17-104891 Electrical
City of Federal Way Permit #:17-104891-00-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: 505 S 336TH ST Parcel Number: 926480 0270
Project Description: Disconnect and reconnect air handler circuit
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 0.T.C.applications Yes
Electrical Fixtures
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
Washington and the City of Federal Way.
o/////
Owner or agent: ` �-�-IJ�G Date: 7
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 17 104891 00 Address: 505 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.
® 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) 0 Temporary Power(4275) ® Service(4235)
Approved Approved Approved
By Date By Date By Date
111 Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
0 Final-Electrical(4055)
Approved �`
ByBy. -----e—c.,.__ GLS
Date 1 (b
0 Rough Electrical ❑ Final Electrical ❑ Right of Way
Approved Approved Approved
By Date ,, By Date By Date
RECEIVED ELECTRICAL
CITY OF
Federal Way OCT 11 2017 PERMIT APPLICATION
WAY
COM UNITY DEVETY OF LOPMEI / /° 4. I L/C
ERMIT NUMBER
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SUITE/UNIT/SPACE#
SITE ADDRESS: ��^� j 3/
PROJECTVALUATION CM1 G/ ..� ASSESSOR'S TAX/P�RC4 3 ` — CU 01- ED USE
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PROJECT NAME /vim 2 (/C/J
(Tenant or Homeowner Last Name) f / ,A /4/jy F z
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PROJECT DESCRIPTION n '
Detailed description of work to j 5 C--C) . d� - ) //fjd17/14/(/� ���I d/(e
be included on this permit only
NAME /��� ^( PRIMARY PHONE
PROPERTY OWNER /"` l (� ( )
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
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NAME PRIMARY PHONE
C 1, K3. G r R5--i) :550- cs .6
MAILING ADDRESS �/� E-MAIL
ELECTRICAL /30> 7 7- �'�pC/ay(�
CONTRACTOR CIT STATE ZIP ( /�/�� / FAX
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WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
07r� L -;X c / " �`` j `'f /
NAME t� PRIMARYCPHONE
i
APPLICANT 7 l/ / - / r i J)3 ' r cf e
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME PRIMARY PHONE
PROJECT CONTACT (/x r /��__'zry „4 )
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 undcrstand 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: �Q� DATE I1 1
/
PRINT NAME: ( / /2 T
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application