14-102145 • • Electrical
City ofEFederal
on.0Way Permit #: 14-102145-00-EL
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,WA
Ph:(253)835-2607 Fax:(g3°)735-2609 Inspection Request Line: (253)835-3050
Project Name: PARK 16 APARTMENTS
Project Address: 35703 16TH AVE S Parcel Number: 292104 9095
Project Description: (2)200-amp subfeeders from temporary power to job shack.
Owner Applicant Contractor
PARK 16 LLC EDISON ELECTRIC EDISON ELECTRIC
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? Yes • Is Use Educational or Institutional? No
Service greater than 999 Amps9 No
Electrical Fixtures
Add'l New Feeder(s) 101-200 amp 2
PERMIT EXPIRES Wednesday, November 5, 2014
Permit Issued on Friday, May 9, 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
and the City of Federal Way.
Owner or agent: Date:_ 1--- 9 - /y
� INALED
-
` • THIS CARD IS TO MAIN ON-SITE
CITY OF
Construction In ection Record ` , '
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT #: 14-102145-00-EL Address: 35703 16TH AVE S
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) "El 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) .0 Service(4235)
Approved Approved Approved
By Date By Date By Date
'0 Feeders/Sub-panels(4045) 0 Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
Final-Electrical(4055)
-Approved
By„ -------- Date ...--____ v�
❑ Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVE=D
' MAS 9 2014 ELTRI CAL
CITY OF
Federal Way CITY OF FEDERAL WAY PERMIT APPLICATION
CDS
PERMIT NUMBER / I —
10 0? / 11 c _ /
SITE ADDRESS: (`� ? �,1at, ' SUITE/UNIT/SPACE#
PROJECT VALUATION ... ASSESSOR'S TAX rPARCEL# ` CURRENT/PROPOSED USE
$ 11S-00, 019 7 c ( 0 '( - 9f 0 7 5_
PROJECT NAME '
(Tenant or Homeowner Last Name) \� I,LO CI' t; AY- �����
PROJECT DESCRIPTION C J. — \�� l I-C ` `0 mu bine co ,,
Detailed description of work to
be included on this permit only ft 1O `TI-1
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/R-\N '?owc(' po\L for J 06 s vtC .
NAMEPRIMARY PHONE
PROPERTY OWNER -k` Q L.A_---0---- C c _ -
MAILING ADD SS "� !!! E-MAIL
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erT_De i C',0 a C- Olt (1-1b)Lt -
STATE ZI \ FAX
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NAME PRIMARY PHONE
MAILING ADD
ELECTRICAL
R--.) x `- ---t E-MAIL
om C 'cn i �?c kks`ot to C tv N1/4,
CONTRACTOR CITY STATE ZIP , i. i, FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
= ).. i )L--ILCeDK )/ I 4k a(r Iii' C( 91 �(` N.
rn 1 PRIMARY PEON
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APPLICANT V-A1�1�� \., � � it,t� �4 ) 3E3- (0L 14
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ADDRESS E-MAIL
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STATE Z FAX
PRIMARY PHONE
PROJECT CONTACT
NAME PRIMARY Pi( -%,,_ .1\ i@V\ 00"b).
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 ma•- • any person, including the undersigned, and filed against the city,
but only where such claim arises out of the reliance o e cit luding its officers and employees, upon the accuracy of the
information supplied to the city as a part of this applic• ton. N
n ,.
SIGNATURE: 0....A...viiiiLf.
1 =Mein '� , .s DATE ,_ —"..._/ V
PRINT NAME:
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application