13-105615 4.
• Electrical
City of Federal ay
Community&Econ.Devy Services L":
Permit #: 13-105615-OO-EL
33325 8th Ave S
Federal way, xsaoo3 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Faax:: ec �
(253)835-2609 p
Project Name: C S L PLASMA CENTER
Project Address: 2200 S 314TH ST Parcel Number: 092104 9053
Project Description: Line wiring for walk-in coolers
Owner Applicant Contractor
CSL PLASMA D&R ELECTRICAL CONTRACTORS D&R ELECTRICAL CONTRACTORS
900 BROKEN SOUND PKWY SUITE 400 2598 SW PINE RD DRELEEC886PA(10/1/14)
BOCA RATON FL 33487 PORT ORCHARD WA 98367 2598 SW PINE RI)
PORT ORCHARD WA 98367
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Service greater than 999 Amps? No
Electrical Fixtures
Low Voltage-Other(Commercial; I
PERMIT EXPIRES Monday, June 16, 2014
Permit Issued on Wednesday, December 18, 2013
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and 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: t Date: 42 --(c5, -43
THIS CARD IS TO MAIN ON-SITE
CITY 0 Construction In ection Record , ,
'Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 13-105615-00-EL Address: 2200 S 314TH ST
Project: CSL PLASMA FEDERAL WAY, WA 98003-5475
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 LIFER Ground(4295) ❑ Ditch cover(4030) El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
ElPool Bonding(4195) 0 Temporary Power(4275) ,❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
El Feeders/Sub-panels(4045) El Rough Electrical(4225) E Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
El Final-Electrical(4055)
Approved
By U...6 Date ( loski 1 i
1
Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
• . . . ihi.
• EL2CTRICAL z
.
CITY OF
Federal Way PERMIT APPLICATION
RECEIVED
PERMIT NEER I�j _ 0 S _ 00DEC 18 2013
1477-1 „sr-
,
SUUI�rsiurifVS stAL WAY
SITE ADDRESS: Z2 Q 0 S /4 „sr-
PROJECT VALUATION ASSESSOR'S TAX/PARCEL S CURRENT/PROPOSED USE
$ , ( 0al ° CIZ 1 O4 - q ° 5
PROJECT NAME <-, Pn ^—(Tenant orHomeownerLast Name) C - --
I
PROJECT DESCRIPTION %re__' W Al V. — i ' C, 0 0l r,
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
( -�. f d+-(C- o6Q )o`t?l -3 I I L
MAILING ADDRESS n E-MAIL
ELECTRICAL -S-9S' .S^.(-J V' i In
0/114.0 F lm[.Gj;/�C7'co
CONTRACTOR 1FSTATEI ZIP ( ) FAX 64 OcT_APV-ID 14A 1ef-,I,)
TE CONTRACTOR'S LICENSE N
�
EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE•
��� �� b _1C / /H
NAME W PRIMARY PHONE
APPLICANT MAILING ADDRESS ( ) E-MAIL
CITY STATE ZIP FAX
( ) -
NAME PRIMARY PHONE
PROJECT CONTACT D flvF. ' I/ P(P),::)-1( - 3 t I Z
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 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 supplier• • the city as a part of this application.
SIGNATURE: \ ,_ ,_IA
DATE 6 ' t3
PRINT NAME: iNj\-1) \ V
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application