12-101174 • Electrical
unitty of Federal Permit #: 12-1011t4-00-EL
Community&Econ.Dev.Services
3'325 8th Ave S
Federal:Nay,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607Fax:(253)835-2609 P q
Project Name: COLONIAL FOREST CONDOMINIUMS BUILDING 24 .°710())-
Project
D,(0'Project Address: 32719 1ST AVE S Unit 241 Parcel Number: 169730 1320
Project Description: Replace existing 100A circuit breaker panel
Owner, Applicant Contractor
MARION HART ANDREW BENTLEY D F ELECTRIC INC
32719 1ST PL S D F ELECTRIC INC DFELEI'010D9(3/31/13)
FEDERAL WAY WA 98003-5714 6401 N 42ND ST PO BOX 7205
TACOMA WA 98407 TACOMA WA 98417
Additional Permit Information
Is Use Educational or Institutional? No Service greater than 999 Amps? No
Electrical Fixtures
Alt.Serv./Feeder:0 to 200 amps
PERMIT EXPIRES Monday, September 10, 2012
Permit Issued on Friday, March 16, 2012
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: Date: — / 6-/ Z
•
�-� 3 2
• THIS CARD IS TO MAIN ON-SITE
Federal . ' Construction In ection Record r.
�/ INSPECTION REQ TS: (253)835-3050
PERMIT#: 12-101174-00-EL Address: 32719 1ST AVE S Unit 241
Project: MARION HART FEDERAL WAY, WA 98003-5700
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.
O LIFER Ground(4295) El Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
O Pool Bonding(4195) #0 Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
O Feeders/Sub-panels(4045) El Rough Electrical(4225) #0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
o Final-Electrical(4055)
6` Approved
B .�. Date, .0-G—/Z-
O Rough ElectricalEl Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
t#'0 • 0 / 7
CITY OF k "fir" '
F- ' P ELECTRICAL
ØtERMIT APPLICATION
S
o **)V ost electrical s ermits may be obtained on-line at www.cityo ederalway.com**
' s
SITE ADDRESS: Z q J q r ST 71=
SUITE/UNIT/SPACE# ASSESSOR'S TAX IARCEL# CURRENT/PROPOSED USE
o - l 3 O Cbtib0 (J
PROJECT NAME
(Tenant or Homeowner Last Name)
rtigneff CP
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PRIMARY PHONE
PROPERTY OWNER / � / ( ) -
MAILING - '. ''S E-MAIL
l� yd-Ce/H 0
CITY STATE P ZIP FAX
NAME/J F
(,� IC C_- PRIMARY PHONE
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MAH,ING ADDRESS FcMAI� r ‘
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# / # I .4 ,..,1E11111111111111111EliaMil (Zr FAX
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WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDEA :,<SINESS LICENSE#
E 6I4 j 3 / 3
NAMEPRIMARY PHONE
APPLICANTAre As ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
PROJECT CONTACT 4�t, ('� ) Y PHONE 43
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 ci as a •art of this plic on.
SIGNATURE: DATE 3 � lL '- ' 2_
PRINT NAME: 411•6/1 _ I, J' r tr
33325 8th Avenue South•Federal Way♦WA♦98003-6325•253-835-2607•fax:253-835-2609♦www.cityoffederalway.com
Bulletin#160—January 1,2011 Page 1 of 2 k:\Handouts\Electrical Permit Application