15-106294r �' Electrical
City of Federal Way Permit #. 15 -106294 -00 -EL
Community &Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: (253) 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609
L
Project Name: PPR7
Project Address: 30625 3RD AVE SW Parcel Number: 556000 0350
Project Description: 200 -amp service change.
Owner
ApRlican
Contractor
PPR 7 LLC
OMEGA ELECTRIC
OMEGA ELECTRIC
PO BOX 97
12140 KOEPPEN RD
OMEGAE*871N9 (9/11/17)
FALL CITY WA 98024
RAINIER WA 98576
12140 KOEPPEN RD
RAINIER WA 98576
Additional Permit Information
Electrical Work Valuation?....................................1000 Is this an Online or O.T.C. application? ................. Yes
Is Use Educational or Institutional? ....................... No
Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 amps (F 1
PERMIT EXPIRES Saturday, June 11, 2016
Permit Issued on Monday, December 14, 2015
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
the City of Federal Way.
Owner or agent: Date: Z - l y - (`r
l'
'
I-
i
TRIS CARD IS TO MAIN ON-SITE
CITY OF � Construction In ection .Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #:
Project:
15 -106294 -00 -EL
PPR 7 LLC
Address: 30625 3RD AVE SW
FEDERAL WAY, WA 98023-3909
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.
0
UFER Ground (4295)Ditch
cover (4030)
E]
Slab/Concrete Floor (4255)
El
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
Date 2 rs
Pool Bonding (4195)
Temporary Power (4275)
El
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
E]
Rough Electrical (4225)
Ceiling Cover (4020)
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
Date 2 rs
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF A
Federal Way
4ECEIVED
DEC 1`12015
CITY OF FEDERAL WAY
CDS
ECTRICAL
PERMIT APPLICATION
PERMIT NUMBER /— Z - IV 4 Y _&54
SITE ADDRESS: 306 S� i1 S(.v
SUITE/UNIT/SPACE #
PROJECT VALUATION
ASSESSOR'S TAX/PARCEL # ^ J
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
P
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
or
PROPERTY OWNER
NAME
PP 2
PRIMARY PHONE
( ) -
MAILI G ADDRESS
6 Z 3 R -D A u S c�
E-MAIL
CITY {�£!V
F V �i L lN�
GO
ZIP
( ) FAR
ELECTRICAL
CONTRACTOR
NAME
C
PRIMARY PHONE
MAILING ADDRESS
a l .-{ O K.D t PP t N
E-MAIL
CITY
STATE
ZIPP - -7 /
FAX
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME
ef A C 1-6 A(
PRIMARY PHONE
)
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
(/ FAX
1 ) -
PROJECT CONTACT
NAME
C ( J+ r-
PRIMARY PHONE
, ) 2,31 _ 3 � -7
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 t e reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the ci part this application.
SIGNATURE: DATE
PRINT NAME: A
Bulletin # 160 -January 1, 2013 Page 1 of 2 U1IandoutsTlectrical Permit Application