17-104890 Electrical
City of Federal way Permit #:17-104890-00-EL
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax (253)835-2609
Project Name: FOUNTAIN PLAZA
Project Address: 501 S 336TH ST Parcel Number:926480 0240
Project Description: Disconnect and reconnect(1)circuit for RTU HVAC unit change out
Owner Applicant Contractor
F S P FEDERAL WAY CORP C T R ELECTRIC INC C T R ELECTRIC INC
401 EDGEWATER PL SUITE 200 PO BOX 7475 CTRELI*07700(9/22/19)
WAKEFIELD MA 01880-6207 KENT WA 98042-0043 PO BOX 7475
KENT WA 98042-0043
Additional Permit Information
Is this an Online or O.T.C.application? Yes
Eleetrieal Fixtures
u
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Circuits-Commercial 1
PERMIT EXPIRES Thursday, 11 October,2018
Permit Issued on Wednesday,October 11,2017
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
Washton and the City of Federal Way.
Owner or agent: Date: /Z)/I /
riNALcD
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 17 104890 00 Address: 501 S 336TH ST
Project: F S P FEDERAL WAY CORP FEDERAL WAY WA 98003-6328
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.
1
® UFER Ground(4295) ® Ditch cover(4030) ® Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
® Pool Bonding(4195) ® Temporary Power(4275) ® Service(4235)
Approved Approved Approved
By Date By Date By Date
•
0 Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
,Q Final-Electrical(4055)
Approved
.._. -� _ Date( /el / G_
Ili Rough Electrical ❑ Final Electrical0 Right of Way
Approved Approved Approved
By Date By Date By Date
CITY OF RECEIVED ELECTRICAL
Federal WayOCT 11 2017 PERMIT APPLICATION
CITY OF FEDERAL WAY f -7- / 0 48 °1 9 0 60
COMMUNITY DEVELOPMT NUMBER / /
SITE ADDRESS' • - SUITE/UNIT/SPACE#
PROJECT VALUATION A SSOR'STAX/PARCEL# 4 O CURRENT/PROPOSED USE
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PROJECT NAME
(Tenant or Homeowner Last Name) -(AJ j4-/u71_,f .,7-1
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PROJECT DESCRIPTION
Detailed description of work to 71-74 ----2.)r-- Taj, C "4/( •/ eA.4- / e „/
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER da ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP // FAX
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NAME ,___-- -, PRIMARY PHONE
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MAILING ADDRESS ` E-MAIL,
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CONTRACTOR CITY�/ STATE ZIP FAX
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WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
STATE)
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NAME
�- , PRIMARY PHONE
APPLICANT l�'3ZZ9 `-� l�,5"3) 356'- C, 6
MAILING ADDRESS / E-MAIL
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NAME. �iPRIMARY PHONE
PROJECT CONTACT C�- ;: ,/ .d53 ) 3 5-Q c 7c
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 o this application.
SIGNATURE: f DATE
&-' '-1 / 7
PRINT NAME:
Bulletin#160—April 14,2016 Page 1 of 1 k:AHandouts\Electrical Permit Application