14-102662 t Electrical
City Econ.D Way Permit #: 14-102662-00-EL
Community&Econ.Dev.Services
33325 8th Ave SF LE
Federal Way,WA 98003 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: PARK 16 APARTMENTS-BUILDING AA
Project Address: 35703 16TH AVE S Bldg AA Parcel Number: 292104 9107
Project Description: Electrical work for a 24-unit apartment building
Owner Applicant Contractor
PARK 16 LLC EDISON ELECTRIC INC EDISON ELECTRIC INC
11100 MAIN ST SUITE 301 PO BOX 44850 EDISOEI044BR(1/19/16)
BELLEVUE WA 98004 TACOMA WA 98448 PO BOX 44850
TACOMA WA 98448
Additional Permit Information
Is this an Online or O.T.C.application9 No Is Use Educational or Institutional? Yes
Service greater than 999 Amps? Yes
Electrical Fixtures
New Service:over 800 amps(Mutt 1
PERMIT EXPIRES Saturday, January 17, 2015
Permit Issued on Monday, July 21, 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
aendIthe City of Federal Way. y�-
Owner or agent: , Date: 7. „l
r
DATE INSPECTOR- AREA AND TYPE Ou.INSPECTION
it D- i- R -�4(� r
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CITY OF ` Y Construction In ection Record' +
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 14-102662-00-EL Address: 35703 16TH AVE S Bldg AA
Project: PARK 16 LLC 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) El Ditch cover(4030) `0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By� Date 1 G/ z ((I Ilf v�> Date '_77_/By Date '
® Pool Bonding(4195) * ❑ Temporary Power(4275) Service(4235)
Approved Approved Approved
.By Date By Date .B -Date _Z.b_,L'L�
0 Feeders/Sub-panels(4045) 0 Rough Electrical(4225) . 'D Ceiling Cover(4020)
Approved Approved Approved
BykS Date? _(� r 5"/ 1] ---/7"c"-----
7S Date 7_i ..1._ (c.-'By Date .
Final-Electrical(4055)
Approved
/' Date 41
El Rough ElectricalCI Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
ENED e)-111Akatiii . • ��� z o zm� ELECTRICAL
Federal Way CITY OF FEDERAL WAY PERMIT APPLICATION
CDS
PERMIT NUMBER /9
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SITE ADDRESS' SUITE/UNIT/SPACE#
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PROJECT VALUATION ASSESSOR'S TAX/PARCEL CURRENTjPROPOSE
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PROJECT NAME + �y
(Tenant or Homeowner Last Name) Pc-'0`k I L 1)t444/VAC, ,-t-s
PROJECT DESCRIPTION Ei e_L-k r, l-a 1i`j J �D �'r) -Q el
Detailed description of work to .7 4/ t ,y 4'.,,'r - -„-1• � J
be included on this permit only I -`
NAME PRIMARY PHONE
PROPERTY OWNER �Cl-I� ( � L. ( S`) lb-3 `i 5
MAILING ADDRESS EMAIL
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CITY STATE ZIP FAX
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NAME PRIMARY PHONE
d' .50'•'- 1 -. tr i L.�- _i_r\, c- ( )
MAILING ADDRESS E-MAIL
ELECTRICAL )-O- j- ,2>(; L/L/ es Lf'
CONTRACTOR CITY STATE� FAX
ZIP / FA
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WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME -_-) cw -- - -_----- PRIMARY PHONE
APPLICANT I/ -o r, `� 1(NJ S �- ,�L- I OJ'J (2/Z ) 2 4- LI/ 1-f ti
MAILING ADDRESS
E-MAIL
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CITY STATE ZIP FAX
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NAME PRIMARY PHONE
PROJECT CONTACT �,.� f�,
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P-o()) 7� - 8S 30
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: .'� DATE •
PRINT NAME: g e-l`.f --1 . • c A cr Bulletin#160-January 1,2013 Page 1 of 2 k:AHandouts'llecaicaf Permit Application