15-101550 e
• . a • r
• Electrical
City of Federal WayFILE
Permit #: 15-101550-00-E L
Community&Econ.-Dev.Services
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p Q
Project Name: CELEBRATION PARK APARTMENTS UNIT B-3
Project Address: 32017 11TH PL S Bldg B Parcel Number: 172104 9086
Project Description: Electrical rewire for fire damage repair to unit B-3
Owner Applicant Contractor
EVERGREEN VILLAGE ASSOCIATION INFINITY ELECTRIC SERVICES CO INFINITY ELECTRIC SERVICES CO
1750 DEXTER AVE N 8918 139TH AVE SE INFINES942J5(4/30/16)
SEATTLE WA 98109-6222 NEWCASTLE WA 98059 8918 139TH AVE SE
NEWCASTLE WA 98059
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
Low Voltage-Other(Commercial; 1
PERMIT EXPIRES Sunday, September 27, 2015
Permit Issued on Tuesday, March 31, 2015
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 O
��A. �7�a(o}s5 d,t 11/ Date: (3/5/ //J'
Iocl4ox (..O 31g2411
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. THIS CARD IS TO*MAIN ON-SITE
CITY OF 11.11.11%
- Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 15-101550-00-EL Address: 32017 11TH PL S Bldg B
Project: EVERGREEN VILLAGE ASSOCIAT 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.
❑ UFER Ground(4295) 0 Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
O Pool Bonding(4195) ❑ Temporary Power(4275) 0 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
O Final-Electrical(4055)
Approved
By lug Date V 1'c I v.—
Rough Electrical CI Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
• RECEIVED
C„�,oF -,Ai.. MAR 312015 EL C'T'RICAL
Federal Way crry OF FEDERAL WAY PERMIT APPLICATION
CDS
PERMIT NUMBER 1 S 1 0 1 5 5----o _ G
SUITE/UNIT/SPACE#
SITE ADDRESS: '7()f% II/TK/az s vim/ 1 ,d,3
PROJECT VALUATION ASS�SS�TAX/PARCEL# � � _ � ® �� CURRENT/PROPOSED USE
86
PROJECT NAME n
(Tenant or Homeowner Last Name) QQEL E/.�R ATiO� A /S /l 'Mr. / /,
/79i:,i,%/I %/l.P'QdlfrvJ ( /.t&/i iIn /!n /f//el.ei1 nd-edl
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME L PRIMARY PHONE
PROPERTY OWNER -5���AM I)K F(U ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
/
l )
NAME PRIMARY PHONE
/41'T-iffi Tr 5P. BSER vr' CIS 2426) 778- 4'9c'er
MAILINGADDRESSE-MAIL
ELECTRICAL I$/0 /33"itki JE
CONTRACTOR CITY STATE ZIP FAX
AOC4,5Te i) �8O 5 ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
//tJf/Art 5 cf'W ,76- c /25 / /1
NAME // PRIMARY PHONE
APPLICANT <5T1 F/f O /70s Tf},D/ -av kW 771 - 4/92zr
MAILING ADDRESS E-MAIL
If/8 /39''PA/ LSE'
STATEZIP FAXC/31.4,CriSGCP_ Z i, (
) -
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 city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.ppn. 2
SIGNATURE: S� .4 // g p%1)-in DATE ,3/CJ///�
PRINT NAME: c/TEr/f a /f0.5Ihw/illiW
II
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application