11-104338/ City of Federal Way Electrical
Community Development Services Permit #: 1 1 - 104338 -00 -EL
P.O. Box 9718
Federal Way, WA 98063 -9718 -+ iw
Ph: (253) 835 -2607 Fax: (253) 835 -2609 r a Inspection Request Line: (253) 835,3050
Project Name: OMNI BUILDING - BASEMENT
Project Address: 909 S 336TH ST Parcel Number: 926480 0150
Project Description: Add 20 -amp circuit for boiler replacement.
Owner
Applicant
Contractor
OMNI PROPERTIES INC
DARLA DOLL
MACDONALD MILLER FAC SOL INC
909 S 336TH ST SUITE 103
MACDONALD MILLER FAC SOL INC.
(ELECTRICAL)
FEDERAL WAY WA 98003
7717 DETROIT AVE SW
MACDOMF972BF (01/06/13)
SEATTLE WA 98106
7717 DETROIT AVE SW
SEATTLE WA 98106
Is Use Educational or Institutiona l ? ....................... No
Circuits - Commercial .................... 1
Service greater than 999 Amps? .............................No
PERMIT EXPIRES Wednesday, October 24, 2012
Permit Issued on Tuesday, October 25, 2011
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.
Owner or agent: Date: w/z S// 1
�o /rs //I
r THIS CARD IS TO MAIN ON -SITE r
CITY OF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835 -3050
PERMIT #:
11-104338-00-EL Address: 909 S 336TH ST
Project: OMNI PROPERTIES INC 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.
Final - Electrical (4055)
Approved
By Date k'a
UFER Ground (4295)
Ditch cover (4030)
Temporary Power (4275)
Slab /Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date k'a
Pool Bonding (4195)
Temporary Power (4275)
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
E]
Rough Electrical (4225)
Feeders /Sub - panels (4045)
E]
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
I Date
By
Date
Final - Electrical (4055)
Approved
By Date k'a
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF
Feder `tip' w CTRICAL
&PFORMIT APPLICATION
01�Most electrical i ermits ma be obtained on -line at www.cityo ederalw com **
SITE ADDRESS: 909 SOUTH 336TH STREET FEDERAL WAY, WA 98003
SUITE /UNIT /SPACE #
ASSESSOR'S TAR /PARCEL #
CURRENT /PROPOSED USE
BASEMENT
9 2 6 4 8 0 _ 0
1 5 0
SAME
PROJECT NAME
(Tenant or Homeowner Last Name)
OMNI BLDG
(1) 20 AMP CIRCUIT FOR BOILER REPLACEMENT
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
OMNI PROPERTIES INC.
MADUNG ADDRESS
E-MAIL
909 S 336TH ST
CITY
BTATE
ZIP
FAX
FEDERAL WAY
WATA
98003
( ) -
xAt,E
PR768
MACDONALD MILLER
( 206 ) -4278
MAILING ADDRESS
E -MAIL
ELECTRICAL
7717 DETROIT AVE SW
dada.doll @macmiller.com
CONTRACTOR
CITY
SEATTLE
STATE
ZIP
98106
FAX
WA
( ) -
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
MACDOFS980RU
/ /
20 -03- 100372 -00 -BL
NAME
PRIMARY PHONE
DARLA DOLL
( 206) 768 -4278
APPLICANT
MAILING ADDRESS
E-MAII.
7717 DETROIT AVE SW
dada.doll @macmiller.com
CITY
STATE
ZIP
FAX
SEATTLE
WA
I
I
98106
NAME
PRIMARY PHONE
PROJECT CONTACT
DON WATERHOUSE
( 206) 396 -9214
I cert(fy under penalty of perjury that I am the property owner or authorized agent of the property owner. I cert(fg that to the best
of my knowledge, the irtformation submitted in support of this permit application is true and correct. I certWy 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 Rf 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
Wormation sup the city as a part of this ap cation.
1
SIGNATURE: DATE 10 -25 -2011
PRINT NAME: DARLA DOLL
33325 8" Avenue South ♦ Federal Way ♦ WA ♦ 98003 -6325 ♦ 253 -835 -2607 ♦ fax: 253- 835 -2609 ♦ www.cityoffederalway.com
Bulletin #160 —January 1, 2011 Page 1 of 2 k:\Handouts\Electrical Permit Application