16-100433 � — .- 0 • Etectrical
City of Federal Way ��jj
Community&Econ.Dev.Services Permit #: 16-100433-00-EL
33325 8th Ave S
Federal Way,WA 96003
Inspection Request Line: (2
53)835-3050Ph (253)835-2607 Fax:(253)835-2609
F ILE
Project Name: STRATEGIC RESEARCH
Project Address: 500 S 336TH ST Unit 103 Parcel Number: 926500 0370
Project Description: Install new lighting in remodeled area.Install(3)exit/emergency lights.
,
Owner Applicant Contractor
PATRICIA ARNOLD ANDREW BENTLEY D F ELECTRIC INC
3111 SW 346TH CT D F ELECTRIC INC DFELEI*010D9(3/31/17)
FEDERAL WAY WA 98023-3111 6401 N 42ND ST PO BOX 7205
TACOMA WA 98407 TACOMA WA 98417
,
Additional Permit Information
Electrical Work Valuation? 6900 Is this an Online or O.T.C.application? Yes
Is Use Educational or Institutional? No Service greater than 999 Amps9 No
No Fixtures Associated With This Permit!!
PERMIT EXPIRES Monday, July 25, 2016
Permit Issued on Wednesday, January 27, 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 accordan a with the laws, rules and regulations of the State of Washington
the C. of Federal Way. /
Owner or agent: Date: ! —2 9 I(,
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THIS CARD IS TO �
RE ON-SITE
CITY OF • Construction Inspe lion Record ` _.-
Federal Way INSPECTION REQUESTS: (253)835-3050 •
PERMIT#: 16-100433-00-EL Address: 500 S 336TH ST Unit 103
Project: PATRICIA ARNOLD 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
O Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
O Feeders/Sub-panels(4045) 0 Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
o Final-Electrical(4055)
Approved
Date l_1
t
0 Rough ElectricalCI Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
REC cE
IIlil •
JAN 27 2016 ELECTRICAL
CITY OF
Federal Way CITY OF FEDERAL WAY PERMIT APPLICATION
PERMIT NUMBER ( `F0 _ O 0 ,5 3 _ i,r
SUITE/UNIT/SPACE#
SITE ADDRESS:
SOD S 3 3C0-14- s7-. # ( 03
PROJECT VALUATION ASSESSOR'S TAS/PARCEL# CURRENT/PROPOSED USE
$
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PROJECT NAME q—.��
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(Tenant or Homeowner Last Name) /► 4J- )C ?,E.S1E 4 C n,..A
INS"1111 _ JE j / I(.14 TPPJ 6. ( N REP''10*L� Are 4-
PROJECT DESCRIPTION Z c))J Erc tT (ev Fsvc-r L-1(111--s
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
b ,p. ELEc.-rZ\C, It. C., (Z53 ) S42-3R4
MAILING ADDRESS
,y E-MAI
ELECTRICAL 3QY` 'z0�^- a,.,0yip__ itet.ri[./1-ei
CONTRACTOR CITY STATE ZIP FAX
'j C.oMlt. 4014- 9 Y417-- (ZSR )2l'f.- 3340
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
be E +-ee aer Dpi 3 /3 I / I l-
NAME ( PRIMARY PHONE
APPLICANT ANx,v( -z,'-1- y (`-''' 5- 374
MAILIN 3 ADDRESS / MAI
Pa 13oo czoc " Ql-r /e4f* k1e-J
CITY STATE' q ZIPN (Z✓ Z qz (0NAME PRIMARY
PROJECT CONTACT _�j ,D Lt (24QEy (Z5 )( S-$q,3
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 applicati. .
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SIGNATURE: /��.+
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PRINT NAME: , Ni r
Bulletin#160-January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application