16-100139 • Elect-a 1
City 8th Ave S Federal Way ILE
Community&Econ.Dev.Services
33325Permit #: 16-100139-00-EL
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: KITTS CORNER BUSINESS PARK-UNITS 6 & 9
Project Address: 1707 S 341ST PL Parcel Number: 390380 0020
Project Description: Remove(2) existing roof top units and tie into existing power for heat pump
Owner Applicant Contractor
NORMA S DAWSON SEA-AIRE INC(GENERAL) SEA-AIRE INC(ELECTRICAL)
GARY L DAWSON 340 UPLAND DR SEAAII*005KK(4/26/16)
17087 10TH AVE NW TUKWILA WA 98188 340 UPLAND DR
SEATTLE WA 98177 TUKWILA WA 98188
Additional Permit Information
Electrical Work Valuation? 250 Is this an Online or O.T.C.application' Yes
Is Use Educational or Institutional" No Service greater than 999 Amps? No
Electrical Fixtures
Circuits-Commercial 2
PERMIT EXPIRES Sunday, July 10, 2016
Permit Issued on Tuesday, January 12, 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.
Owner or agent: �.'�nc �'`�'��jc_ Date: / f �. / �.
THIS CARD IS TO MAIN ON-SITE, ,
�,�',I ' • Construction Ins ction Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 16-100139-00-EL Address: 1707 S 341ST PL
Project: NORMA S DAWSON FEDERAL WAY, WA 98003-6867
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.
•
El UFER Ground (4295) ® Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
❑ Pool Bonding(4195) �0 Temporary Power(4275) �❑ Service (4235)
Approved Approved Approved
By Date i By Date By Date
® Feeders/Sub-panels(4045) 0 Rough Electrical (4225) El Ceiling Cover(4020)—'
Approved Approved Approved
By Date By Date By Date
0 Final-Electrical(4055)
Approved
ByC.,.., Date e3_1.r.r 1
+
Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
$
•
Att,CITY OF 44111141"*."..-
.. E EC'T'RICAL
Federal Way PERMIT APPLICATION
1O 0 ( � G — 0 JAN 122016
PERMIT NUMBER ` (C' _
— — — — CITY OF FEDERAL WAY
CDS
SUITE/UNIT/SPACE#
SITE ADDRESS: /7Q? s 3 / pe_ go
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PROJECT VALUATION / ASSESSOR'S TAX/PARCEL# ( CURRENT/PROPOSED USE
S 0SU 39 o sec, _ o O zO
PROJECT NAME V ITT'S RA ' }2U5 -PA _(�
(Tenant or Homeowner Last Name) f�-1 V S� l N�y�
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PROJECT DESCRIPTION 6, `",,' 4 - (7 on T`v,1 r
Detailed description of work to
be included on this permit only
NAME / PRIMARY PHONE
PROPERTY OWNER 1'rl E'--%)ft ,pctu.)S '+^t ( 2.c` '(`a b-2
MAILING ADDRESS E-MAIL
l70 g 7 .t D Al c.1 1<c . 6, cor of 9,1
CITYSTATE Z FAX
L.)A— � 'i77 ( ) -
NAME PRIMARY PHONE
MAILING ADDRESS E-MAIL
ELECTRICAL 2,Y ) L P604 Q b Cay -of eil--flare .evil"-
CONTRACTOR
vivyCONTRACTOR CIT STATE ZIP FAX
/ c%K Lje CA- (Ai/k / 8E, ( zo(p T 75 D()S 3
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
cAA-- -*ODS.K k Li / Z- / /6, 2-v 0 0 / &t 0, 6;
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NAME " PRIMARY PHONE
D 'U4 nle ) a-- ISeA-- A-I s sz- (� G ) 7.7?-'- 663
APPLICANT MAILING ADDRESS E-MAIL
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CITY STATE ZIP FAX
(
PROJECT CONTACT NAME PRIMARY PHONE
/ Al6e ,t,, c� ( � �- ) I7(; 46.36
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 Iaws 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 city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
SIGNATURE:
D___ .,„-s G" DATE / —/ 1 - / ic.,
PRINT NAME: 4 v /460"1.a1' i K 'G`
Bulletin#160—January 1,2013 Page 1 of 2 k:AHandouts\Electrical Permit Application