19-102157 Electrical
City of Federal Way Permit #:19-102157-00-EL
Community Development Dept.
33325 Sth Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: COVE EAST APARTMENTS BLDG 7
Project Address: 143 S 331ST PL Parcel Number: 172104 9121
Project Description: replace meter pack
•
Owner Applicant Contractor
K C HOUSING AUTHORITY MARK JENSENINNOVATIVE SYSTEMS INNOVATIVE SYSTEMS TECHNOLOGY
600 ANDOVER PARK W TECH,INC. INC(EL 01)
TUKWILA WA 98188 1402 LAKE TAPPS PKWY SE SUITE 104-147 INNOVST881B4(1/24/20)
AUBURN WA 98092 402 LAKE TAPPS PKWY SE SUITE 104-14'
AUBURN WA 98092
Additional Permit Information
Is this an Online or O.T.C.application? Yes
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•
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Mast or Meter Repair(Resider 1
PERMIT EXPIRES Saturday,2 May,2020
Permit Issued on Friday,May 3,2019
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: at._ 11,--• Date: S/3 /
ll& THIS CARD IS TO REMAIN ON-SITE '
�1 Way Construction Inspection Record
y INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 102157 00 Address: 143 S 331ST PL Bldg 07
Project: K C HOUSING AUTHORITY FEDERAL WAY WA 98003
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.
O UFER Ground(4295) 121 Ditch cover(4030) a❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
O Pool Bonding(4195) El Temporary Power(4275) ® Service(4235)
Approved Approved Approved
By Date By Date 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 fr Date g-17 -/5
•
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED ELECTRICAL
CITY OF ^../ M�� 0 3 2019
Federal Way PERMIT APPLICATION
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT
PERMIT NUMBER 19 _ 1 0 . 5 7 - 5
SUITE/UNIT/SPACE#
SITE ADDRESS: o¢_ 1 I l k/ "� S 3 3 t d I) ) d�, (
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# / CURRENT/PROPOSED USE
$ ( S O O Oa 7 -2 I cf - 9 / Z /
PROJECT NAME
(Tenant or Homeowner Last Name)
�r i ren ,.t , `I I4cis
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME r• PRIMARY PHONE
PROPERTY OWNER U L -
MAILING ADDRESSE-MAIL
1. 3 s 33ir1 PL
CITY STATE ZIP FAX
Ir0-- 1. 01 w A ( ) -
NAME PRIMARY PHONE
�1\r\0 p,'"( L_ S d iQ. m.5. ( 2S3) ° � 1- / (P
MAILING ADDRESS /.�. E-MAIL
ELECTRICAL ( u D CI 2- L A lu A VI o
CONTRACTOR CITY STATE ZIP FAX
( A l((c I\ r ''� Wj ?b°1 a-
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PRIMARY PHONEC 0 I Dr- ou& ( YcS) f
(
APPLICANT g _
MARINO ADDRESS E-MAIL
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CITY STATE ZIP FAX
CNA-A t t u p L (.41 irk y8 o 3 t ( ) -
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: COL.-- `/A-CA DATE 5 / 3 / I
PRINT NAME: Coil c e /1 Q7
Bulletin#160—April 14,2016 Page 1 of 1 161-Iandouts\Electrical Permit Application