13-101370 IL
RECEIVED
4....
MAR 26 2013 ELECTRICAL
CITY of
Federal Way Cr►'OF FEDERAL
D RALWAY PERMIT APPLICATION
PERMIT NUMBER f / _ ( 0 ( / ' 0 _cc
SUITE/UNIT/SPACE#
SITE ADDRESS: 3 Z z 75- 3 z"-"1 14-U6 �21"-d-t/
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ / 1 0 0 0 Z ! / 4 5 - o c, &- CU
PROJECT NAME
(Tenant or Homeowner Last Name) D4'i/1 7-4 //94-e. sd/.'41 ¢ 3-/4 C
/
r '° '7- iiv;/Imo de.44.e.✓r ,�-i,is /1¢c-i0,..✓r9-
PROJECT DESCRIPTION ,_5-- /9e_LS /,,,/ c u '°" 2 'G/177^/G, �/1'e/¢cA".i<`ll
Detailed description of work to A.-k/ 2 6 O7 C E c5-7,ifG E
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER fi/ (253)3?,Z-//1 Z
MAILING ADDRESS E-MAIL
/Vz 3 �� .IAt
CITY STATE ZIP FAX
71-ree,Cr.l.r,► II%9 94/e) 2 ( ) -
NAME PRIMARY PHONE
fit-inot C 6L -t 77L< c ( `23')7V7 - 5200
MAILING ADDRESS E-MAIL
ELECTRICAL /334/ C=•(-- 77/ 67-izS--ei /ezioi46A-Tiv /R<wtFettecwK,
CONTRACTOR CITY STATE ZIP y'" FAX 4.-4d c& I-t.& JL,�/42 arva S- ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
P2 Ht 6- -,Z / 3 i{6 T / /3d // Zo-oo- /0/74.7 -oo-B L
NAME PRIMARY PHONE
APPLICANT /4 ki L 4.-.44,43e-4-7- ( zs-) $90 - 739
MAILING ADDRESS E-MAIL
/3 7 e) / se Z G %'`/ c"7.2S-ET 2
, Li6 �.
s v4-€i'ei 401 tet rrl.,e,
CITY STATE ZIPFAX a e
/1 Z.LZ✓uta �G✓/I 7fe,e)S- ( ) -
NAME �J PRIMARY PHONE
PROJECT CONTACT Zi `/a/3 /".ct/z-is zcz ( 3)(L Y 5772-
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.
SIGNATURE: )I , ill �Ill DATE 3—2 c- /3
PRINT NAME: 7c:. ' Z'1.0. ..4 E''L.I
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application
i • Electrical
City of Community&Econ.Dev.Services Permit#: 13-101370-00-EL
33325 8th Ave S
Federal VVay,WA 98003 Inspection
Ph:(253)835-2607 Fax (253)835-2609 Ins pRequestLine: (253)835-3050
Project Name: DAVITA/PALADINA SPACE
Project Address: 32275 32ND AVE S Parcel Number: 215465 0080
Project Description: Wiring and electrical work for associated tenant improvement in Paladina Space
Owner Applicant Contractor
ARC TRSEAWA001 LLC PRIME ELECTRIC INC PRIME ELECTRIC INC
106 YORK RD 13301 SE 26TH ST PRIMEEI134BT(1/30/15)
JENKINfOWN PA 19046 BELLEVUE WA 98005 13301 SE 26TH ST
BELLEVUE WA 98005
Additional Permit Infolrman
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Service greater than 999 Amps? No
Electrical Fixtures
Alt.Srvc/Feeder 0 to 200 amps(C 1
PERMIT EXPIRES Sunday, September 22, 2013
Permit Issued on Friday, March 29, 2013
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
andCi • Federal Way.
Owner or agent: — rr _ Date: 3ap/15
•
CITY OF fi. r ` Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 13-101370-00-EL Address: 32275 32ND AVE S
Project: ARC TRSEAWA001 LLC 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) 0 Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
O Feeders/Sub-panels(4045) ' ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By• nDate L1 L s-.% ,. .B Date S — f2_ �
❑ Final-Electrical(4055)
Approved
By CA� _ , Date ,V 1 Ly\
Rough Electrical
Final Electrical
Right of Way
ElApproved ❑ Approved ElApproved
By Date By Date By Date