14-102667 • ' • • Electrical
City of&Federal Way Permit #: 14-102667-00-E L
CommunityEcon.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 Ins ection Re uest Line: (253) 835-3050
Ph:(253)835-2607 Fax (253)835-2609 FILE. p a
Project Name: PARK 16 APARTMENTS-BUILDING V
Project Address: 35703 16TH AVE S Bldg V 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 301PO 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.application? No Is Use Educational or Institutional? Yes
Service greater than 999 Amps? Yes
Electrical Fixtures
New Service: over 800 amps(Mull 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
nde ity 94 Federal Way.
Owner or agent: Wi '�-.r- Date: 71 :2- /, 17
IFINALL L— ii.
a 1 i
1
DATE INSPECTOP AREA AND TYPE r INSPE=CTION
4
2./3 (20C/i./%,- - z--c_
• THIS CARD IS TO AIN ON-SITE
CITY OF Construction Ins ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050 .
PERMIT #: 14-102667-00-EL Address: 35703 16TH AVE S Bldg V
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) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
>i--t-T5 Date 9_2_1 By Vu4 Date 1 j 1 IS . By Date
0 Pool Bonding(4195) ❑ Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date ` S Date 2 1o. c—
.El Feeders/Sub-panels(4045) * e❑ Rough Electrical(4225) ' ❑ Ceiling Cover(4020)
Approved Approved Approved
Bye'-S Date 3_ (U_ (--5---- S Date -z_k O_ 1___ By Date
• ,
El Final-Electrical(4055)
Approved
Date (2—
❑ Rough Electrical ® Final ElectricalCI Right of Way
Approved Approved Approved
By Date I By Date By Date
rleCENED
'' � 1 10 2014 EL CTRICAL
CITY OF s:.w"'
•
Federal Way CITY OF FEDERAL WAY PERMIT APPLICATION
CDS
PERMIT NUMBER i / 0 & 6 7 —
j F ILE
1 SUITE/UNIT/SPACE#
SITE ADDRESS: 3 7 ()> A v'z-- S. a),l d L i V
PROJECT VALUATION ASSESSOR'S TAX/PARCEL CURRENT/PR OSED USE
49 (1 ° 7--
PROJECT NAME �`
(Tenant or Homeowner Last Name) pwu`` �7� `�/1'�{ �/�
PROJECT DESCRIPTION
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Detailed descrption of work to _5/ �,�, j -1l/.�`,,,,I,i.
be included on this permit only j
NAME ,/ PRIMARY PHONE
PROPERTY OWNER Pci-i- l ( (0 1-Lc- ( V25`) L153 - `/?5 /
MAILING ADDRESS E-MAIL
/O':).i 0 0 A1E (am' ' '5)-: S,--.IL (2. c)
CITY STATE ZIP FAX
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______-
NAME tJ / -- J PRIMARY PHONE
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t-- C c I !f 1 - -f nl ( ) -
MAILING ADDRESS E-MAIL
ELECTRICAL J( - ' 7. W s c _
CONTRACTOR CITY STATE ZIP FAX
7"q ea^'+44 1-x- 9 ' LVY ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
- Cd"1t/R/I 3) / i it il✓ 20 /�--/CRUS 41,--o -eL
NAME ) PRIMARY PHONE
APPLICANT 1{-o p I 1 q,.101 L 0..,.),;.k, „ - 1- 1 Or) _ (2/2-c) 2 - CU if LI
MAILING ADDRESS E-MAIL
lx i
CITY STATE ZIP FAX
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NAME PRIMARY PHONE
PROJECT CONTACT - .4-e. p 1,1 c. U // ;v6,,,) (-O(-) 7,5-S-- ',-)
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 Iaws regulating
construction or environmental Iaws.
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: . F2 .4 S • i"ty e' DATE
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PRINT NAME:
Bulletin#160—January I,2013 Page 1 of 2 k:AHandouts\Electrica.l Permit Application