14-102670 • 06040 i4? • Electrical
City of Federal Way
Community&Econ.Dev.Services Permit #: 14-102676-00-EL
33325 8th Ave S
Federal Way,Fax
98003 Inspection Request Line: (253) 835-3050
Ph.(253)835-2607 Fax:(253)835-2609 p q
Project Name: PARK 16 APARTMENTS-BUILDING E
Project Address: 35703 16TH AVE S Bldg E Parcel Number: 292104 9107
Project Description: Electrical work for a 18-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 u e will be in accordance with the laws, rules and regulations of the State of Washington
c_TInd �JCity f Federal Way. n,
Owner or agent: / Date: 4-at;Z. 201 ti
r �
Ado 3o00 .l, v., s
DATE INSPECTOR AREA AND TYPE e'n INSPECTION
-AA.c, ( ,�� �— l� � Ips �F���f dll
•
441.,__. THIS CARD IS TO MAIN ON-SITE
CITY
OF , Construction In ection Record
Federa Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 14-102670-00-EL Address: 35703 16TH AVE S Bldg E
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.
o UFER Ground (4295) - ❑ Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
'By Date
LY,........a- S Date t U _ `i*_ ( f 'B }
im -? Date (0-- ( t f_ /(4,
o Pool Bonding(4195) ❑ Temporary Power(4275) 1�.• ❑l Service(4235)
Approved Approved Approved
By Date By Date Date\V_2(_ `4
o Feeders/Sub-panels(4045) 0 Rough Electrical(4225) 0Ceiling Cover(4020)
Approved Approved Approved
y am Date t O r r // By-y-c S Date ko( 3, 14 By Date
o Final-Electrical(4055)
Approved
Bair- Date ' 2._k------
Rough Electrical1=1 Final Electrical * El Right of Way
Approved Approved Approved
By Date By Date By Date
• • 1sE
��TYOF aJ" ELECTRICAL
Federal Way JUN 10 2014y PERMIT APPLICATION
/ (./
(./ CITY OF FEDERAL WAY /
PERMIT NUMBER / _ / Q , & 7 _
FILE
SUITE/UNIT/SPACE#
SITE ADDRESS: 3 s- 7 2, v-c-
tAd e.
PROJECT VALUATION ASSESSOR'S TAX/PARCELCURRENT/PROPIOSED USE
S
63 °op `f1 :
PROJECT NAME }�
(Tenant or Homeowner Last Name) �� IL A p41`t-/1'‘ ,„,-S
PROJECT llESCRIPTION — ' 1
Detailed description of work to 1' L'
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER L-LL- ( 25`) 1/5-3 - y15 S 1
MAILING ADDRESS E-MAIL
D C) NE �'4.k ,t.fc 12o(_-)
CITY STATE ZIP FAX
CA./1 _ ,� %200 V (/?$ ) 073_ -
T u NAME ---'- ------._ PRIMARY PHONE
12-Gt
MAILING ADDRESS E-MAIL
ELECTRICAL 0- )3J X Lf-/ e S Cys'
CONTRACTOR CITY STATE ZIP FAX
NY
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
' So ()IIVi 1 / )c)_ !4, 2otit-2J2r5_:_ji IL
NAME ` f 1 T PRIMARY PHONE
APPLICANT 1 <-0 1 1(l'v,G1 6- 0`Ni5 �" c . ( t 0A) (V2.S~) 244- C..:
MAILING ADDRESS E-MAIL
)11-D OC) NE. s s�. )20 � . ‘,11I v9- 1 o(c\k;xipt.5, ca
CITY STATE ZIP FAX
b.‹,Ilev W00 ( )
NAME PRIMARY PHONE
PROJECT CONTACT c
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 Iocal, state, or federal laws 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 apart of this application.
SIGNATURE: j _DATE
PRINT NAME: gg b e P.+ _.�_4_ y A C.'\)
Bulletin#160—January. 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application