13-101736i
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609 #s t
Project Name: AT & T
Project Address: 1628 S 344TH ST
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" Electrical
Permit #: 13 -101736 -00 -EL
Inspection Request Line: (253) 835-3050
Project Description: Installation of diesel powered emergency back-up generator.
Parcel Number: 212104 9089
Owner
Applicant
Contractor
GREENFINGERS LLC
MITCHELL J ARCHITECTURE
KAIGE ELECTRICAL SOLUTIONS LLC
21323 NE 92ND PL
4883 RONSON CT SUITE N
KAIGEES950137 (2/15/17)
REDMOND WA 98053
SAN JOSE CA 92111
13065 SHADYGLEN AVE SE
OLALLA WA 98359
Additional Permit lnforrntion
Is this an Online or O.T.C. application?.................No
Service greater than 999 Amps? .............................No
'Electrical Fixtures
New Service: 101- 200 amps (Cott 1
Is Use Educational or Institutional?.......................Yes
PERMIT EXPIRES Wednesday, October 16, 2013
Permit Issued on Monday, July 1, 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 b ' accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date:
1'11VAh;7r%F
THIS CARD IS TOIN ON-SITE
CITY OF ; • Construction In ection Record
Federal Way INSPECTION REQU TS: (253) 835-3050
PERMIT #:
Project:
13 -101736 -00 -EL Address: 1628 S 344TH ST
GREENFINGERS LLC FEDERAL WAY, WA 98003-6852
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
Date
0
UFER Ground (4295)
❑
Ditch cover (4030)
Electrical
Approved
Slab/Concrete Floor (4255)
Approved
By
Approved
Power (4275)
Approved to place concrete
By
Date
By
Date _
By
Date
Final - Electrical (4055)
Approved
Date
0
Rough Electrical
Approved
0Final
Electrical
Approved
Right of Way
Approved
By
Pool Bonding (4195)1:1Temporary
Power (4275)
Service (4235)
Date
Approved
By
Date
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
Date
0
Rough Electrical
Approved
0Final
Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
r
RECEIVED ELECTRICAL
"TY OF 8 2x13
Federal Way APR 1PERMIT APPLICATION
CMOF FEDERAL WAY
PERMIT NUMBER I /o/ 54q j 13
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SITE ADDRESS: 163)-
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SUITE/UNIT/SPACE #
PROJECT VALUATION
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ASSESSOR'S TAX/PARCEL#
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CURRENT/PROPOSED USE
PROJ NAME
(Tenant orr Homeowner Last Name)
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PROJECT DESCRIPTION
Detailed description of work I
be included on this permit only
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PROPERTY OWNER
NAME j�
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PRIMARY PHONE
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MAILING ADDRESS
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E-MAIL
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ZIP/Vjj f'��
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/ FAX
ELECTRICAL
CONTRACTOR
NAME
PRIMARY PHONE
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MAILING ADDRESS
EMAIL
CI'T'Y
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
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FEDERAL WAY BUSINESS LICENSE #
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APPLICANT td
NAME
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PRIMARY PH'SowkONE
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EMAIL
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STATE
ZIP
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PROJECT CONTACT
NAME
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PRIMARY PHONE
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I certify under penalty ofperjury 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 Iocal, state, or federal Yaws 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 claimj, which may be made by any person, including the undersigned, and flied against the city,
but only where such claim arises out o reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to thecity this application.
SIGNAfiURE: DATE
PRINT NAME: Q Q
Bulletin #160 -January 1, 2013 Page l of 2 k:iHandoutsiElectrical Permit Application