19-104722 ti
Electrical
City of Federal Way Permit #:19-104722-00-EL
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: HOMESTEAD APARTMENTS-BUILDING E
Project Address: 29225 MILITARY RD S Parcel Number:042104 9061
Project Description: Replace(6)600-amp gang meter bases for units E-1 through E-6.
Owner Applicant Contractor
FAST LANE INVESTMENTS&HOMESTEAD JOHN REARDENMADSEN ELECTRIC MADSEN ELECTRIC
LLC 3939 S ORCHARD ST MADSEE*140P8(4/30/20)
PO BOX 1480 TACOMA WA 98466
RENTON WA 98057 3939 S ORCHARD ST
TACOMA WA 98466
Additional Permit Information
Is this an Online or O.T.C.application9 Yes
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Mast or Meter Repair(Resider 6
PERMIT EXPIRES Wednesday,30 September,2020
Permit Issued on Tuesday,October 1,2019
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
shington and the City of Federal Way.
Owner or agent Date: A0 -/ -/2.
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THIS CARD IS TO REMAIN ON-SITE
CITY OF
.0/b4 Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 19 104722 00 Address: 29225 MILITARY RD S Bldg E
Project: FAST LANE INVESTMENTS&H011 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.
UFER Ground(4295) ® Ditch cover(4030) ! ® Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
® Pool Bonding(4195) • ® Temporary Power(4275) 1 ® Service(4235)
Approved Approved Approved
1
By Date I By Date By eDate /0 9":/,
® Feeders/Sub-panels(4045) • ® Rough Electrical(4225) Q Ceiling Cover(4020)
Approved ' Approved Approved
By Date , By Date By Date
El Final-Electrical(4055)
By
e4d.pproved
Date/0 "".44-1
0 Rough Electrical 0 Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
CITY OF :4 OCT 01 2019
ELECTRICAL
rla CITY OF FEDERAL WAY PLICATION
COMMUNITY DEVELOPMENT /'�
PERMIT NUMBER / / — 1 ' y /�� - L
SITE ADDRESS: '`t {#�' ',-
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PROJECT VALUATION & ASSESSOR'S TAX/PARCEL IP CURRENT/PROPOSED USE
$ s,uCLL. 0LiXi64_ - 90 1
PROJECT NAME
(Tenant or Homeowner Last Name) i.,
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PROJECT DESCRIPTION _, t i -�
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER ° i ,tQ_ k:`t, ( (b :) a -(,,,,,Li-1,A44.'
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MAILING ADDRESS A E-MAIL
CITY r STATE ZIP FAX
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NAME PRIMARY PHONE
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MAILING ADDRESS .,� E-MAIL
ELECTRICAL )/ .., - ,, ' +,li`tt: F ,, ...._ .,•‘.,,.ik,;,. ,IN, t., .._\:L*t %,
CONTRACTOR CITY STATE ZIP FAX `(.c ,-,1
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WA STATE CONTRACTOR'S LICENSE 9 EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PRIMARY PHONE
APPLICANT ` ' ,, ( )
- -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
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NAME,_ '' , PRIMARY PHONE
PROJECT CONTACT ,. IV' \,, ,. f
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 flip city as 4-Aart of this application.
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SIGNATURE: i .1., %„,,,,,,,4s,,.' t { DATE / —1/
PRINT NAME: .r' C,`VA,.I . `\,Q.L.1. $..i''-I-., \
PERMIT CENTER+33325 8th Avenue South + Federal Way,WA 98003-6325
253-835-2607+ FAX 253-835-2609+permitcenter@cityoffederalway.com
Bulletin#I60—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application