13-104941 •6 Nit
r 4
• Electrical
City ofFederal Way ' Permit #: 13-104941-00-EL.a
community 8 Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 = Inspection Request Line: (253)8353'050
Ph:(253)835-2607 Fax:(253)835-2609 p
Project Name: C S L PLASMA.
Project Address: 2200 S 314TH ST Parcel Number: 092104 9053
Project Description: 800a Service,Electrical,Fire Alarm,Security,Data,CCTC,CATV
•
Owner Applicant Contractor
CSL PLASMA CHRIS WHITE ELECTROTECHNOLOGY INC
900 BROKEN SOUND PKWY SUITE 400 ELTECH ELECTRIC ELECTI*956QH(10/27/14)
BOCA RATON FL 33487 2123 W ELMORE ST 9512 224 2123 W ELMORE ST
SEATTLE WA 98199 SEATTLE WA 98199-1238
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. 1 Low Voltage-Burglar Alarm(Cot 1 Low Voltage-Fire Alarm(Commc 1
New Service:601-800 amps(Con I
PERMIT EXPIRES Sunday, May 4, 2014
Permit Issued on Tuesday, November 5, 2013 '
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
2ZfItY
of Federal Way.
J1
Owner or agent ��i�� Date: // /3
-11
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s a_k-W° INSPECTOR AREA AND TYPE O1 INSPECTION
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THIS CARD IS TO MAIN ON-SITE IF , :
CITY OF :: • Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 13-104941-00-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. p0 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.
El UFER Ground(4295) ❑ Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date V26/73
El Pool Bonding(4195) Ei Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date 1 11,.), 114
•Ei Feeders/Sub-panels(4045) • *1-1 Rough Electrical(4225) • LI Ceiling Cover(4020)
Approved Approved Approved
By Date ,., Date \? -070 ( 5 By 0,4 Date 112,..c (
14
•
o Final-Electrical(4055)
Approved
By I"45 Date y f (q f (t f
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
CITY OF � . EL!CTRICAL •
REIVED
Federal Way Nov 0 5 2013 PERMIT APPLICATION
CITY OF FEDERAL WAY
PERMIT NUMBER /3_ _
/�— ) yaps:9 C�( / - 0
(,/ ! SUITE/UNIT/SPACE#
SITE ADDRESS: p a00 S 3 1 y ci6-5T
PROJECT VALUATION ASSESSOR'S TAR/PARCEL# CURRENT/PROPOSED USE
$ aoo, qq3 0 9 c2 l O V - 9 0
PROJECT NAME C 5
(Tenant or Homeowner Last Name) I las Vit l
Soo 0 v.,e Secuite__ 1 Elec-+f a l `;5\.-1-iv,c,
PROJECT DESCRIPTION F;r e- /9/Arm ) 5,e.L t-s\4-y /
Detailed description of work to p k o n e_ i DDS hk C-C_T U L i1-r t/
be included on this permit only I I
NAME C S / /� PRIMARY PHONE
PROPERTY OWNER (/ ` ( ) -
MAILING ADDRESS E-MAIL
0--).____ ___fi
CITY STATE ZIP FAX
( ) -
NAME PRIMARY PHONE
E/f ig /=I -FfT I= ( ) _
MAILING ADDRESS E-MAIL
ELECTRICAL off ) g ', vJ 1 rid re_ .5+
CONTRACTOR CITY STATE ZIP FAX
Sea L°- WA '7o I P. ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
ELEGT1 ik 9.56 G2 / /
NAME PRIMARY PHONEC IA
APPLICANT c;S ��; - ( ) _
MAILING ADDRESS E-MAIL
Sam.e-
CITY STATE ZIP FAX
( )
NAMEPRIMARY PHONE
PROJECT CONTACT ( Ar/,5 LJA. '4.-e___ (A6,6) yq( - a7 3
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 applic on.
SIGNATURE: DATE ///‘//3
PRINT NAME: ( 1;5 A,'�e._
Bulletin#160—January 1,2013 Page I of 2 k:\Handouts\Electrical Permit Application