ADDRESSS,, E-MAIL
ELECTRICAL p. o. rV,a is-y (0
(O
CONTRACTOR CITY TAT ZIP FAX
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, J70 n ¢x'.3.5`1 ( ) -
WASTANCTO �E
ArT�V �� I�e EXPIRATION DATE FEDERAL WAY BUSINES8 LICENSE N
NAME PRIMARY PHONE
Co '-r°`-td-Dc- ( ) -
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
HONE
PROJECT CONTACT N r k-1 I
iI`- (, „)) 51 Y 973 9
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: ' DATE 61 /011
PRINT NAME: a->r l l.�at k k 1 0-k
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application