13-103981� . l
City of Federal Way s
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003 6wt
Ph: (253) 835-2607 Fax (253) 835-2609
Project Name: NORTHWEST PLAZA
Project Address: 840 S 333RD ST
Electrical
Permit #: 13 -103981 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 926500 0150
Project Description: Install (1) 240V, 30amp single face circuit for new 2 -ton ductless split system A/C unit
Owner
li ant
Contractor
WEYERHAEUSER NR COMPANY
MCKINSTRY CO LLC (GENERAL)
MCKINSTRY CO LLC (ELECTRICAL)
PO BOX 9777
PO BOX 24567
MCKINCL942DN (3/15/14)
FEDERAL WAY WA 98063
SEATTLE WA 98124
PO BOX 24567
SEATTLE WA 98124
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes
Service greater than 999 Amps? .............................No
Is Use Educational or Institutional? ....................... No
Electrical Fixtures
Circuits - Commercial .................... 1 Thermostat..................................... 1
PERMIT EXPIRES Sunday, March 9, 2014
Permit Issued on Tuesday, September 10, 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 ill be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date: �+
CITY OF
Federal Way
PERMIT #:
Project:
THIS CARD IS TOMAIN ON-SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
13 -103981 -00 -EL Address: 840 S 333RD ST
WEYERHAEUSER NR COMPANY FEDERAL WAY, WA 98003-6343
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.
Final - Electrical (4055)
Approved
By V-13 Date 91 1.9 113
Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
LIFER Ground (4295)Ditch
cover (4030)
Temporary Power (4275)Service
Slab/Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By V-13 Date 91 1.9 113
Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
Pool Bonding (4195)
❑
Temporary Power (4275)Service
(4235)
Approved
Approved
Approved
By
Date
By
Date
By
Date
E]
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By V-13 Date 91 1.9 113
Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
, A
CITY OF ELtCTRICAL
Federal Way PERMIT APPLICATION
f 2 Q RECEIVED
PERMIT NUMBER - I a ✓ l _00 SEP 10 2013
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 maybe 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 sypplitd to the city as apart of this application.
C
SIGNATURE:
PRINT NAME. l
Bulletin # 160 —January 1, 2013
Page 1 of 2
q 10 b1)
k:\Handouts\Electrical Permit Application
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SITE ADDRESS:
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PROJECT ➢V�UATION
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ASSESSOR'S T4X/PARCEL � -o r � �
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CURRENT/PROPOSED USE
OJCT NAME
(Tenant or Homeowner Last Name)
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PROJECT DESCRIPTION
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Detailed description of work to
be included on this permit only
PROPERTY OWNER'`�P�-
NAME
PRIMARY PHONE
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MAILING ADDRESS
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E-MAIL
city
FAX
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NAME
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PRIMARY PHONE
MAILING ADDRESS
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E-MAIL
ELECTRICAL
CITY
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STATE
ZIP
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CONTRACTOR
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME
PRIMARY PHONE
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MAILI�NG ADDRESS
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E-MAIL
CITY y� uapm
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ZIP�j
( ) FAX
PROJECT CONTACT
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PRIMARY PHONE
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 maybe 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 sypplitd to the city as apart of this application.
C
SIGNATURE:
PRINT NAME. l
Bulletin # 160 —January 1, 2013
Page 1 of 2
q 10 b1)
k:\Handouts\Electrical Permit Application