13-105551Electric%4
City of Federal Way
Community 8 Econ. Dev. Services i + Permit #. 1-105551-00-E L
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Ph: (253) 835-2607 Fax: (253) 835-2609 pec q st Line: (253) 835-3050
Project Name: CROSSPOINTE
Project Address: 35717 20TH AVE SW Parcel Number: 252103 9017
Project Description: Install (l) circuit for lighting system in ROW consisting of (1) service cabinet and (2) street
light poles
Owne
S T J PARTNERS LLC
ARRIIcant
TOTEM ELECTRIC OF TACOMA INC
Contractor
TOTEM ELECTRIC OF TACOMA INC
PO BOX 1001
PO BOX 1093
TOTEMET315BS (9/30/15)
ENUMCLAW WA 98022
TACOMA WA 98401
PO BOX 1093
TACOMA WA 98401
Additional Permit lnformadon
Is this an Online or O.T.C. application? ................. es
Service greater than 999 Amps? .............................No
Electr%al Fixtures
Circuits - Commercial. ................... 1
Is Use Educational or Institutional? ....................... No
PERMIT EXPIRES Wednesday, June 112014
Permit Issued on Friday, December 13, 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
an the City of Federal Way.
Owner or agent9Date: /
FINALED
Qri of
Federal Way
• THIS CARD IS TOJfPLAJN ON-SITE
Construction Inection Record
INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 13 -105551 -00 -EL Address: 35717 20TH AVE SW
Project: S T J PARTNERS LLC FEDERAL WAY, WA 98023-7248
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
LIFER Ground (4295)
0
Ditch cover (4030)Slab/Concrete
Temporary Power (4275)
Floor (4255)
Approved
Approved
By
Approved
By
Approved to place concrete
By
Date
By
Date
By
Date
0 Feeders/Sub-panels (4045) Rough Electrin
Approved Approved
By Date By Date
Final - Electrical (4055)
Approved
By, � Date�-
0 Service (4235)
Approved
By P4 Date Q 6
0 Ceiling Cover (4020)
Approved
By Date
Pool Bonding (4195)
0
Temporary Power (4275)
Approved
Right of Way
Approved
By
Approved
By
Date
Date
By
Date
0 Feeders/Sub-panels (4045) Rough Electrin
Approved Approved
By Date By Date
Final - Electrical (4055)
Approved
By, � Date�-
0 Service (4235)
Approved
By P4 Date Q 6
0 Ceiling Cover (4020)
Approved
By Date
Rough Electrical
Approved
0
Final Electrical
Approved
0
Right of Way
Approved
By
Date
By
Date
By
Date
CITY lY OF 'A
Federal Way
ELECTRICAL
PERMIT AWJION
PERMIT NUMBER I --1-751 _ 10 5 5 i�;— ' _ 00
DEC 13 2013
CITY OF FEDERAL WAY
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 apart of this application.
SIGNATURE:
PRINT NAME:
_1zZ13/13
Bulletin #160 — January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application
SUI T/SPACE#
SITE ADDRESS: 35661 20th Ave SW, Federal Way WA 98023
NA
PROJECT VALUATION
ASSESSOR'S TAX/PARCEL #
CURRENT/PROPOSED USE
$ 17,059.00
2 5 2 1 0 3_ 9 0 1 7
Residential Plots
PROJECT NAME
(Tenant or Homeowner Last Name)
Crosspointe Developement
Install a City of Federal Way lighting system in the
PROJECT DESCRIPTION
Public right of way, consisting of one service
cabinet and two street light poles
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
St J Partners
MAILING ADDRESS
E-MAIL
CITY
STATE
I ZIP
( FAX
NAME
PRIMARY PHONE
Totem Electric of Tacoma Inc
(253)383-5022
MAILING ADDRESS
E-MAIL
ELECTRICAL
2332 Jefferson Ave
Rogerp@Totemelectric.com
CONTRACTOR
CITY
STATE
ZIP
FAX
Tacoma
IWA
I 98402
(253 )272-5214
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
TOTEMEL315BS 9'30 /14
9 -99 -106730 -00 -BL
NAME
PRIMARY PHONE
APPLICANT
Mark Stephens
(253)-722_2829
MAILING ADDRESS
2332 Jefferson
E-MAIL
Rogerp@Totemelectric.com
CITY
STATE
ZIP
FAX
Tacoma
IWA
98338
(253) 272-5214
PROJECT CONTACT
NAME
Roger Palfenier
PRIMARY PHONE
( 253) 722 -2838
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 apart of this application.
SIGNATURE:
PRINT NAME:
_1zZ13/13
Bulletin #160 — January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application