13-102346 r
Ill li Electrical
City of FederalWay Permit #: 13-102346-00-E L
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p Q
Project Name: WILD WAVES
Project Address: 36201 ENCHANTED PKWY S Parcel Number. 282104 9026
Project Description: Replace exterior lighting fixtures.
Owner Applicant Contractor
CNL INCOME ENCHANTED VILLAGE LLC BERQUIST ELECTRIC INC BERQUIST ELECTRIC INC
PO BOX 4920 P 0 BOX 1993 BERQUEI920M5(7/28/14)
ORLANDO FL 32802-4920 ORTING WA 98360 P 0 BOX 1993
ORTING WA 98360
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 20
PERMIT EXPIRES Monday, November 25, 2013
Permit Issued on Wednesday, May 29, 2013
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 agentfirDate: ZGl—
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C THIS CARD IS TO MAIN ON-SITE `
�bF 0 Construction In ection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 13-102346-00-EL Address: 36201 ENCHANTED PKWY S
Project: CNL INCOME ENCHANTED VILLA( 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) 0 Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
❑ Pool Bonding(4195) 0 Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
❑ Feeders/Sub-panels(4045) El Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
O Final-Electrical(4055)
Approved
By hM? Date 4l 12,1 ,;
❑ Rough Electrical ElFinal Electrical ID Right of Way
Approved Approved Approved
By Date By Date By Date
.A RECEIVED y
CITY OF MAY 2 9 213
ELCTRICAL
Federal Way PERMIT APPLICATION
CITY OF FEDERAL WAY
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PERMIT NUMBER 1 _ / 00�` -Yl ✓1 / - J�
/ ( SUITE/UNIT/SPACE#
BITE ADDRESS: CZ-C)' t P L(w S C t\\ ,,
PROJECT VALUATION ASSESSOR'S TAX/PARCEL ffJ CURRENT/PROPOSED USE
$ OPOO 1 '1 - 6
PROJECT NAME L� { ,
(Tenant or Homeowner Last Name) W . k/e S
PROJECT DESCRIPTION -'fiD.Ct 13 "Zx+�it?l L.ia�i-�t�c
Detailed description of work to �J Lt
J
be included on this permit only
HANE ,(/// PRIMARY PHONE
PROPERTY OWNER ri
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MAILING ADDRESS �C," E-MAIL
CITY STAZIP FAX
((((((JJJJJJ ( )
NAME PRIMARY PHONE
Berg()iS+ CE.1¢13-r;C 1.0c. (63 1 Z),Z- - 6063
E-MAILMAILING ADHRXSS
ELECTRICAL Po C ,n,. 1")tet?)
CONTRACTOR CITY STATE ZIP FAX
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WA STATE C@I'RACTOR'S LICENSE M EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE M
SLRQOI,9ZO In 5 - /t9 /V-1
NAME PRIMARY PHONE
APPLICANT ' ect -i-- (ZS3 )ZiZ - 60%
MAILING ADDRESS E-MAIL
cc) Pix 693
CITY STATE ZIP FAX
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NAME PRIMARY PHONE
PROJECT CONTACT 6_ __J4s-i-- (Z.53 1 ,1? - S05 .
I certify under penalty of perjury that I am the property owner or authorised 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 authorised 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 Qapplication. ] 4
SIQNATURE: ( �]2iLi
WDATE 'L-1-
PRINT NAME: {" c-l" 1erciy li,Sk'
Bulletin#160-January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application