12-100658 °Electrical
City of Federal Way
Community&Econ.Del/.Services Permit #: 12-100658-00-EL
33325 8th Ave S tILE
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: SBA
Project Address: 33400 9TH AVE S SUITE 210 Parcel Number: 926501 0060
Project Description: Add/alter up to(5)circuits for tenant improvements. Relocate(9)data locations.
Owner Applicant Contractor
GOLDEN STONE PROPERTIES LLC CHARLES DEAN ELECTRIC LLC CHARLES DEAN ELECTRIC LLC
1115 S 348TH ST SUITE A 28107 20TH AVE S CHARLDE930LQ(6/18/13)
FEDERAL WAY WA 98004 FEDERAL WAY WA 98003 28107 20TH AVE S
FEDERAL WAY WA 98003
Is Use Educational or Institutional? No Service greater than 999 Amps? No
viti 4 = ' is
Circuits-Commercial 5 Low Voltage-Other(Commercial 1
PERMIT EXPIRES Saturday, August 11, 2012
Permit Issued on Monday, February 13, 2012
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: /Air Date: 2.% 13• '2
3/te/(z-
` ta: THIS CARD IS TO REMAIN ON-SITE
CITY OF , ''-` - IConstruction I ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 12-100658-00-EL Address: 33400 9TH AVE S SUITE 210
Project: GOLDEN STONE PROPERTIES LL 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.
0 UFER Ground (4295) ❑ Ditch cover(4030) -0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
0 Pool Bonding(4195) 0 Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) 0 Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By3(S Date z—/ /2. By Date
0 Final-Electrical(4055)
Approved
By C.ah.., Date 3 \0..—\
0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
� 1
4116,
CITY OF
Fe •d= - ELECTRICAL
IT APPLICATION
iktx
nv FO
ctrical permits may be obtained on-line at www.cityo ederalway.com**
SITE ADDRESS: 3 3 yD v S
SUITE/UNIT/SPACE#�� ASSESSOR'S TAX(,PARCEL M � � - � � Co 0 CURRENT/PROPOSED USE
PROJECT NAME C
(Tenant or Homeowner Last Name)
Ce ro qI-e kx: st ny c ;9 A7';
PROJECT DESCRIPTION A.d Ca) Ne w c t S f ecf P/ Q C(t 3
Detailed description of work to
be included on this permit only e c cf't I d are/ f1)oft(O^S
NAME PRIMARY PHONE
PROPERTY OWNER C�o� en ��� ��C ) -
MAILING ADDRESS E-MAIL
ltd owe
CITY STATE ZIP FAX
)
NAMt ( q/ k S C)ectn &(ecfr( 3) 7c 1 -MARY P93?6
IINNf��jjA..DDRESS E-MAIL
ELECTRICAL 01 O? 201,4
A_10 e 9
CONTRACTOR CITY W �� ZIP^tO 03
) FAX
WA STATE CONTRACTOR'S LICENSE# [EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
C (fi14 ' LDE g30 to, / / 071033Y ?- 00-04.
NAME PRIMARY PHONE
APPLICANT )
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
)
NAMEPRIMARY
PROJECT CONTACT C ar' S PHONE
3 )7� q 3 q
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 wtli 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 city, including its officers and employees, upon the accuracy of the
information supplied to the c'- as a part of this application.
SIGNATURE: DATE 2- ( 3 12
PRINT NAME: C/1 et r k f S� '4 C t •
33325 8th Avenue South •Federal Way♦WA•98003-6325•253-835-2607•fax:253-835-2609♦www.cityoffederalway.com
Bulletin#160—January 1,2011 Page 1 of 2 k:\Handouts\Electrical Permit Application
RESIDENTIOL fit MN IAL
NEW SINGLE FAMILY RESIDENCE NEW COMM
Total Square Feet 1st Service/Feeder Additional Feeders
(including attached garage): as t i e
FEES: First 1300 ft2-$122.00; 1 1 20 a7rnp ' s .. , x$1"61 Op x•$103.50
Each additional 500 ft2-$39.00
NEW MULTIFAMILY (3 units or more) $143.50
I st Service/Feeder Additional Feeders41 $00 amp ,, „ t
0 s•,., Q0 ax p.,.