13-101366 b
i 'Electrical
City of Federal Way Permit #: 13-101366-00-EL
Community&Ecort.t'�v.Services
33325 8th Ave S
Federal Way,VUA 98003a �r R
Ph:(253)835-2607 Fax(253)835-2609 : Inspection Request Line: (253)835-3050
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Project Name: DAVITA-PHASE III
Project Address: 32275 32ND AVE S Parcel Number: 215465 0080
Project Description: Wiring and electrical work for associated tenant improvement in Phase III
Owner Applicant Contractor
ARC TRSEAWA001 LLC PRIME ELECTRIC INC PRIME ELECTRIC INC
106 YORK RD 13301 SE 26TH ST PRIMEEI134BT(1/30/15)
JENKINTOWN PA 19046 BELLEVUE WA 98005 13301 SE 26TH ST
BELLEVUE WA 98005
•
Additional.Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Service greater than 999 Amps? No
Electrical Fixtures
Alt.Srvc/Feeder 0 to 200 amps(C 1
PERMIT EXPIRES Sunday, September 22, 2013
Permit Issued on Friday, March 29, 2013
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use w: • ccordance with the laws, rules and regulations of the State of Washington
and the of Federal Way.
Owner or agent ,�'� Date: 3- 2
FINAL
ED
I
DATE INSPECTOR AREA AND TYPE C INSPECTION
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Tins CARD IS TO IN ON-SITE
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CITY OF
Construction In ection Record
Federal Way INSPECTION REQ TS:(253)835-3050
PERMIT#: 13-101366-00-EL Address: 32275 32ND AVE S
Project: ARC TRSEAWA001 LLC 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.
O LIFER Ground(4295) - 0 Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
❑ Pool Bonding(4195) El Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
El Feeders/Sub-panels(4045) `0 Rough Electrical(4225) CI Ceiling Cover(4020)
Approved Approved Approved
By Date By Date (.---By S Date'— 7-.73
o Final-Electrical(4055)
Approved
Date C G--#
O Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
•,' R
:. ECEIVED
CITY OF
4:1111%,,A, MAR 26 ELECTRICAL
Federal Way 203 PERMIT APPLICATION
CITY OF FEDERAL WAY
CDS
PERMIT NUMBER I - 1 V I
SUITE/UNIT/SPACE#
SITE ADDRESS: 3 2.2 7 c 37 O 141t/6 ac u.rr>'
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ ! (09 3 ()& 21 K-- L! t!o s - O U &- O
PROJECTNAME f
(Tenant or Homeowner Last Name) .' E-\t'T a' ► �'J C_
T?.nl,�.0 i / , OaEe (&4i( 01 z1)i4N/A/4, .CA-6051
PROJECT DESCRIPTION . 0 jSe L5/47,9'd-C 'e.,.s,,sr7A/4 e7 ',/ L/G -r
Detailed description of work to !% kTCl2E. 772E /let the Ai., 41/t/4 4e,Lj
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER r4 (2S.5) -
MAILING ADDRESS E-MAIL
1 '-1Z3 /�•he,F, c gc/e4/c.r
CITY STATE ZIP FAX
;d-eo- .i k>A Pe.y0 a ( )
NAME PRIMARY PHONE
at-i rq E e ( 7'(7 - 5--z o 0
MAILING ADDRESS E-MAIL
,O
ELECTRICAL /. 3 o/ crE 2 G 77./�%?l�Ei R �1
t, --se/3Ee i f/tiM EEt.&-TKA
CONTRACTOR CITY STATE ZIP FAX
/ ce-e" a1/9 In od ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
p,_,,ti I as'• 30 // zO—oo- /7„ 71.7 -oo-&-
NAME PRIMARY
PRIMARY PHONE
APPLICANT " '4/ Z4-`41 d 2� (�7j-) 4 - RP
MAILING ADDRESS E-MAIL
cfe 26. Qc 04-wtt ,--+e I)ato..EEte<< /e
CITY I STATE ZIP FAX C e N.�
/etG6-- t- w/4 l oo5 ( ) -
NAME //�� PRIMARY PHONE
PROJECT CONTACT e Au-i) /��/2/c�2 ( 9251 e6 s4- S''7 Z
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 city, including its officers and employees, upon the accuracy of the
information supplied to the ci as a part of this application.
SIGNATURE: /Q� ���� —' DATE 3- 7
PRINT NAME: /1 0✓ �A',"'ti t A--%
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application