14-106157 411 • Electrical
City of FeWay Permit #: 14-106157-00-EL
Community&Econ.D Dev.Services
33325 8th Ave S
Federal Way,WA 98003 Inspection Line:
Ph:(253)835-2807 Fax:(253)835-2809Request (253)835-3050
Project Name: HERITAGE CONDOMINIUMS soi
Project Address: 123 S 340TH ST UNIT G Parcel Number: 325945 0110
Project Description: 0-200 amp panel replacement
Owner Applicant Contractor
WASHINGTON FEDERAL S&L ASSN OBOT ELECTRIC LLC OBOT ELECTRIC LLC
425 PIKE ST 2020 124TH AVE NE UNIT C105 OBOTEEL924K3 (5/23/16)
SEATTLE WA 98101 BELLEVUE WA 98005 2020 124Th AVE NE UNIT C105
BELLEVUE WA 98005
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 1
PERMIT EXPIRES Sunday, May 31, 2015
Permit Issued on Tuesday, December 2, 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
the City of Federal Way.
Owner or agent Date: /Z4 /I L/
i • THIS CARD IS TO MAIN ON-SITE u
CITY OF 4.A. Construction In ection Record '
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 14-106157-00-EL Address: 123 S 340TH ST UNIT G
Project: WASHINGTON FEDERAL S & L AS FEDERAL WAY, WA 98003-6614
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.
❑ UFER Ground (4295) ❑ Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
O Pool Bonding(4195) ❑ Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
•
0 Feeders/Sub-panels(4045) 0 Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
o Final-Electrical(4055)
Approved
Bye Date l,� _ N 1
❑ Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
.
, _ ,441A
III
CTRI CAL
CITY OF
Federal Way PERMIT APPLICATION
PERMIT NUMBER ± 1--- _ 1 0 CO c -7- _ 00 DEC 0 2 2014
C.-TY OF FEDERAi..WAY
SITE ADDRESS:
SUITE/UN / ,CE
12 so�4.n 3vo4A s+. Li .i , :./._
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ '700--''' z 14-5 _ 01 ( o
PROJECT NAME _ �''�j -; ,.� ^�PO[t INI V f
(Tenant or Homeowner Last Name) � I�- - � t_! L i ��/�--� (�
PROJECT DESCRIPTION l< e S ' c')c-) --/-` � ),3? l)f? 14 l r h 0, �y--c.
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER bki M-s) r )G1f �,�d �' p„ I b g�1 ( ) -
MAILING ADDRESS J E-MAIL
CITY STATE ZIP FAX
( ) -
NAME PRIMARY PHONE
° 1j o - - e/CG ✓'r(. 0/231 70e- 99 9 9
MAILING ADDRESS Ci_, )or E-MAIL
ELECTRICAL 2 0 2 0 /2 LI i.-1 )9 UL L`- 3 f lop e. Q Ob d+c(r c4 re-
CONTRACTOR C OW
STATE ZIP FAX • 0
j5e lir..0 (.).t ' k q 5'o65- (42,-)7aL - 3ozc/
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAT BUSINESS LICENSE#
C c,- cL C C( k3 13 -10 so7sa
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS ( ) E-MAIL _
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
PROJECT CONTACT X(4-Ih 4 ,i } -,LA c -j (253) 3 3-5- 9 z LI 3
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 • he city as a part of this application.
SIGNATURE: 0 i. 4--.
DATE /2/e//c/
r
PRINT NAME: ( cf 42-e__
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application