14-101172 FILE • Electrical
c`ti°fFederal
' Permit #: 14 101172 00 EL
ECornrneMcesurrity b Econ.Dev.Dev.S
33325 8th Ave S
Way,WA 98003
Ph:(253)
Fed835-2eral 607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: REVIA 4717397
Project Address: 2410 SW 332ND ST Parcel Number: 894500 0340
Project Description: Replace electrical panel.
•
Owner Aoulicant Contractor
DAVE REVIA DAVE REVIA OWNER IS CONTRACTOR
2410 S 332ND ST 2410 S 332ND ST
FEDERAL WAY WA 98023-2835 FEDERAL WAY WA 98023-2835
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Electrical Fixtures
Alt.Serv./Feeder.0 to 200 amps(F I
PERMIT EXPIRES Saturday, September 13, 2014
Permit Issued on Monday, March 17, 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
and the City of Federal Way. l ltOwner or agent: DOC(�LP ., mac Date: 3[ 1 7
THIS CARD IS TO MAIN ON-SITE 4$1& •
� Construction In ection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 14-101172-00-EL Address: 2410 SW 332ND ST
Project: DAVE REVIA FEDERAL WAY, WA 98023-2835
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) ❑ Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
O Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By alA.oN_ Date 3 .....246,/ Li
O Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date
By Date
o Final-Electrical(4055) •
Approved
By C ,V444 Date 3 2 t_, 1
El Rough ElectricalCI Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
4CEIVED
• . iiiA, MAR 1 7 2014 ELECTRICAL
ctr,r of
Federal Way CITY OF FEDERAL WAY PERMIT APPLICATION
cos
PERMIT NUMBER ) / - / 0 / / 7 ) - (' .
SUITE/UNIT/SPACE#
SITE ADDRESS: at,/ /O n"`0, 3 3 4 --s
PROJECT VALUATION "6 l ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ (Q(Z / PO -
— —
PROJECT NAME
(Tenant or Homeowner Last Name) `e(/7 vet.
,;,tel rt a R-ep ,c.e 1.1.s_E_ (C)X,- -
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER /41)C Rc(/ V ` (25.3 ) 3� 4.6 g'47
MAILING ADDRESS E-MAIL
N 10 5('CO , 3g ��t- RE(len a tO / ?3 d ee-Fv_ecb.
CITY I STATE ZIP
r6-6efl f_L FAX ��,�,
n
( -. CA)
,) VUAr PRIMARY PHONE
MAILING ADDRESS ( )
E-MAIL
ELECTRICAL
CONTRACTOR CITY STATE ZIP
FAX
WA STATE CONTRACTOR'S LICENSE A EXPIRATION DATE (FEDERAL WAY BUSINESS LICENSE I
/ /
NAME - — - - -- -- - - PRIMARY PHONE - - - -
APPLICANT 0
( ) -
MAILING ADDRESS - --
E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT
'" ( PRIMARY PHONE
( ) -
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
//37//‘-f
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