16-104987 Electrical
Community
CityofFederalWDevelopment ayDept. Permit #:16-104987-00-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: NIPPON DYNAWAVE PACKAGING COMPANY
Project Address: 32001 32ND AVE S Parcel Number:215465 0010
Project Description: Furniture connections
**REVISED on 10/19/16 TO INCLUDE DEMO POWER FOR LIGHTS AND
RECEPTACLES AS NEEDED.PROVIDE POWER FOR FURNITURE CONNECTION
USING EXISTING CIRCUITS.INSTALL WHIPS AND RECEPTACLES FOR
FURNITURE.
•
Owner Applicant Contractor
STERLING REALTY ORG RONALD SHACKELFORDMATRIX MATRIX ELECTRIC LLC
600 106TH AVE NE SUITE 200 ELECTRIC LLC MATRIEL901NR(8/19/16)
BELLEVUE WA 98004 15419 24TH AVE E
TACOMA WA 98445 15419 24TH AVE E
TACOMA WA 98445
•
Additional Permit Information
Is this an Online or O.T.C.application? Yes
PERMIT EXPIRES Friday, 13 October,2017
Permit Issued on Thursday, October 13,2016
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.
Q ( -
Owner or agent: ,\A 15 C1(-- A Date: k0
•
® • " Electrical
City of Federal way Permit #:16-104987-00-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: NIPPON DYNAWAVE PACKAGING COMPANY
Project Address: 32001 32ND AVE S Parcel Number: 215465 0010
Project Description: Furniture connections
•
Owner Applicant Contractor
STERLING REALTY ORG RONALD SHACKELFORDMATRIX MATRIX ELECTRIC LLC
600 106TH AVE NE SUITE 200 ELECTRIC LLC MATRIEL901NR(8/19/16)
BELLEVUE WA 98004 15419 24TH AVE E
TACOMA WA 98445 15419 24TH AVE E
TACOMA WA 98445
Additional Permit Information
Is this an Online or O.T.C.application Yes
PERMIT EXPIRES Friday, 13 October,2017
Permit Issued on Thursday, October 13,2016
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
ington and the City of Federal Way.
Owner or agent: or Date: &GI" 13 20/6
F
N tik
,
r THIS CARD IS TO REMAIN ON-SITE t
CRY Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 16 104987 00 Address: 32001 32ND AVE S Unit 310
Project: STERLING REALTY ORG FEDERAL WAY WA 98001
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) Ditch cover(4030) El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
El Pool Bonding(4195) El Temporary Power(4275) ® Service(4235)
Approved Approved Approved
.By Date �C.By Date ��By Date
® Feeders/Sub-panels(4045) , ® Rough Electrical(4225) ® Ceiling Cover(4020)
Approved Approved Approved
By Date ' By Date By IMO Date to('24011400
El Final-Electrical(4055)
Approved
By M6 Date to[2..o I 1 y
0 Rough Electrical 0 Final Electrical - E Right of Way
Approved Approved Approved
By Date By Date By Date
A.
RECEIVED ELECTRICAL
CITY OF
Federal l Way OCT 18 2016 PERMIT APPLICATION
CITY OF _FEDERAL WAY //
CDS PERMIT NUMBER �p L> ( - �. (__.—
/ SUITE/UNIT/SPACE#
SITE ADDRESS: 320p1 coo- 32wA.ite-
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ OWP3 2- 1 5--_5 (05-- O 0 1 ?)
PROJECT NAME Ni(Tenant or Homeowner Last Name) 1 i p oo 0/1
PROJECT DESCRIPTION c cat se COAAe-CA'C:✓`S( no.)e�
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER I r`$ N,(18.0 ilex- Covvvec& y (lob) 33( - 532-J
MAILING ADDRESS l E-MAIL
4 is- 43(k,Le4-- 'gk.v o .&u.- l ice. 2--1S)
CITY STATE ZIP FAX
S'e. . vv, 9 1 Fe- ( ) -
.- l 2
NAME PRIMARY PHONE
M c1,l-t'1,4. Gte-c. C ( 3) 17- 977
MAILING ADDRESS E-MAIL
ELECTRICAL P, a. 0 k ((2-62-- Co n e n-to+n IcefeC c,cuie..ccd,
CONTRACTOR CITY STATE ZIP FAX
TTi io An,A- v3FN- `i Ert--( ( i ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
Mgt-r+�-t_1Ol0n` tai /i&
NAME PRIMARY PHONE _--
APPLICANT rr l X CL 'tet[- (Z0) 7?-1-9797
MAILING ADDRESS E-MAIL
e' JgoX 11?--(02.-
CITY
(z--(0ZCITY STATE ZIP FAX
t t- `ts-'/1< ( ) -
NAME PRIMARY PHONE
PROJECT CONTACT (411A Sktria44t 64 (2if'3) 797- 91ci7
I certify under penalty of perjury that I am the property owner or authorised 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 Wag regulations pertaining to the work authorised 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 be made by any person,including the undersigned,and filed against the city,
but only where such claim arises out of the rel J/. y, including its officers and employees, upon the accuracy of the
information supplied to the city as a part o `=•
SIGNATURE: -'411
/P DATE /0/f 3/i4
PRINT NAME: .k.I ' . A _, ' -�
PERMIT CENTER+33325 8th Avenue South+ Federal Way,WA 98003-6325
253-835-2607+ FAX 253-835-2609+permitcenter@cityoffederalway.com
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application