13-105484 R
' lectrical1
City of Federal Way
Community&Econ.Dev.Services Permit #: 13-105484-00-EL
33325 8th Ave S e7 r
Federal Way,WA 98003 ' ,w4
Ph:(253)835-2607 Fax:(253)835-2609 i — Inspection Request Line: (253)835-3050
Project Name: NEWLAND COMMUNITIES
Project Address: 505 S 336TH ST Unit 430 Parcel Number: 926480 0270
Project Description: Relocate(2)thermostats.
Owner Applicant Contractor
KIDDER MATHEWS PERFECT CLIMATE INC(ELECTRICAL) PERFECT CLIMATE INC(ELECTRICAL)
1201 PACIFIC AVE S SUITE 1400 4426 221ST PL NE PERFECI969RN(12/15/14)
TACOMA WA 98402 REDMOND WA 98053 4426 221ST PL NE
REDMOND WA 98053
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
Thermostat 2
PERMIT EXPIRES Sunday, June 8, 2014
Permit Issued on Tuesday, December 10, 2013
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and t u will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent j . Date: /2-7/ U / / —7)
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THIS CARD IS TO MAIN ON-SITE
�CiFY OF '°4 _ �.
• Construction I ection Record -
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 13-105484-00-EL Address: 505 S 336TH ST Unit 430
Project: KIDDER MATHEWS 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) El Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
El Final-Electrical(4055)
��� ► Approved
iiiiDate(--- (.—.
O Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
IEIVED •
DEC 10 2013 ELECTRICAL
Federal Way CITY OF FEDERAL WAY PERMIT APPLICATION
CDS
PERMIT NUMBER ), _ / 0 5 - g T _
SUITE/UNIT/SPACE#
SITE ADDRESS: 505 Sc 3 6 r` ST 1-1) S
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ 900 -
PROJECT NAME
(Tenant or Homeowner Last Name) 02-`P!l )
12- CX-)A- C2) L \Ssv - S 1_csw u 4---IMP4t4
PROJECT DESCRIPTION T� STS
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER K1-0CN n-- 1'"rPr''n--VW S (2S3 )12L - 1`)3-7
MAILING ADDRESS E-MAIL
120\ ?Pre_ AOC-
CITY STATE ZIP FAX
C- 1t- 9 kvZ (13 ) L- )' 2-7
NAME PRIMARY PHONE
MAILING ADDRESS E-MAIL
ELECTRICAL 22. S \�L 1'V L'' ?t=L i M ' ty)IfWL L'-
CONTRACTOR CITY STATE ZIP FAX
1 `Dr^v Mn waa 1 C S 1 ( H� ) a - o
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
\%°\° , -mac r 6 iZrte 127 IC '1 ') } I - I O 18%X
NAME PRIMARY PHONE
APPLICANT (LrMe� 1^-�� (2i>6 ) 73C-7
`177-
MAILING ADDRESS E-MAIL
4 tA 7-4. 22
�GZi n,Na'1� EP (IDZ^Ci1
CITY STATE ZIP FAX
'?6o c ? (toc )6.31 - 3'k'
NAME PRIMARY PHONE
PROJECT CONTACT '7P E'P 1 ( 11 Z)z4.6 - Z5 C3
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 flied against the city,
but only where such clai - arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to Wee 'ty as a part of this application.
j
SIGNATURE: DATE /2- - /U"13
PRINT NAME: ? '
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application