16-104443 ElecAal
City of Federal Way Permit tt. 16-104443-00-EL
Communi &Econ.Dev.Services
33325 8th Ave S
Federal Way,wA 9soo3 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 q
Project Name: DAY CENTER
Project Address: 33505 13TH PL S Unit D Parcel Number: 926503 0053
Project Description: New wiring,subpanel and add(6)circuits.
Owner Applicant Contractor
SCHULTZ MURPHY PROPERTIES WHITE RIVER ELECTRIC LLC WHITE RIVER ELECTRIC LLC
11661 SE 1ST ST SUITE 203 16816 CRYSTAL DR E WHITERE883DK(3/19/18)
BELLEVUE WA 98005-3526 ENUMCLAW WA 98022 16816 CRYSTAL DR E
ENUMCLAW WA 98022
Additional Permit Information
Electrical Work Valuation? 5800 Is this an Online or O.T.C.application? Yes
Is Use Educational or Institutional? No Service greater than 999 Amps? No
Electrical Fixtures
Circuits-Commercial. 6
PERMIT EXPIRES Friday, September 8, 2017
Permit Issued on Thursday, September 8, 2016
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. c�
Owner or agent: Date: !
�
THIS CARD IS TO REMAIN ONSITE . . ,
crr -;//AConstruction Inspection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 16-104443-00-EL Address: 33505 13TH PL S Unit D
Project: SCHULTZ MURPHY PROPERTIES 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.
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
0 Pool Bonding(4195) 0 Temporary Power(4275) ElService(4235)
Approved Approved Approved
By Date By Date By Date
▪ Feeders/Sub-panels(4045) 0 Rough Electrical(4225) ElCeiling Cover(4020)
Approved ApprovedApproved
By Date B31 ,
Date%_\9 VO By Date 7_
O Final-Electrical(4055)
Approved
By 0 , Date i i — 3-I tis
O Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED ELECTRICAL
CITY OF 41111.1.0
Federal Way SEP p 8 2016 PERMIT APPLICATION
CI-� pF FEDERAL WAYktO C
COS PERMIT NUMBER / _ f
SUITE/UNIT/SPACE#
SITE ADDRESS: 33505 P L S
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ bbd 1 z c 5 o 3 _ 0 ) 53
PROJECT NAME f� t
(Tenant or Homeowner Last Name) t. TCS 1, ._
�1 f
PROJECT DESCRIPTION
S lock L `e
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER 1ti�S� ,, � -�(`o r , (253) 235'-SS-3?
MAILING ADDRESS E-MAIL
`3 3 SSc S 13arlY PI, S 5;4e VAX�, cfi.►,
CITY STATE ZIP
(2,s---3) 9 - /9`t?
NAME PRIMARY PHONE
(3‘0 )C(3 - 2 1
MAILING ADDRESS E-MAIL
ELECTRICAL V$ 14' Gr�S'( l ) �i`S hia se c✓(„�e P•ver e),ec`k;cJ k,c2
CONTRACTOR CITY / STATE ZIP FAX
Cin
..w.c.IAAL"- �'`'`` `�%0 2-2 (36a )a3 - 24 37
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
w 1TEAC4 3
NAME PRIMARY PHONE
APPLICANT s eMAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
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 ci as a part of this application.
SIGNATURE: / __ DATE {a
` <Z—11
PRINT NAME:
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application