HomeMy WebLinkAbout15-101871. ,-
! Electrical
Permit #: 15 -101871 -00 -EL
Inspection Request Line: (253) 835-3050
Project Name: CELEBRATION SENIOR LIVING - GENERATORS
Project Address: 1420 S 328TH ST
Project Description: Placement and connection of (3) emergency back-up generators
Parcel Number: 147318 0020
Owner
Applicant
City of Federal way
Community & Econ. Dev. Services
CELEBRATION SENIOR LIVING
33325 8th Ave S
Fi
W
Federal Way, WA 98003
PO BOX 849
Ph: (253) 835-2607 Fax: (253) 835-2609
201 27TH AVE SE BLDG A-300
. ,-
! Electrical
Permit #: 15 -101871 -00 -EL
Inspection Request Line: (253) 835-3050
Project Name: CELEBRATION SENIOR LIVING - GENERATORS
Project Address: 1420 S 328TH ST
Project Description: Placement and connection of (3) emergency back-up generators
Parcel Number: 147318 0020
Owner
Applicant
Contractor
CELEBRATION SENIOR LIVING
EVERGREEN STATE ELECTRIC INC
EVERGREEN STATE ELECTRIC INC
ASSOCIATES LIM[TED PARTNERSHIP
PO BOX 849
EVERGSE066JA (4/1/16)
201 27TH AVE SE BLDG A-300
SUMNER WA 98390
PO BOX 849
PUYALLUP WA 98374
SUMNER WA 98390
Additional Permit Information
Is this an Online or O.T.C. application?...:............No
Service greater than 999 Amps? .............................No
Electrical Fixtures;
New Service: 401- 600 amps (Corr 2
Is Use Educational or Institutional?.......................No
CONDITIONS:
Transfer switch shall comply with the conditions of Article 909.11 Of the IBC.
PERMIT EXPIRES Tuesday, October 20, 2015
Permit Issued on Thursday, April 23, 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
the City of Federal Way.
Owner or agent: s= f Date: -17110-7
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THIS CARD IS TOMAIN ON-SITE'd& `
MY OF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 15 -101871 -00 -EL Address: 1420 S 328TH ST
Project: CELEBRATION SENIOR LIVING A: 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.
0
UFER Ground (4295)Ditch
cover (4030)
0
Slab/Concrete Floor (4255)
0
Approved
By
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
0 Final - Electrical (4055)
Approved
By U-44 Date t, t � ( 1 S''
0
Pool Bonding (4195)
Temporary Power (4275)
0
Service (4235)
By
Date
Approved
By
Date
Approved
By
Date
Approved
By
Date
By
Date
By
Date
Feeders/Sub-panels (4045)13
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
0 Final - Electrical (4055)
Approved
By U-44 Date t, t � ( 1 S''
0
Rough Electrical
Approved
Final Electrical
Approved
ElRight
of Way
Approved
By
Date
By
Date
By
Date
cITY OF
Federal Way
PERMIT NUMBER l S _
APR 6 2015 EL CTRRICAL
CITY FE®ERp,LWAY PERMIT APPLICATION
CD
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SITE ADDRESS: 1-470 C15a%y
�220 1-y
SUITE/UNIT/SPACE #
46)/40,
PROJECT VALUATION
ASSESS
S S'ST CEL #
2 O
CURRENT/PROPO ED USE�$�
PROEC NAME
(Tenant or Homeowner Last Name)
CE U—
ZZ 6
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAM
PRIMARY PHONE
) -
G ESS
E-MAIL
CITY
STATE
ZIP
FAX
ELECTRICAL
CONTRACTOR
NAME
PRIMARY PHONE
MAILING AMDS
Ab
E-MAIL
'4 eer!�
CITY
STATEZIP
0,4,
FAX
)Z&,_.176,-7
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
�.
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME
PRIMARY PHONE
)
MAILING &FDRESS
E-MAIL
CITY
STATE
I ZIP
FAX
)
PROJECT CONTACT
NAME
PRIMARY PHONE
)
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 apart of this application.
PRINT NAME:
Bulletin # 160 — January 1, 2013 Page 1 of 2 kMandoutsTlectrical Permit Application
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