14-101715 A
•
' Electrical
CitFy WayF I LE
Permit #: 14-101715-00-E L
Community
&of Econ.on.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: 25
Ph:(253)835-2607 Fax:(253)835-2609 p q ( 3) 835-3050
Project Name: CELEBRATION PARK APTS
Project Address: 32015 11TH PL S Bldg A Parcel Number: 172104 9061
Project Description: Replace 400 amp main disconnect
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Owner Applicant Contractor
EVERGREEN VILLAGE ASSOCIATION BESELER ELECTRIC BESELER ELECTRIC
1750 DEXTER AVE N 9717"F"ST E BESELE*872PU(10/31/15)
SEATTLE WA 98109-6222 TACOMA WA 98445 9717"F"ST E
TACOMA WA 98445
Additional Permit Information
Is this an Online or O.T.C.application9 Yes Is Use Educational or Institutional? No
Service greater than 999 Amps? No
Electrical Fixtures
Alt.Serv./Feed:201 to 600 amps(I 1
PERMIT EXPIRES Sunday, October 12, 2014
Permit Issued on Tuesday, April 15, 2014
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
nd the Cly of Federal Way.
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Owner or agent: ` �� Date: 201
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0 THIS CARD IS TO TMAIN ON-SITE
CITY OF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 14-101715-00-EL Address: 32015 11TH PL S Bldg A
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.
O UFER Ground (4295) 0 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) 0 Service(4235)
Approved Approved Approved
By Date By Date By C A.4_0_, Date ..
—1 I. —t r-1
0 Feeders/Sub-panels(4045) 0 Rough Electrical(4225) '❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
O Final-Electrical(4055)
Approved
By c.,
iC3�_ Date Sr1L t 11 ,
❑ Rough Electrical111 Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
• • '
CITY OFu ELECTRICAL
Federal Way PERMIT APPLICATION
PERMIT NUMBER ( 10 t APR 15 2014
CITY OF FEDERAL WAY
SUITE/UNIT/SPACE#
SITE ADDRESS: 32 >t5 1 f�Lr( ck CDS S
PROJECT VALUATION ASSESSOR'S TAR/PARCEL# CURRENT/PROPOSED USE
$
PROJECT NAME t n
(Tenant or Homeowner Last Name) �ILj;�tic.n7 r�9Ql<. 4 AQ- M-C)-1
PROJECT DESCRIPTION g / -k"� `t`60 /Hi/4k) LS Com, e-cr
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER id e ti,i. PA.t, 4-
C
MAILING ADDRESS E-MAIL
32205 /it P(' S(x)-(-',
CITY STATE ZIP FAX
e lw w+ R8? ( ) -
NAME PRIMARY PHONE
MAILING ADDRESS E-MAIL
ELECTRICAL cn 17 F t' ' 1 e,ce vi* .
CONTRACTOR CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
&e} *972t'i) i6 /31 /15-
NAME
PRIMARY PHONE
APPLICANT MAILINGS
7)" 6t.
E-MAIL
CIT STATE ZIP FAX
% Gum 1A- cj&5L'33—
NAME PRIMARY PHONE
PROJECT CONTACT ' k &z5 e e_A
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.
SIGNATURE: G��t �:!J- ` DATE VI 5/26/r
PRINT NAME: Fie-4-4-1 A
Bulletin#160–January 1,2013 Page 1 of 2 k:AHandouts\Electrical Permit Application