17-103666 Electrical
City of Federal Way Permit #:17-103666-00-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: CAMPUS HIGHLANDS
Project Address: ** NO SITE ADDRESS ** Parcel Number: 132174 TR-B
Project Description: Install new 100-amp service for up-lighting of monument sign. Adjacent to 34941 7th Ave SW.
•
Owner Applicant Contractor
TARGA REAL ESTATE SERVICES/ CHARLES HOCKINGCHARLES DEAN CHARLES DEAN ELECTRIC LLC
MAPLEWOOD CONDO ASS'N ELECTRIC LLC CHARLDE930LQ(6/18/17)
720 S 348TH ST UNIT A-2 28107 20TH AVE S
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 28107 20TH AVE S
Robert FEDERAL WAY WA 98003
Additional Permit Information
Is this an Online or O.T.C.application? Yes
3 3 3 �, i i. �/ : + r�: � 3113 ''''OFT,'''
3 a i '.
Alt. Srvc/Feeder 0 to 200 ami 1
PERMIT EXPIRES Tuesday,31 July,2018
Permit Issued on Monday,July 31,2017
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.
Owner or agent: f =""" "" Date: .S/ cJ c- l
GfJ
I N
THIS CARD IS TO REMAIN ON-SITE
�,roF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 17 103666 00 Address: ** NO SITE ADDRESS **
Project: TARGA REAL ESTATE SERVICES i FEDERAL WAY WA 98023
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.
® UFER Ground(4295) ,® Ditch cover(4030) ® Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date Date 40.27_ (-2 By Date
® Pool Bonding(4195) ® Temporary Power(4275) ® Service(4235)
Approved Approved Approved
By Date By Date .BCS Date�r�—
c?IJ Feeders/Sub-panels(4045) ,® Rough Electrical(4225) ,® Ceiling Cover(4020) ,
Approved Approved Approved
By Date By Date t By Date
'
.1=1 Final-Electrical(4055)
Approved
- y �� DateC1__
El Rough Electrical ❑ Final Electrical ❑ Right of Way
Approved Approved Approved
By Date By Date By Date
41 , 1x4- 73..
A, RECEIVED ELECTRICAL
CITY OF
Federal Way JUL 31 2017 PERMIT APPLICATION
CITY OF FEDERAL.WAY
COMMUNITY DEVELOPMENT / / ^� /
6 PERMI'! NUMBER / L 0 G_ / 6 _ f
SITE ADDRESS• 3 c ► Ilv _• SUITE/UNIT/SPACE#
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
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PROJECT NAME
(Tenant or Homeowner Last Name) C.A M PJ:N `.:+1(s ly LI\ , f
1 Iv>"1"'aL L C L bc.) A t l,'j cvL-I(AL S c R-u t c E
PROJECT DESCRIPTION c-o't__ t"`'5r-.1'='t—tEr- T (.l<ir--)
Detailed description of work to
be included on this permit only
NAME
.3iv-E 1 PRIMARY PHONE
PROPERTY . W NR'(I- % �' 1 v-1 p Q.--...�j t 4-_,-s, ( 1 -s,?, ) !,i it- ;8'-1-S3'
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MAILING ADDRESS E-MAIL
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ZIP
FAX
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NAME
PRIMARY PHONE
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coi I`,/� MAILING ADDRESS E-MAIL +
ELECTRICAL I f t `�'1 o`1 1 O tAk)t:' S
CONTRACTOR CITY STATE ZIP FAX
0( l ( WA STATE CONTRACTOR'S LICENSE#
� 1(�tL� 7E ��3u L � EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
I / /
NAME
V.--C.
PRIMARY PHONE
APPLICANT V_c LA) i LOC,tiA ( ) -
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 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 cite, including its officers and employees, upon the accuracy of the
information supplied to the 'ty as a part of this application.
SIGNATURE: /<-•/-------------
-•/------------ _-..__ .--_..__._ DATE ✓/ C.7---U LSI Zo/ .
PRINT NAME: /G EL(.1 I L c .- )G
Bulletin#160—April 14,2016 Page 1 of 1 k:AHandouts\Electrical Permit Application