14-102198 • • Electrical -
City of Federal Way
Community&Econ.Dev.Services Permit #: 14-102198-00-EL
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax (253)835-2609 .. I LE Inspection Request Line: (253)835-3050
Project Name: PARK 16 APARTMENTS-BUILDING A
Project Address: 35703 16TH AVE S Bldg A Parcel Number: 292104 9107
Project Description: Electrical work for a 24-unit apartment building
Owner Applicant Contractor
PARK 16 LLC EDISON ELECTRIC EDISON ELECTRIC
11100 MAIN ST SUITE 301 PO BOX 44850 EDISOE1044BR(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(Mult 1
PERMIT EXPIRES Saturday, November 29, 2014
Permit Issued on Monday, June 2, 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: 6-2 — //
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DATE INSPECTOR AREA ASND TYPE OE INSPECTION
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THIS CARD IS TO UMAIN ON-SITE
CITY OF —‘44%*..--lkia- 0 Construction Inection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT#: 14-102198-00-EL Address: 35703 16TH AVE S Bldg A
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) ❑ Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
'By Date `
® By Lfs Datec -- -v__/9' By Date
Pool Bonding(4195) Temporary Power(4275) // ® Service(4235)
Approved Approved Approved
By Date By Date I1--r-S Date 10 ,9_
y_
® Feeders/Sub-panels(4045) 0 Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
B � Date9 _23_ l A B Date CI,_23_1 ' BSS Date —Z —/
1E3 Final-Electrical(4055)
Approved
1l —' (c Date1._3�j..
❑ Rough Electrical Final Electrical
El Right of Way
Approved Approved Approved
By Date By Date By Date
.9
A
CITY OF 0 E C'TRICAL
Federal Way MAY 1 3 2014 PERMIT APPLICATION
CITY OF FEDERAL WAY
PERMIT NUMBER7 C
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7
SUITE/UNIT/SPACE#
SITE ADDRESS: 3 c 7 o I Aki,� �' 11 '/ � - A
7 ,.,u,�
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPSSED USE
PROJECT NAME 11` +
(Tenant or Homeowner Last Name) Pa!y`!� I b % p MG.i�S I d 0 O' 4-
O'
PROJECT DESCRIPTION rteL 'r, Lal. V 0 1 k cD r p, ,)• Qi,'
Detailed description of work to t
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER p4 K 16 1._• Lc ( y2 ) L/53 - 9 5-s- /
MAILING ADDRESS E-MAIL
I0 q oo A)E �t. 51-. 5�.fc 120Q
CITY STATE ZIP FAX
j1Ci1u� ��A `I 'OOV (y7f) ggc3 - 's6,
NAME PRIMARY PHONE
' d"Svc i=tcfri �- -_I-�C- - ( ) -
MAILING ADDRESS E-MAIL
ELECTRICAL -7)J(2 73o x L7` � 7
CONTRACTOR CITY STATE ZIP FAX
7--c1 t....:,v'i q IA 4- 9 6 l/t// ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
.::1,iS(9r U gtif5 e / / id /) 20 --/et- /005%-ot-�sL.
NAME 1 ) PRIMARY PHONE
APPLICANT !'� 01 l 1 Q�l� C c?�S ( O/ ) (`/ZS-) Z ;- V
MAILING ADDRESS E-MAIL
10 900 NE: 0- sI-. SUI- )Lo 0 , ,,(1(r v9-40dc%)Calpts, cam
CITY STATE ZIP FAX
,- ii-r---- INJA W O0 ( ) -
NAME PRIMARY PHONE
PROJECT CONTACT �� ) .7.5-s-- o
' cu ,V C) (ZG�
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: gU - e-\.T A • 4c'.I AC/)
Bulletin#160—January I,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application