14-102702' ?City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S FILE
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Electrical
Permit #: 14 -102702 -00 -EL
Project Name: CELEBRATION SENIOR LIVING APARTMENTS
Project Address: 1524 S 328TH ST
Inspection Request Line: (253) 835-3050
Project Description: Installation of 125 -kw generator for powering construction crane.
Parcel Number: 147318 0020
Owne
Applican
Contractor
CELEBRATION SENIOR LIVING
EVERGREEN STATE ELECTRIC INC
EVERGREEN STATE ELECTRIC INC
ASSOCIATES LIMITED PARTNERSHIP
PO BOX 849
EVERGSE066JA (4/1/16)
201 27TH AVE SE BLDG A-300
SUMNER WA 98390
PO BOX 849
PUYALLUP WA 98374
SUMNER WA 98390
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes
Service greater than 999 Amps? .............................No
Electrical Fixtures
Temp. Serv.: 101- 200 amps (Com 1
Is Use Educational or Institutional?.......................No
PERMIT EXPIRES Sunday, December 7, 2014
Permit Issued on Tuesday, June 10, 2014
I hereby certify that the ove information is correct and that the construction on the above described property and
the occupancy and the se will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: k/J Date: e0/O /
FINALED
THIS CARD IS TO MAIN ON-SITE
CITY OF Construction Inection Record `
Federal Way INSPECTION REQU TS: (253) 835-3050
PERMIT #: 14 -102702 -00 -EL Address: 1524 S 328TH ST
Project: CELEBRATION SENIOR LIVING A: 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.
❑
UFER Ground (4295)Ditch
cover (4030)
Power (4275)
Slab/Concrete Floor (4255)
Approved
Approved
By
Approved
By
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By V4 Date
Service (4235)
Approved
By Y-% Date
Ceiling Cover (4020)
Approved
By Date
Pool Bonding (4195)1:1Temporary
1:1Approved
Power (4275)
Approved
Right of Way —�
By
Approved
By
Date
Date
By
Date
Date
E]
Feeders/Sub-panels (4045)
❑
Rough Electrical (4225)
Approved
Approved
By
Date
By
Date
Final - Electrical (4055)
Approved
By V4 Date
Service (4235)
Approved
By Y-% Date
Ceiling Cover (4020)
Approved
By Date
Rough Electrical
Approved
1:1Approved
Final Electrical
1:1Approved
Right of Way —�
By
Date
By
Date
By
Date
CITY OF ..... ELECTRICAL
Federal Way PERMIT WkERLICATION
PERMIT NUMBER J� L _ / O —/ D f _ ��� �® 2014
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CITY OF FEDERAL WAY
SITE ADDRESS: � S -k
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PROJECTVALUATION
$ 3 .00
ASSESSOR'S TAX/PARCEL #
- — — — —
CURRENT/PROPOSED USE
tJew 0yA&u/,-hpn
PROJECT NAME
(Tenant or Homeowner Last Name)
Ulebrabbq
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PROJECT DESCRIPTION
Detailed description of'work to
be included on this permit only
PROPERTY- Gunu
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NAME
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PRIMARY PHONE
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MAILING ADDRESS
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E-MAIL
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STATE
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FAX
NAME
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PRIMARY PHONE
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MAILIN DRESSQ �,
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ELECTRICAL
CITY
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STATE
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FAX
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CONTRACTOR
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
MYt R 6tffi &L:O A 0q161
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
APPLICANT
in bc,
MAILING DRESyy�
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E-MAIL
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FAX
CITY ST TE 05
PROJECT CONTACT
NAME
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PRIMARY PHONE
I certify under penalty of perjury that I am the property owner or authorised 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 1 will comply with
all applicable City of Federal Way regulations pertaining to the work authorised 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 apart of this application.
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Bulletin #160 -January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Pernut Application