11-103655 r , s ' Electrical
City of ity Development
ntWyS • FILE Permit #: 11-103655 00-EL
Community Development Services ..
P.O.Box 9718
Federal Way, Fax:(253)9718
35- Inspection Request (253)835-3050
Ph:(253)835-2607 (253)835-2609 P q
Project Name: HERITAGE CONDOMINIUMS UNIT H
Project Address: 113 S 340TH ST Parcel Number: 325945 0000
Project Description: Complete rewire of unit that was damaged by fire. Existing panel to remain.
,
Owner Applicant Contractor
HERITAGE CONDO OWNERS WELL GROUNDED ELECTRIC INC. WELL GROUNDED ELECTRIC INC.
ASSOCIATION 2427 NE 143RD ST WELLGGE963PJ (12/27/12)
30504 PACIFIC HWY S SEATTLE WA 98125 " 2427 NE 143RD ST
FEDERAL WAY WA 98003 SEATTLE WA 98125
1111M1‘ ?'; in ifai Pern = X :s
Is Use Educational or Institutional9 No Service greater than 999 Amps? No
illii*4'
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' Allirnikk— '.
Alt.Serv./Feeder:0 to 200 amps(I 1
CONDITIONS:
•
PERMIT EXPIRES Friday, September 7, 2012
Permit Issued-on Thursday,September 8, 2011
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
0
and the City of Federal Way. /
Owner or agent: i�1/� 6� Date: —� �` 1
'� THIS CARD IS TO MAIN ON-SITE '
CITY OF~ Construction I ection Record
Federal Way INSPECTION REQUE,TS: (253) 535-3050
PERMIT#: 11-103655-00-EL Address: 113 S 340TH ST
Project: HERITAGE CONDO OWNERS ASS( 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.
El UFER Ground (4295) El Ditch cover(4030) El Slab/Concrete Floor(4255)
Approved approved \pproved to place concrete
By Date By Date By Date
❑ Pool Bonding (4195) 0 Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
o Feeders/Sub-panels(4045) 0 Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
Byj S Date '(:)— — ( 1 By 3-- 3 Date 1 Q . By Date
El Final-Electrical (4055) I
Approved
By uril, Date `ay�A.a.A
El Rough Electrical CI Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
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1 CITY OF 454•//r«
4.4• Federal Way ELECTRICAL
PERMIT APPLICATION
;, **Most electrical permits may be obtained on-line at www.cityoffederalway.corn**
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SITE ADDRESS: -- o
SUITE/UNIT/SPACE T ASSESSOR'S TAX/PARCEL N ( CURRENT/PROPOSED USE
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PROJECT NAME ) / I '
Tenant or Homeowner Last Name '`` -4- ; .'r f-'' r "
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PROJECT DESCRIPTION . . '
Detailed description of work to I )t%" L c:„' ,-_- '
be included on this permit only 4.-,. i. -
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NAME PRIMARY PHONE
PROPERTY OWNER ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME r ,. PRIMARY PHONE
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MAILING ADDRESS , E-MAIL
ELECTRICAL
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CONTRACTOR CITY STATE ZIP ^ FAle /aL.
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WA STATE CONTRACTOR'S LICENSE M EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE C -
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NAME 1! i PRIMARY PHONE
APPLICANT ee - /<'r-:ft( c-ix,I rti1 iv d r ( ) -
MAILING ADDRESS E-MAIL
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CITY STATE ZIP FAX
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N -� PRIMARY PHONE
PROJECT CONTACT �'� '-' 'VI (4)4.27- 7c i
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."'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: : ' Ef/\ DATE - -/
/
PRINT NAME: 16;,,(. 6 1 �"`?Ul.,l
33325 8d'Avenue South•Federal Way♦WA♦98003-6325♦253-835-2607•fax:253-835-2609♦www.cityoffederalway.com
Bulletin#160-January 1,2011 +0, Page 1 of 2 k:\Handouts\Electrical Permit Application