14-105705 t •
Electrical
City of Federal Way "
Community&Econ.Dev.Services VMSA
Permit #: 14-105705-00-EL
33325 8th Ave S
Federal Way, rs
Ph:(253)835-2607 Fax:WA(253)98003 835-2609 Inspection Request Line: (253)835-3050
Project Name: CRESTVIEW WEST APARTMENTS BLDG 9 3
�4
Project Address: 27916 PACIFIC HWY S Bldg 9 Parcel Number: 720480 0210
Project Description: Upgrade exterior lighting to LED fixtures,including parking lot lighting.
Owner Applicant Contractor
PATRICIA ING RELIANT ELECTRIC RELIANT ELECTRIC
1522 ALEWA DR PO BOX 3294 RELIAE*074D0(3/20/15)
HONOLULU HI 96817-1205 KIRKLAND WA 98083 PO BOX 3294
KIRKLAND WA 98083
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-Multi-family 5
PERMIT EXPIRES Saturday, May 2, 2015
Permit Issued on Monday, November 3, 2014
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the us- , ill be in accord - laws, rules and regulations of the State of Washington
• t r; C/,' •f Federal Way.
drip
/F3c2O'XOwner or agent. Date.
THIS CARD IS TO MAIN ON-SITE ,
"TM OF •
Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 14-105705-00-EL Address: 27916 PACIFIC HWY S Bldg 9
Project: PATRICIA ING 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.
O UFER Ground (4295) ❑ Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
O Pool Bonding(4195) El Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
O Feeders/Sub-panels(4045) El Rough Electrical(4225) E Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
❑ Final-Electrical(4055)
Approved
By Date .1 I—171N— t
lam '1 F
El Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
ELECTRICAL
CITY OF
Federal Way PERMIT APPLICAMON
PERMIT NUMBER f 4--._ 1 0 5- .713 5 oc N
O V 0 3 2 014
CITY OF F(�E�DCCERAL WAY
r
SUITE/UNIT/SP
ALAS
SITE ADDRESS:
.?7/)., fr(7��' m// f _S 7_9
PROJECT VALUATION , ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ 3livric.--tU7A_Q YE 0 - C)_ / 0
PROJECT'
�j� _ 9'
(Tenant or Homeowner Last Name) �--�F'��S� �1� �C�i&I �//�'��j7 C (� ���
gem 16/ -c V; &IFS az_ T f
PROJECT DESCRIPTIONCV mi. 1�e � ��!
! 1-' I
Detailed description of work to
be included on this permit only
NAME
PROPERTY OWNER Cges) !/l�'�%tr We- ftw- rd ( )P 7
MAILING ADDRESS s
E-MAILj.
X77/ fc-- ow/ -C-- flmmT ,e e '7 (
CITY �'/� r! ST��I// ZIP 7pa) ( )) FAX
NAME
pelt 00r �~�IC P 7YPHONEfri5 )�� _�777
MAILING ADDRESS E-MAIL
ELECTRICAL <20 6Q<- 3 -iti
CONTRACTOR CITY
STATE ZIP
/4�'�'' V' / `" U''. ?-8l R3 ( ) FAX
WA STAT NTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
u/1 t 071/12) u3 iz
.. - NAME
PRIMARY PHONE
, ;?y; \S COYIc ( )
APPLICANT MAILING ADDRESS
E-MAIL
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 ma b=made by any person,including the undersigned,and filed against the city,
but only where such claim arises out of t - re:. .- of he city, including its officers and employees, upon the accuracy of the
information supplied to the city as ap. Jo his •,p -cacti•
J
SIGNATURE: ill �' /1 �},1/
r--;'-
DATE - 3— c�-Ol 1/
PRINT NAME: / J(II }
Bulletin#160-January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application