16-104903 r
Electrical
City of Federal Way
Community Development Dept. Permit #:16-104903-00-EL
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: LAKEHAVEN UTILITY DISTRICT WWTP UV SYSTEM UPGRADE
Project Address: 3203 SW DASH POINT RD Parcel Number: 122103 9105
Project Description: Replace existing UV Disinfection System with a new high efficiency system,extending the
existing channels.
Owner Applicant Contractor
LAKEHAVEN UTILITY DISTRICT FOY GROUP CORPORATION FOY GROUP CORPORATION
PO BOX 4249 2400 NW 80TH ST FOYGRGC863LK(6/12/18)
FEDERAL WAY WA 98063 SEATTLE WA 98107 2400 NW 80TH ST
SEATTLE WA 98107
Additional Permit Information
Is this an Online or O.T.C.application? Yes
•
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Alt.Srvc/Feeder 0 to 200 ami 1
PERMIT EXPIRES Friday,6 October,2017
Permit Issued on Thursday,October 6,2016
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy d the use will be in accordance with the laws, rules and regulations of the State of
shington and the City of Federal Way.
Owner or agent: , Date: /0 —6
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D:8,11 INSPECTOR :-ARE 4 <1\D TYPE Of I`SPECT O\
THIS CARD IS TO REMAIN ON-SITE
��� Construction Inspection Record
Federal vvay INSPECTION REQUESTS:(253)835-3050
PERMIT#: 16 104903 00 Address: 3203 SW DASH POINT RD
Project: LAKEHAVEN UTILITY DISTRICT FEDERAL WAY WA 98023-2340
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.
•, .
E UFER Ground(4295) 0 o s Ditch cover(4030) ® Slab/Concrete Floor(4255)
UFER Ground(4295) \ Ditch cover(4030) Slab/Concrete Floor(4255)
By Date By Date Date `Z z ( C
.
® Pool Bonding(4195) ® Temporary Power(4275) ® Service(4235)
Pool Bonding(4195) Temporary Power(4275) Service(4235)
By Date �4 By Date -By Date
, '•
® Feeders/Sub-panels(4045) ® Rough Electrical(4225) • ® Ceiling Cover(4020)
Feeders/Sub-panels(4045) Rough Electrical(4225) Ceiling Cover(4020)
By Date By Date By Date
•• •
E Final-Electrical(4055)
Final-Electrical(4055)
Date(0 Z�
.. --r----:____,
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
CITY OF
ELECTRICAL
Federal Way PERMIT APPLICATION
RECEIVED
PERMIT NUMBER l ( _ l Q -9 O300
—.- - OCT 062016
c acini -p ,wA�r
SITE ADDRESS: $, 03 S Lt) O�Sb-1 QO l Ntr RD.
PROJECT VALUATION ASSESSOR'S TAX/PARCEL I CURRENT/PROPOSED USE
1 2 2 1 0 3 - 9 1 0 5
PROJECT NAME — — ____ ___ ____
(Tenant or Homeowner Last Name) Lakota WWTP UV System Upgrade
Replacement of existing UV Disinfection System with a new high efficiency system,
PROJECT DESCRIPTION _extending the existing channels
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER Lakehaven Utility District (253)941-1516
MAILING ADDRESS E-MAIL
PO Box 4249 kmiller@lakehaven.org
CITY STATE ZIP PAX
Federal Way WA 98023 ( ) -
NAME PRIMARY PHONE
Foy Group _(206)409-7836
MAILING ADDRESS EMAIL
ELECTRICAL 2400 NW 80th St, Suite 118 larry.s@foygroup.net
CONTRACTOR CITY STATE ZIP FAX
Seattle WA 98107 ( ( -
WA STATE CONTRACTOR'S LICENSE I EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE I
FO'lGQfsc 863 LK 06 / /. . /it 20-/4/-/031'36-o0
NAME PRIMARY PHONE
APPLICANT Larry Spiva (206)409-7836
MAILING ADDRESS EMAIL
2400 NW 80th St, Suite 118 larry.s@foygroup.net
CITY STATE ZIP FAX
Seattle WA 98107
PROJECT CONTACT NAME PRIMARY PHONE
Larry Spiva (206)409-7836
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 Iaws.
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 the city part of this application.
SIGNATURE:
PRINT NAME: ! J 44 DATE
Bulletin#160--January 1,2013 Page 1 oft k:lHandouts\Electrical Permit Application