17-103296 1
Electrical
City of Federal Way Permit #:17-103296-00-EL
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: VANTAGE RADIOLOGY& DIAGNOSTIC SERVICES
Project Address: 533 S 336TH ST Parcel Number:926480 0260
Project Description: Splice existing wiring back together after structural repairs to building
Owner Applicant Contractor
CURRAN PROPERTIES WEBBER ELECTRIC INC. WEBBER ELECTRIC INC.
1601 5TH AVE UNIT 1703 11815 110TH AVE E WEBBEEI270CH(12/2/17)
SEATTLE WA 98101-1657 PUYALLUP WA 98371 11815 110TH AVE E
PUYALLUP WA 98371
Additional Permit Information
Is this an Online or O.T.C.application? Yes
Circuits-Commercial 2
PERMIT EXPIRES Tuesday, 10 July,2018
Permit Issued on Monday,July 10,2017
I hereby certify that the abo - . formation is correct and that the construction on the above described property
and the occupancy . % th- use will be in accordance with the laws, rules and regulations of the State of
shin. .alar• e ity of Federal Way. '�AD-- j
Owner or agent: / Date: / 7
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THIS CARD IS TO REMAIN ON-SITE ..°'�� Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 103296 00 Address: 533 S 336TH ST Suite C
Project: CURRAN PROPERTIES 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.
Q UFER Ground(4295) 0 Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
4By Date ..By Date .4By Date
•
® Pool Bonding(4195) Temporary Power(4275) ® Service(4235)
Approved Approved Approved
By Date .`By Date By Date
® Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020)
Approved Approved Approved
`By Date By Date 1 ' I t {n By Date
El Final-Electrical(4055) .
Approved
B>V7-5. Date t7—l 4-l'7
0 Rough Electrical 0 Final Electrical Right of Way
Approved - Approved Approved
By Date By Date By Date
CITY OF k ELECTRICAL
Federal Way PERMI cap, ,ICATION
PERMIT NUMBER I _ 1 0 3 7-q CO
JUL 0 2017
— — - - COM UNfTY DEVELOPMENT TY OF FEDERAL
SITE ADDRESS: ,S3 3 3 3(p T N S , s SUITE/UNIT/SPACE#
PROJECT VALUATION _ ASSESSOR'S TAX/PARCEL# � _ 00 c::20 CURRENT/PROPOSED USE
$
PROJECT NAME V,91ii4E
(Tenant or Homeowner Last Name) c / J r� /� T -7-� p
J P l c GLS'/,elly; LJ p9 c / 2 C /1/E
PROJECT DESCRIPTION 4 F/fie S TeUC/E/A 4. /'t /RS 7-0
Detailed description of work to 13(,t/e4)12/6
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER VA/146 _ ,eU)/9,tigij ( ) _
MAILING ADDRESS _ _
03 stiS I E-MAIL
CITY SAE ZIP FAX
"htie°,4! ,r4 1 %0f 3 ( ) -
NAME _ ,---,-aF`4R' E(t C/_ i c _A�6 ; ( ) PRIMARY PHONE
MAILING ADDRESS E-MAIL
ELECTRICAL //B1 S' //o A4E.
CONTRACTOR FAX 559z v_ �� Zg373/ ( )
W TAE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#4/tiltEl
270 c// /0 /..?? //f
NAME PRIMARY PHONE
APPLICANT ( )
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( ) -
NAME PRIMARY PHONE
PROJECT CONTACT
( ) -
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 harm -ss the City of Federal Way as to any claim(including costs,expenses, and attorneys'fees incurred in
the investigation and defe - of such claim), which may be made by any person,including the undersigned,and filed against the city,
but only where such cl• • ses out o the reli ce of the city, including its officers and employees, upon the accuracy of the
information supplied . the c as a p of this li tion.
, et/rit. --SIGNATURE: / DATE 7 v/f/ / 7
PRINT NAME: �e�/G� 4 rt/. ..417,±-7/e
Bulletin#160-January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application