16-100379 • Electrical
ty of Way
Community&Econ.Federal Dev.Services raj Permit #: 16-100379-00-EL
33325 8th Ave S
Federal Way Fax. Inspection Request Line:seoo3 " (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: TRINITY GLASS
Project Address: 33615 1ST WAY S Parcel Number: 926504 0190
Project Description: Install wiring for new generator,transfer switch,transformer and(2)new panels.
Owner Applicant Contractor
TRINITY GLASS KENT RIVERS ALLIED ELECTRIC CORP
4621 192ND ST E ALLIED ELECTRIC CORP ALLIEEI963CQ(2/18/18)
TACOMA WA 98446 5905 15TH. ST E 5905 15TH ST E
FIFE WA 98424 FIFE WA 98424
Additional Permit Information
Electrical Work Valuation? 15000 Is this an Online or O.T.C.application? Yes
Is Use Educational or Institutional? No Service greater than 999 Amps? No
Electrical Fixtures
Alt.Srvc/Feeder 0 to 200 amps(C 2 Circuits-Commercial 2
PERMIT EXPIRES Sunday, July 24, 2016
Permit Issued on Tuesday, January 26, 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: / G� Date: / -,,2cD/G
• THIS CARD IS TO IN ON-SITE
CITY OF Construction In ection Record • -- -
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 16-100379-00-EL Address: 33615 1ST WAY S
Project: TRINITY GLASS FEDERAL WAY, WA 98003-6263
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) El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
. . .
❑ Pool Bonding(4195) Ei Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
o Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
❑ Final-Electrical(4055)
Approved
By \41,.....,...) Date +3_„15,..,x‘6
El Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
Irk .,
RECEIVED
CITY OF ELECTRICAL
J�� 201° PERMIT APPLICATION
Federal Way CITY OF FEDERAL WAY
�
0 �]CD S
PERMIT NUMBER / (J _ I D 3 / J _ 6 L/
S T SUITE/UNIT/SPACE#
SITE ADDRESS: 3 36/ " 6.44y 59 A7 bi
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ i.� . `G 9' co Q `l - oi 9 O
PROJECT NAME
(Tenant or Homeowner Last Name) Z ?�/.1�%) G LASS
y7vS7:9cC (.✓ZTL`ty G- i v,2 Nva✓ G£ry 7v2i T�f)N f (2
PROJECT DESCRIPTION Ste A! %R'ehlJ''tf f2 . e A NI;w /2i4/f-LS
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER -772Tiv --r f G.4,4J5 (X3)675--670 0
MAILING ADDRESS E-MAIL
3 /.S /J.r 6,/4 , ,Spur/-1
CITY STATE ZIP FAX
le4O5 (AJAV C0/9 , ??003 (.2r3)97.5- b,9/5
NAME PRIMARY PHONE
,41 G D usewer . Cca 0 . (Z3 ) 9X - .24000
MAILING ADDRESS E-MAIL
ELECTRICAL $-905- /.r'7.!4 57- 61J7- kri ve-S44.2lferVar 1. v i
CONTRACTOR CITY STATE ZIP FAX
f,P ( • 98`/3/ (03 )V4 -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
,4GL.TEE2 Ge Ca //f3 /vg ii/-o oo0-11,a,3 . .
NAME ... PRIMARY PHONE
APPLICANT ktc' I ,2 V4,2S (.73-3 ) 1.24 - a .00
MAILING ADDRESS E-MAIL
5 Ye'S— /s'Llt 57- r 4S 7- AI-)tJe-stAtfel .
CITY STATE ZIP FAX
14 - (A,A. Pert// ( ) -
NAME PRIMARY PHONE
PROJECT CONTACT A-N T R rvF/ts ( '53) 3/8 - 7 Y' — u)
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.
SIGNATURE: /ei DATE �/o'�NK�`/ i 02/6
PRINT NAME: kA.'T .r(t'/
Bulletin#160—January 1,2013 Page 1 of 2 k\Handouts\Electrical Permit Application