13-101241 •
• Electrical
City of Federal D Way Permit #: 13-101241 -00-EL
Community&Econ.Dev.Services � � �-a'
33325 8th Ave S
Federal Way,ax:(253)8 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax 835-2609 'r-,g;'
Project Name: RHODODENDRON SPECIES FOUNDATION
Project Address: 2525 S 336TH ST Parcel Number: 212104 9002
Project Description: Altering 4 circuits to include: relocate and extend existing circuits and switches and add 10
light fixtures; relocate 2 existing wall heater and add one wall heater.
Owner Applicant Contractor
RHODODENDRON SPECIES FOUNDATION RHODODENDRON SPECIES FOUNDATION RHODODENDRON SPECIES FOUNDATION
PO BOX 3798 PO BOX 3798 PO BOX 3798
FEDERAL WAY WA 98063 FEDERAL WAY WA 98063 FEDERAL WAY WA 98063
•
Additional Permit Information
Is this an Online or O.T.C.application9 Yes Is Use Educational or Institutional? No
Service greater than 999 Amps? No
Electrical Fixtures
Circuits-Commercial 4
PERMIT EXPIRES Saturday, September 14, 2013
Permit Issued on Tuesday, April 9, 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
and the City of Federal Way.
•
Owner or agent: 1_,Z Date: r
® , • THIS CARD IS TO AIN ON-SITE .
CITY OF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 13-101241-00-EL Address: 2525 S 336TH ST
Project: RHODODENDRON SPECIES FOUN 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.
El UFER Ground (4295) ❑ Ditch cover(4030) ' 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
Pool Bonding(4195) ❑ Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) 0 Rough Electrical (4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By C f,1 Date .11z , c _) By Date
❑ Final-Electrical(4055)
Approved
By ,,,,.A. Date .\ cy)—\ .`.
Rough Electrical111 Final Electrical CI Right of Way
Approved Approved Approved
By Date By Date By Date
DATE INSPECTOAREA AND TYPE,r ".INSPECTION
(,q( IM-15 \ ' -S+arae (cre' �wskk vial covey Ole--
+0
l-+o covey. rho jrotA4s i v ch led i -Fte$ Q,
p-C weal-ion.
CITY OF RECEIVED EL CTRICAL
Federal Way MAR 1S 2013 PERMIT APPLICATION
CAN p FRA W Y
PERMIT NUMBER _ I C�0EP, 5 —
,r� � SUITE/UNIT/SPACE#
o�-
SITE ADDRESS: G7 J r�r C' 6.÷-11.S• �J cW 4�f O
PROJECT VALUATION +� ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ Lq9, GC, — — �":
PROJECT NAME A L / h A
(Tenant or Homeowner Last Name) 12-• 5,F. UI�(C°Ll,.+//�s7 �R/R�+���/raoTokf ,�r 9 REA/1/a DEL
VeLoq ¢
PROJECT DESCRIPTION R'D D WOW 1•4-, Fd X77.0 '9 Qo)
Detailed description of work toR�i o •� pTC-- ((T) -a:x(5'^7-/u6, CU j4 1,164175-k. A
be included on this permit only
(l�)_ I\ (1 4 C,S)
NAME Ilex) eP�RIMARY PHONE
PROPERTY OWNER :*, �, '". S T G� f i2rt- 1 ( )fid - `1' 'Y /49
MAILING ADDRESS E-MAIL
2s J, 3 5 ± 67 & 7 Q..,ko 4N Att, ?t itS
CITY STATE ZIP ^ FAX l/'
NAME / PRIMARY PHONE
L � ( ) -
MAILING ADDRESS E-MAIL
ELECTRICAL
CONTRACTOR CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PRIMARY PHONE
APPLICANT I�ko oDEH3)RoN 5>CcI Fs N*A7i 0A) (2S3 )?38 -44114, 714,T, /00
MAILING ADDRESS E-MAIL
2�'1Ss•33 , fid
57-1a-e-61– RRO YGMCDFN , oQ(,
CITY STATE ZIP FAX
FrDE 'h! WAY vJw ?3eo3 (2.0 ) ' 39 - 4136,
NAME PRIMARY PHONE
PROJECT CONTACT Ste[(CKI l' _ (2s-3) 838 -16'16 ea". IC
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 application. 1�"�'
SIGNATURE: ptgoac„,tfk +'(! DATE FEE. t " / 1013
PRINT NAME: PA" ! -1 L14 t f so K
Bulletin#160—January 1,2013 Page 1 of 2 k:AHandouts\Electrical Permit Application