18-101064Y S
City of Federal Way
Community Development Dept
33325 Sth Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax.(253)835-2609
Project Name: SBA
Project Address: 33400 9TH AVE S
Projr;,t Description: Electrical service to include wiring new office space.
J I
lectrical
Permit #:18 -101064 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 926501 0060
Owner Applicant Contractor
GOLDEN STONE PROPERTIES LLC MICHAEL MORGANDIVERSIFIED DIVERSIFIED ELECTRIC SER ✓10E
1115 S 348TH ST SUITE A ELECTRIC SERVICE DIVERES946LI (6/25/:8)
FEDERAL WAY WA 98004 23626 112TH PL W
EDMONDS WA 98020 23626 112THPL W
EDMONDS WA 98020
"'Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
PERMIT EXPIRES Saturday, 9 March, 2019
Permit Issued on Friday, March 9, 2018
I hereby certify that the love informffg
and that the construction on the above described property
and the occu d the a wance with the laws, rules and regulations of the S to of
Wthe City of Federal Way. Q
Owner or ag t: It'll Date: F ��
-�,- --\J�l
- S
THIS CARD IS TO REMAIN ON-SITE
Federal W THIS
Inspection Record
Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 18 101064 00 Address: 33400 9TH AVE S Unit 210
P oject: GOLDEN STONE PROPERTIES LL( FEDERAL WAY WA 98003
bene -ulru mspecuons may ve rano tr uns cera is not on-sne. y
!=2ad ieft to right, top o bottom). Please schedule pections as
you are unsure abo At any of the inspections or the inspection
iyam i ma %-mt s. mspecuons a*v us= as mosv, eo sequenum ascaer as possrore
riate. Work mn, noc be covered -twtil it is approved. Check v«itn your inspector if
Ongoing inspections are logged on the back of this card.
El
Feeders/Sub-panels (4045)
® Rough Electrical (4225)
LIFER Ground (4295)
Ditch rower (4030)
�r.t Slab/Cbaerete Floor (4255)
Approved
Approved
Approved
Approved to place concrete
Approved
By Date
By Date
By Date
Date �
t+'JA Pool Bonding (4195) . ❑$ Temporary Power 4275) Servircx (4135)
t Approved Approved Approve
By Date By Date By Date
1tl Final - Electrical (4055)
Approved
By Date
Feeders/Sub-panels (4045)
® Rough Electrical (4225)
®
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
Date �
By
Date
1tl Final - Electrical (4055)
Approved
By Date
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
CITY OF
Federal Way
RECEIVED
ELECTRICAL
MAR o s 2018 PERMIT APPLICATION
CITY OF FEDERAL WAY
COMMUN7Y I FVELOPMENT I f
PERMIT NUMBER r� 1 _ f O v
SITE ADDRESS: 33$0-0
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SUITE/UNIT/SPACE#
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PROJECT VALUATION
ASSESSOR'S TAX/PARCEL #
CURRENT/PROPOSED USE
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PROJE T NAME
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(Tenant or Homeowner Last Name)
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PROJECT DESCRIPTION
T '� T O'''
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Detailed description of work to
be included on this permit only
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NAM
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PRIMARY PHONE
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PROPERTY OWNER
MAILING ADDRESS
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CITY STATE
ZIP(/,/�/
FAX
NAME
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MAILING ADDRESS
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WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BU NESS LICENSE #
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NAME �1PRIMARY
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PHONE
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APPLICANT
MAILING ADDRESSE-MAIL
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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 such claim), which may b made by any person, including the undersigned, and filed against the city,
but only where su imses out/pf t,%4e r i cg� the city, including its officers and employees, upon the accuracy of the
information su ed tot ���i as a p�� of s a l�y! o
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Bulletin # 160 –April 14, 2016 Page 1 of l k:AHandouts\Electrical Permit Application