19-102172 • r ;
Electrical
City of Federal Way
Community Development [. Permit #:19-102172-00-EL
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609
Project Name: JACKSONS#636-STORAGE BUILDING
Project Address: 1520 S 348TH ST Parcel Number: 889700 0115
Project Description: Install a 400A service,(1)200A feeder,(1) 100A feeder and wire complete.
Owner Applicant Contractor
JACK DAVISPACWEST ENERGY LLC MIKE JACKSONTRI-M ELECTRIC LLC TRI-M ELECTRIC LLC.
3450 COMMERCIAL PKWY CT 21827 93RD PL W TRIMEL*981PS(10/10/20)
MERIDIAN ID 83642 EDMONDS WA 98020
3509 NE 187TH CT
LAKE FOREST PARK WA 98155
Additional Permit Information
Is this an Online or O.T.C.application? Yes
'09 00.,'„,4;;/;4i'-`:;;;w: t � ) Baa *z.
Add'l New Feeder(s)0-100 am 1 New Service:201 -400 amps( 1 Add'l New Feeder(s)201-400; 1
PERMIT EXPIRES Tuesday,5 May,2020
Permit Issued on Monday,May 6,2019
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
1asr''gtor - d t► City of Federal Way.
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`Owner or agent: �� %�/A Date: /�
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THIS CARD IS TO REMAIN ON-SITE
CITY OF
Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 19 102172 00 Address: 1520 S 348TH ST
Project: JACK DAVIS FEDERAL WAY WA 98003-6844
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) ! Cl Ditch cover(4030) ® Slab/Concrete Floor(4255)
Approved Approved App oved to place concrete
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0 i d
By Date -""/ By Date By ,, / Date rfifr`
® Pool Bonding(4195) Q Temporary Power(4275) ® Service(4235)
Approved Approved Approved
By Date By Date I By leg Date /0 `r/'
® Feeders/Sub-panels(4045) ® Rough Electrical(4225) ' ® Ceiling Cover(4020)
pproved Approved Approved
Byee" Date 0.- ^r/�9 By _ Date '—`�p'�/ 1 By Date
• Final-Electrical(4055)
Approved
By /, Date /7-c19
..
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED ELECTRICAL
CITY OF
Federal Way MAY �i 2019 PERMIT APPLICATION
CITY OF FEDE.RAL 4'!y
COMMUi'yf1Y REVEL OP Er., /
PERMIT NUMBER 17 - lo 2 ( ? a - 8
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��II5‘71.8SUITE/UNIT/SPPACE#/��
SITE ADDRESS: / Z0 . TS /¢(/044 !--'5&-
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# r CURRENT/PROP SED USE
PROJECT NAME -----
(Tenant or Homeowner Last Name) t\i4.0 i�, ,ti 4 5//.0 -1--_
PROJECT DESCRIPTION 0 ) "4 f" l)�R 17.'446 W�,PE C—/Jlvl ` ? .
Detailed description of work to
be included on this permit only
NAME .-..../ PRIMARYPHONE
PROPERTY OWNER PAcK t4`7 A/0 6.y L_L.li (� ) 7W- j
MAILING ADDRESS E-MAIL
50 coiitvrtrG�� pKi,i)\J G�
CITY STATE ZI1 FAX
l►� iL /W 836'Z ,( )
77`NAM
1� Elcj e/C (114 775.467 7
MAILING ADDRESS ../ 4N"l.r44. / ,G
ELECTRICAL 3SO 7 11,E /87 Y�C------1 {��Z`%erE
CONTRACTOR CITY STATE ZIP FAX
1.04�,g7o?0s7arK kVA G18/S5 425177n-iodir2
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAYITUSINESS LICENSE#
7 ,MEQ-+` ' /P$ /0 / t0 /Zi zo-[g-'<o,15 -
NAME y�/� PRIMARY PHONE
APPLICANT !R/v- ' L'�& 'ret - ( yz() 7 -4b7
MAILING ADDRESS `� ,`ri.)1". / jG
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CITY E Z
STA I `L' FAX
1 K Est f 9K Wft 81� (sT 7 715- 1090
NAME
' PRI Y PHONE
PROJECT CONTACT /KG TGit 04 ) (�Z ) 773 -44,17
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 arty 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: ,Lt✓. DATE f/ 0
PRINT NAME: 4 r __
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application
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