16-106032City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax (253) 835-2609
FILE
Project Name: ABAM OFFICE BUILDING
Project Address: 33301 9TH AVE S
Electrical
Permit #:16 -106032 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 926501 0130
Project Description: Performing a 2 hour load bank test of emergency standby Generator.
Owner
Applicant
Contractor
SHELBY COMPANY C/O K MATHEWS
AMANDA NOKESPACIFIC POWER GROUP
PACIFIC POWER GROUP LLC DBA
1201 PACIFIC AVE UNIT 1400
LLC DBA PACIFIC POWER GENERATION
PACIFIC POWER GENERATION
TACOMA WA 98402
5808 S 196TH ST
PACIFPG867D7 (327/18)
KENT WA 98032
805 BROADWAY ST SUITE 700
VANCOUVER WA 98660
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Temp. Service: 0 - 60 amps (A 1
PERMIT EXPIRES Thursday, 21 December, 2017
Permit Issued on Wednesday, December 21, 2016
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
Wa
shington and the City of Federal Way.
Owner or agent: I 11\ I Date:
crrr of
Federal Way
PERNIIT #:
Project:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
16106032 00 Address: 333019TH AVE S
SHELBY COMPANY c% K MATHE` FEDERAL WAY WA 98003-2602
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 rigbt, 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)0
®
Ditch cover (4030)
®
Slab/Concrete Floor (4255)
Ceiling Cover (4020)
Approved:1
Approved
]By
Approved
Approved to place concrete
By
Date
By
. Date
By
Date
®
Pool Bonding (4195)
®
Temporary Power (4275)
®
Service (4235)
Ceiling Cover (4020)
Approved
Approved
Approved
Approved
Approved
By
Date
By
Date
By
Date
0
Feeders/Sub-panels (4045)
0
Rough Electrical (4225)
Final Electrical
®
Ceiling Cover (4020)
Right of Way
Approved
Approved
Approved
Approved
Approved
By
Date
By
Date
By
Date
® Final - Electrical (4055)
Approved ll
By O 9, Date 1 a - J
Rough Electrical
0
Final Electrical
0
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
1
RECE�vE�
CITY OF � NOV
z9 2oti� PERMIT APPLICATION
WAY PERMIT .CENTER + 33325 8d, Avenue South +Federal Way, WA 98003-6325
Federal Way of FEa� o f 253-835-2607 + FAX 253-835-2609 + permitcenter®cityoffederalway.com
. CA�'�M�NRY �� •
PERMIT NUMBER1} 3 L-- _ 1
_.. — — — —. TARGET DATE
SITE ADI)MM
SUITE/UNIT #
` y^
A
PROJSCT VALUATION
ZONING
A88S W8. TAR/PARCML #
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLMON ❑ ENGINEERING XFMPREVENMON
NAME OF PROJECT
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
•
NAMS -
PRIMARY PFIORB .
D�
PROPERTY OWNER
' GAD
,MAIL
ST TE
d�(iuUlA��w`1��'� \ `
CONTRACTOR CL
PH
xiGADDRi88
`✓31 '
sTATB
FAX
A STATS conTRACTown IJaumz !
IRATION DATE
FSDSRAL MAT BUSINESS LICIRMS i
111 &x ,
L�
APPLICANT-
�y,Al
���IJC✓l � cJ1.l� I' `� �
C1TY
ST
FAX
PROJECT CONTACT
S
k .
PHONS
Ave. -�
B-MAM or ►
I
n
(The individual to receive and
respond to all correspondencev
w
Ax
concerning this application)
PROJECT FINANCING:
xArtd
❑ OWNER FINANCED
Where value is $5 000 or more
(RCW 19.27.095)
ADDR888, CITT, STATS, SIP
PHONE
I cerA y under penalty of perfary that I am the property owner or authorized agent of the property owner. I certo that to the best
of my knowledge, the information submitted in support of this permit application to true and correct. I cert(* that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorised by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with loca4 stab, or federal laws regulatieg
construction or environmental laws.
I f Lather 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 cIajv4 which may be made by any parson, inchuling the undersigned, and filed against the otty,
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.
SIGiNATURE: C DATE �l Iia I tom_
PRINT NAME:
Bulletin #100 — January 29, 2016 Page 1 of 2 kAHandouts\Pennit Application