16-100120 0 _ + q
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City of Federal Way ��,//,
Community&Econ.Dev.Services
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Permit #: 16-100120-00-EL
33325 8th Ave S �—
Federal Way,WA 98003 144.
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: CRESTVIEW ANIMAL HOSPITAL
Project Address: 28822 PACIFIC HWY S Parcel Number: 042104 9026
Project Description: Installation of rooftop PV system.
Owner Applicant Contractor
WILLIAM G BALDWIN SOLTERRA SYSTEMS SOLTERRA SYSTEMS
34801 37TH AVE S 2910 1ST AVE S SUITE 200 SOLTES*895MR(7/19/17)
AUBURN WA 98001-9048 SEATTLE WA 98134 2910 1ST AVE S SUITE 200
SEATTLE WA 98134
Additional Permit Information
Electrical Work Valuation? 12121 Is this an Online or O.T.C.application? No
Is Use Educational or Institutional9 Yes Service greater than 999 Amps? Yes
Electrical Fixtures
Alt.Srvc/Feeder 0 to 200 amps(C 1
PERMIT EXPIRES Wednesday, July 20, 2016
Permit Issued on Friday,January 22, 2016
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: I—1 2' l 6
Fl%Atior-°
• THIS CARD IS TO RE1WI T ON-SITE A
i CITY OF ` Construction Inspalition. Record ,
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 16-100120-00-EL Address: 28822 PACIFIC HWY S
Project: WILLIAM G BALDWIN FEDERAL WAY, WA 98003-3802
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.
El UFER Ground (4295) "❑ Ditch cover(4030) `0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
0 Pool Bonding(4195) ' 0 Temporary Power(4275) CI Service(4235)
Approved Approved Approved
By Date By Date By Date
. .
❑ Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) E Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
.❑ Final-Electrical(4055)
Approved
By 'us Date 21g'l i 6
D Rough ElectricalEl Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
- 4. • At
• RECEIVED •
Alk ELECTRICAL
CITY OF
Federal Way JAN 11 2016 PERMIT APPLICATION
CITY OF FEDERAL WAY
PERMIT NUMBER5 7 C D
SUITE/UNIT/SPACE#
SITE ADDRESS: 8622 PC\c C c vayi $ c east t \ D$
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
i-L44 V2)Vi) 0 4 2 1 a Lk - q 0 2- Lo
PROJECT NAME /
(Tenant or Homeowner Last Name) 13(0 J t<o 1( )5`( /CfrS7LVI& ) Ant 41&,/ M)sp;/ /
PROJECT DESCRIPTION t(1S*flJ I lila Wil. c . ( ) KW PV S��t-ec n or, ro d-C
Detailed description of work to JJ
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER 1�j 1 l 1 \CA W i n 0-53)85t) - IANC
MAILING ADDRESS E-MAIL
' 22 PCK_Igi0 CIUJ 1l S. br392c cam m e,Comcast.- le
CITY STATE ZIP FAX
Fecke fa.\ vJ Pv-i ij \ goo 3 ( 1 -
NAME PRIMARY PHONE
Sc Ilex rck S'y SIC rnS (foo )(s -%DOLS
MAILING ADDRESS E-MAIL
ELECTRICAL 291 0 l 't ( S e.2023 SO 11'1 M a soticmx.tor
CONTRACTOR CITY STATE ZIP FAX
Ca-c-1,-e_ ww ctBI314 ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
Sok.TE:S4 its Iw — / 1'i / ti
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS ( ) EMAIL
CITY STATE ZIP FAX
( ) -
NAME PRIMARY PHONE
PROJECT CONTACT Jade G N16 1 (goo ) S - ,qcc
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.
.- ) 1166
SIGNATURE .. . ._:-___._ , �...,.,1,.....-- 1,-- " — DATE
PRINT NAME: -r C~"-- C:aC ,c•v,`k Li
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Bulletin#160-January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application