HomeMy WebLinkAbout15-104907 • Electrical
City of Federal Way
Community&Econ.Dev.Services Permit #: 15-104907-00-EL
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)8366-3050
Project Name: VERIZON SHELL
Project Address: 35007 ENCHANTED PKWY S Parcel Number: 185295 0020
Project Description: ALT-Relocate(2)circuits to accomodate notification devices&initiating devices.
Owner Applicant Contractor
A THOUSAND HILLS LLC MATT CARLMAN FIRE SYSTEMS WEST INC(ELECTRICAL)
362 N HERBORN FIRE SYSTEMS WEST INC FIRESWI055LW(6/16/17)
POST FALLS ID 83854 206 FRONTAGE RD N SUITE C 206 FRONTAGE RD N
PACIFIC WA 98047 PACIFIC WA 98047-1023
Additional Permit Information
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 2
PERMIT EXPIRES Tuesday, April 5, 2016
Permit Issued on Thursday, October 8, 2015
I hereby certify that the above in ;rmation is correct and that the construction on the above described property and
the occupancy and the us- will, in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent ` Date: /06/r/rJ
xti +As-.
r - • THIS CARD IS TO RE IN ON-SITE 1
CITY OF Construction InsOftion Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 15-104907-00-EL Address: 35007 ENCHANTED PKWY S
Project: A THOUSAND HILLS LLC FEDERAL WAY, WA 98003-8359
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.
0 UFER Ground(4295) 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) Service(4235)
Approved Approved Approved
By Date By Date By Date
Feeders/Sub-panels(4045) 0 Rough Electrical(4225) CI Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
.
Final-Electrical(4055)
Approved
By X1.13 Date l b (I4 1 i 4j
51 Rough Electrical
Approved Final Electrical Right of Way
- Approved Approved
By Date By - Date By Date
,
•
•
ELECTRICAL
CITY OF
Federal Way PERMIT APPL $OtT
PERMIT NUMBER t ") 1 0 Li ' 0 8 (, c2\55/�\ SEP 2 S 2015
"f CITY OF FEDERAL WAY
SUITE/UNITISPOS
SITE ADDRESS: 3 SrbS6 7
CA C_A A rJ-r-e-- P0-3'(-1-3 y S •
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
1 0959S 1 g 5 Z 61 - O 0 2 0 2�er- r t
PROJECT NAME
(Tenant or Homeowner Last Name) V65 RA -w-)
PROJECT DESCRIPTION LCrt.0C_& xx/ST/-'i /alp T/7/ r/c I '-D6.l/tfe?S
Detailed description of work to \ 1 N Imo(. L—l/ICE S
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
Ft(LC YS-re wcs-r t .01/43C— ('20)561 -l •i-
MAILING ADDRESS I E-MAIL
ELECTRICAL '3.lab(• c-(tc►r..)-r .0 'I'L ) S v t tE —c__
CONTRACTOR CITY STATE ZIP FAX
iP‘CAP t u P °t' •Qfl—t ( ) -
, 1 ✓ (7-`Z- WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
��(L C'S C SC.Ia) Co / /eo / l 1 V —i7—000e/519— tt6L
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS ( ) E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
PROJECT CONTACT MA-r l/ it—er"I (,Z 5-3)95'7 -to Orbs.,
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 art es out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the ci s a part of this application. C
SIGNATURE: DATE ,V2 3/15'
PRINT NAME: t1/f//' CAtt-14
Bulletin#160—January 1,2013 Page 1 of 2 101-Iandouts\Electrical Permit Application
