13-104199 N • • r electrical
City of Federal Way Permit #: 13-104199-00-E L
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line:
Ph:(253)835-2607 Fax:(253)835-2609 p q (253)835-3050
Project Name: ABAM BUILDING
Project Address: 33301 9TH AVE S Parcel Number: 926501 0130
Project Description: Disconnect& reconnect rooftop HVAC unit.
Owner Applicant Contractor
SHELBY COMPANY c/o K MATHEWS C T R ELECTRIC INC C T R ELECTRIC INC
1201 PACIFIC AVE#1400 PO BOX 7475 CTRELI*07700(9/22/15)
TACOMA WA 98402 KENT WA 98042-0043 PO BOX 7475
KENT WA 98042-0043
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
Circuits-Commercial 1
PERMIT EXPIRES Saturday, March 22, 2014
Permit Issued on Monday, September 23, 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 will be in accordance with the laws, rules and regulations of the State of Washington
*'----& d the City of Federal Way. ?��Owner or agent: (`— , - 2J 3
41/4.. • • THIS CARD IS TO MAIN ON-SITE
CITY OF
Federal WayConstruction In ection Record
INSPECTION REQUE TS: (253)835-3050
PERMIT#: 13-104199-00-EL Address: 33301 9TH AVE S
Project: SHELBY COMPANY C/O K MATHE' FEDERAL WAY, WA 98003-2602
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) El Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
❑ Pool Bonding(4195) '0 Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
o 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
•1 (CS Date -2 s<--/
❑ Rough ElectricalCI Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
4k
i
AL OE
CEIVED
SEP 232013
ELECTRICAL
Federal Way PERMIT APPLICATION
CITY OF FEDERAL WAY
PERMITNUMBERi JQ ((7 7 _ .._ ____t___
SITE ADDRESS: [`(
3330 ! /i `K att_t_ (JrSUITE/UNIT/SPACE#
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PROJECT ATI ' ASSESSOR'S 9 TAX/PARCEL ® / _ � � � � CURRENT/PROPOSED USE
PROJECT NAME �4-� 22- �
(Tenant or Homeowner Last Name) /.
7? 7z 4 a/ Hyl HUS
PROJECT DESCRIPTION F:L'ef /�t1 i t
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER ( )
MAILINGADDRESS t �n E-MAIL
L6
CITY /Y`!�- STATE ZIP FAX
\\V// )
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NAME PRIMARY PHONE
�. /,^ • G /� i x/v (Z53)35O f
MAILING ADDRESS E-MAIL
EL RICAL C) 7� !' 1�1�F-� ��y��°�i
CO CTOR CITY STA E ZIP FAx
evol
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WA STATE CONTRACTOR'S LICENSE# ESPIRATIO DATE FEDERAL WAY BUSINESS LICENSE R
77e eLi�= 77 c.� ?/ / J.-<( -s-cx, ,6'1-.
NAME PRIMARY PHONE
APPLICANT -7----
C7-2'n )
MAILING ADDRESS E-MAIL
ez
A-04'14/ -
CITY STATE ZIP ( FAX
) -
NAME -�'� ^ PRIMARY PHONE
PROJECT CONTACT �1.-�/ /"may t 3 (39,
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 Iocal, 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 city as a part of pl 'on.
SIGNATURE: DATE
Aido
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PRINT NAME: 4° '
Bulletin#160-January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application