HomeMy WebLinkAbout15-104855 f f
• • Electrical
City ofEcWay Permit #: 15-104855-00-EL
Community&Econ.
Dev.Services
33325 8th Ave S
Federal Way,WA 98005
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: ASHLEY HOUSE
Project Address: 33811 9TH AVE S Parcel Number: 926480 0170
Project Description: Wiring for an existing fire system •
Owner Applicant Contractor
•
WESTERN COMMERCIAL REAL EST RICKY BUGH DELTA WYE ELECTRICAL LLC
28815 PACIFIC HWY S SUITE 10A DELTA WYE ELECTRICAL LLC DELTAWE872LC(6/3/17)
FEDERAL WAY WA 98003 17002 PACIFIC AVE S 17002 PACIFIC AVE S
SPANAWAY WA 98387 SPANAWAY WA 98387
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
Low Voltage-Fire Alarm(Comm( 1
PERMIT EXPIRES Saturday, May 28, 2016
Permit Issued on Monday, November 30, 2015
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.
r
Owner or ager t� _- ��i- � Date: ,�7/,,:"///'
�
THIS CARD IS TO RE IN ON-SITE ,
CITY OF 0 Construction Inspion Record •
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT#: 15-104855-00-EL Address: 33811 9TH AVE S
Project: WESTERN COMMERCIAL REAL E; FEDERAL WAY, WA 98003-8721
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) El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
O 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 Date By Date
❑ Final-Electrical(4055)
Approved
B Date L •-?( � �_
I
r Rough ElectricalEl Final ElectricalCI Right o#'Way
ApprovedApproved Approved
y Date By Date By Date
RECEIVED
, ,A,, LIII
CITY or:
SEP 2q
2015 L ECTRICAL
Federal Way of FEDERAL PERMIT APPLICATION
CITYLJ CDS
5 i
PERMIT NUMBER _ ` o 1 U S S - L L
SUITE/UNIT/SPACE#
SITE ADDRESS:
33, -(-/ R Cu„,- f"�7,74,ry'' 441. - a y 0 i --J
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name) ,.
,r. 74 ,7—.&A,15
PROJECT DESCRIPTION ,"'`/. `'2 /T C tc'5— 5-doni,e5 G-/ So?c leZ/! -
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER (2( ) 6.7- 4f977
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
• ( ) -
• NAME // PRIMARY PHONE
227- G...-ye E7tz,�f.k (2490 7/5"-60 3 5/
MAILING ADDRESS E-MAIL
ELECTRICAL PC2 Sal( //76.
CONTRACTOR CITY /�/ STATE ZIP FAX
WPB -Y`/1 `�t„pRA t/% ,..9. --- ( )
i STATE CONT CTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
I /7z'Ct_6.1 e-Yi7A1--r / / 'v^}
AME P.JL '' 'TRIMARY PHONE
APPLICANT - - S.449A4 ( 204.) 7/57 60 3 y
MAILING
DRESS E-MAIL
aa1 �tiv CU A /77
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 city as a part of this application
OF ...---
SIGNATU' � DATE ���/ l
PRINT NAME: _ .. A _,
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application
