14-102663 Electrical
Community
City of&Econ.Federal Dev.SeWay Services
Permit #: 14-102663-00-EL
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: PARK 16 APARTMENTS-BUILDING J
Project Address: 35703 16TH AVE S Bldg J 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.application? No Is Use Educational or Institutional? Yes
Service greater than 999 Amps9 Yes
Electrical Fixtures
New Service:over 800 amps(Mull 1
PERMIT EXPIRES Monday, February 16, 2015
Permit Issued on Wednesday, August 20, 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
aid ► ity o Federal Way.
Owner or agent: -00" Date: 2 2! Of 11
DATE INSPECTOR AREA AND TYPE e INSPECTION
In- ` It/ ,(..?U. Tc-) �� c C,-QA 0n
THIS CARD IS TO MAIN ON-SITE
curl,
of • Construction In ction Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 14-102663-00-EL Address: 35703 16TH AVE S Bldg J
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.
0 UFER Ground (4295) CI Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By- (f Date (U 'ZS I '( By Date
CI Pool Bonding(4195) ❑ Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By DateI Byes Date t Z_ z_ I 4
0 Feeders/Sub-panels(4045) 0 Rough Electrical(4225) 0Ceiling Cover(4020)
Approved Approved Approved
S Date 72—- \ 4 By 3 5 Date l'2,—2r I i By Date
0 Final-Electrical(4055)
Approved
By Date
Rough Electrical L7 Final Electrical GI Right of Way
Approved Approved Approved
By Date i By Date By Date
WED a i'L-y
' JUN 1 2014 EL +CTRICAL
CITY OF Federl Wa, CITY OF FEDERAL WAY PERMIT APPLICATION
CDS
A
�.
PERMIT NUMBER / _ /
0 �,. W 3'-
rr//II lC�
ILE
SUITE/UNIT/SPACE#
SITE ADDRESS: 3 ? o / f I` n V 6-,IA.,')
M19
PROJECT VALUATION ASSESSOR'S TAX/PARCEL 4 _ CURRENT/PR POSED USE
62
PROJEC NAME +
(Tenant or Homeowner Last Name) Deal- IL A p(4-4/1'\C•,,f S
PROJECT DESCRIPTION F--1.e.,z—V c, �-q t• i/`S `� r k `I-D r •CEJ i`r 1 C�1-1 c�`
Detailed description of work to z t' U�,1- 6.A; I d r�e� J
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER (.__c-1 A' ( (o 1. LC- ( '2r) - ` 5-5
MAILING ADDRESS E-MAIL
/D`) LSC? A)L `o' 5 , s,.+L_ /20c:)
CITY STATE ZIP FAX
NAME PRIMARY PHONE
g C'Sv• /==1 C C.1. c.^- -. /v t=- ( ) -
MAILING ADDRESS E-MAIL
ELECTRICAL 0, '5^0
CONTRACTOR CITY STATE ZIP FAX
yea c. ''-1,., ki!A- `7 b' L(t/ 2 ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
�� -dis04 7c)z./V) g / / rel _i1� 20 --/ -ir�0S_j -ov- L
NAME 1 J ! } �-, PRIMARY PHONE
APPLICANT o /' '1 i Q rl� J I r 1 C") (7/2-S-) Z 3- L I/ 1-1!
MAILING ADDRESS E-MAIL
10 Uv NE 4. .70,1-(_ 12() 0 Y-;‘,(11 r vc)--1�.:90(c%-xliis, cam,.
CITY STATE ZIP FAX
I!t-v J-(--- In./.A 900L/ ( ) -
NAME PRIMARY PHONE
PROJECT CONTACT S.7-. e i'hclJ C�a II ;v 0,) (1-0()) s
1 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:_ go 6e---0--} I . 1-4c y c(t\,) TA
Bulletin#160—January I,2013 Page 1 of 2 k:\1Iandouts\Electrical Permit Application