13-102354 - • �� o 4�- • Electrical ,
Comma ty&E��W S , Permit #: 13-102354-00-EL
33325 8th Ave S ; "
•
Federal Way,WA 98003 u �.... . _
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: WA STATE DEPARTMENT OF TRANSPORTATION SAFETY REST AREA
Project Address: I-5 R-O-W @ ENCHANTED PARKWAY Parcel Number
Project Description: Electrical work for new restroom structure.
Owner Applicant Contractor
WASHINGTON STATE DEPT OF BEACON ELECTRIC INC BEACON ELECTRIC INC
TRANSPORTATION 626 W MAIN ST BEACOEI9310E(2/5/15)
PO BOX 47338 SUMNER WA 98390 626 W MAIN ST
OLYMPIA WA 98504 SUMNER WA 98390
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Service greater than 999 Amps? No
Electrical Fixtures
Alt.Srvc/Feeder 0 to 200 amps(C 1
PERMIT EXPIRES Tuesday, November 26, 2013
Permit Issued on Thursday, May 30, 2013
I hereby certify that the above information ' correct and that the construction on the above described property and
the occupancy and the us ill •- in -«,:dance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent Date: S--3O-2x)13
TRIS CARD IS TO MAIN ON-SITE
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 13-102354-00-EL Address: 1-5 R-O-W @ ENCHANTED PARKWA
Project: WASHINGTON STATE DEPT OF TF , WA
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) 0 Ditch cover(4030) El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
Com,. tCI.-' ia ' l3
By C iA. Date i A-‘n, )3 .1!), `1- 1d Date tx_5_13 By C i Date q}-Cl_l•
❑ Pool Bonding(4195) 0 Temporary Power(4275) .0 Service(4235)
Approved Approved Approved
By Date By Date By .A 3 Date i>et I i?I r3
•
.0 Feeders/Sub-panels(4045) �0 Rough Electrical(4225) ' 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By (M 8 Date 9 llei I I
0 Final-Electrical(4055)
Approved
.By Date l\_ail_1 ''J
❑ Rough ElectricalEl Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
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1
�, ELECTRICAL
CITY OF
Federal Way PERMIT APPkIEATJRN
PERMIT NUMBER ( '....3 _ 1 0 2 3' ,J i_ O 0 MAY 3 0 2013
CWti TP/FvMA A6 .WAY
SITE ADDRESS:weltsBooop 2-'C/ mit.c4A, 6-g.K -k. *N./ CDS
PROJECT VALUATION ASSESSOR'S TAX/PARCEL S CURRENT/PROPOSED USE
$ SOl06l3 _ — — —
PROJECT NAME 55 77C REST NEff $/}FG-7y oifTchi 1c-N75
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION u W f -roaom —
Detailed description of work to
be included on this permit only
•
NAME PRIMARY PHONE
PROPERTY OWNER (it/547- ( ) -
MAILING ADDRESS E-MAIL
£ &(o t(o Sitzt- -7 6cts7
• CITY STATE ZIP FAX
RFC W4 9'WZ ' ( )
NAME PRIMARY PHONE
lJ E rgtc.- 1IvL (263 )ec,3- agif
MAILING ADDRESS
,, � //
ELECTRICAL CP atp Idler . f3/� 3/5°41%4% r 3°c ei�cr��tvti :,-�
CONTRACTOR CITY STATE ZIP FAX
�t)NW —R W4 19370 (263)063 -132T
WA STATE CONTRACTOR'S Limo# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE N
P ACOE2g31 Gt Jz ios //S'
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS ( ) E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
`N
PROJECT CONTACT - 1j,[_.10 lith I-(4. s (253)9a- i 3 q 4-1
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 .f Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in
the investigation and defense of such clai which may be made by any person,including the undersigned,and filed against the city,
but only where such cla Jarises , of
he reliance of the city, including its officers and employees, upon the accuracy of the' ity as , of this application.
"F!'information supplied to
iii
SIGNATURE: __, / l/ef' DATE 5*--3o-24,13
Or
PRINT NAME• Z11V a14M S
Bulletin#160—January 1,2013 Page 1 of 2 k:Handouts\Electrical Permit Application