19-105568 w
Electrical
City ofDevelopment Dept Permit #:19-105568-00-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: FEDERAL WAY CITY HALL-MUNI COURT 3
Project Address: 33325 8TH AVE S Parcel Number:926500 0290
Project Description: Add electrical outlet and low-voltage wiring for sound..
Owner Applicant Contractor
CITY OF FEDERAL WAY STEVE IKERDCITY OF FEDERAL WAY- OWNER IS CONTRACTOR
33325 8TH AVE S PARKS
FEDERAL WAY WA 98003 33325 8TH AVE S
FEDERAL WAY WA 98003
Additional Permit Information
Is this an Online or O.T.C.application9 Yes
o , ,, , ,,, .a. � 00 x 1m
Circuits-Commercial
PERMIT EXPIRES Thursday, 19 November,2020
Permit Issued on Wednesday,November 20,2019
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
Washington and the City of Federal Way.
Owner or agent. I Date: C !`20/ 19
lir , . . -•
THIS CARD IS TO REMAIN ON-SITE
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 19 105568 00 Address: 33325 8TH AVE S
Project: CITY OF FEDERAL WAY FEDERAL WAY WA 98003-6325
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) El Service(4235)
Approved Approved Approved
By Date By Date By Date
® Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020)
Approved Approved Approved
I
.By Date ��By to Date i•BY Date
•
El Final-Electrical(4055)
Approved
By /X Date LI -/j1.9
Bot 404 Go 'noc
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
,„„A. RECEIVED ELECTRICAL
CITY OF
Federal Way Nov 20 2019 PERMIT APPLICATION
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT � /
PERMIT NUMBER L _ 7 O S `�'` 8 _
�C
SUITE/UNIT/SPACE#
SITE ADDRESS: .r J 3 2s- 8A-\". S
PROJECT V/ TION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ w
PROJECT NAME ( tt
(Tenant or Homeowner Last Name) 0 &-Y dG 3 C t' (� +(-,\ ,u)
PROJECT DESCRIPTION ' 1 GAtct \c�� ck..\ -� ``� ,
Detailed description of work to ,b\).. ��v -e ‘o,-It k. �
be included on this permit only
NAME n �Q ` PRIMARY PHONE
PROPERTY OWNER ('-\ O " fCt/f°N�' 1,061_1") ( K-l4` -14602--
MAILING ADD S E-MAIL rC n
CITY STATE ZIP FAX OaI .0
fec .N-ekk �Cw) w Pt 9 SG63 ( ) -
NAMEPRIMARY PHONE
C-1 6(‘- FteJM-‘ W a-kr) ( ) _
MAILING ADDR E-MAIL
ELECTRICAL
CONTRACTOR CITY STATE ZIP FAX
( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME
2 PRIMARY PHONE
APPLICANT &Sa� 'I nvk0 �V1 w ( J) 1 - 14co2_____
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
/
1 )
NAME PRIMARY PHONE
PROJECT CONTACT )
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 the city as a part of this application. / /20/SIGNATURE: C9"- DATE l 1 /9
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PRINT NAME: 3 ascM �
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Bulletin 11160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application