18-105948City or Federal way
Community Development Dept. i
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 6352607 Fax (253) 8352609
Project Name: CAMELOT SQUARE MFH SPACE 362
Project Address: 3001 S 288TH ST
Project Description: Electrical service to include adding a feeder.
Electrical
Permit #:18 -105948 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 042104 9155
Owner
Applicant
Contractor
CAMELOT SQUARE INC
RANDY REITEN PRESS H END
SOUTH END ELECTRIC INC
3001 S 288TH ST
ELECTRIC
SOUTHEEIO1BW (1/19/20)
FEDERAL WAY WA 98003-8019
SOUTH END ELECTRIC
PO BOX 4355
PO BOX 4355
SPANAWAY WA 98387
SPANAWAY WA 98387
Additional Permit Informatio-
Is this an Online or O.T.C. application? .................. Yes
Service or Feeder - Manu./ MJ
PERMIT EXPIRES Thursday, 19 December, 2019
Permit Issued on Wednesday, December 19, 2018
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 yAth the laws, rules and regulations of the State of
Wa ington a ity of Federal Way.
Owner or agent:
circ of
Federal Way
19A1 uiflll'�
Project:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
18105948 00
CAMELOT SQUARE INC
Address: 3001 S 2887M ST Space 362
FEDERAL WAY WA 98003
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 Sans or the inspection sequence. On-going inspections are logged on the back of this card.
4❑
Slab/Concrete Floor (4255)
Q
Final - Electrical (4055)
Approved to place concrete
Right of Way
Approved
By
Date
Approved
By QN,
Date �� l
ri
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
DateBy
Date
CITY OF
Federal Way
RECEIVED
DEC 19 2018
CITY OF FEDERAL WAY
COMMUNrTY DEVELOPMENT
ELECTRICAL
PERMIT APPLICATION
PERMIT NUMBER 1 S _ 1 b 5 9 11 U _ e(,
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 c as a of th appli ation. �y
SIGNATURE: DATE
PRINT NAME:
Bulletin # 160 -April 14, 2016 Page 1 of 1 k:\Handouts\Electrical Permit Application
MEtT
SUITE/UNIT/SPACE #
SITE ADDRESS: 3da 1
2$ g� 4 5 T
2(' -:2,
PROJECT VALUATION
$ 5 ._ ��
ASSESSOR'S TAX/PARCEL #
C)
C
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
�Ilo��/� �orke •�e�er
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME P
PRIMARY PHONE
PROPERTY OWNER
Ch 114
C t Q r
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
( FAX
1 )
NAME
_50%,J k Erb E )e c_ -i,--; c
mi e_
PRIMARY PHONE
PS -3)9V'? 2.2�
MAILING ADDRESS
Q_Z -?c S^
E-MAIL
Ito e U C ok
ELECTRICAL
CITY
nuw
STATE
ZIP
9.38 2
FAX
CONTRACTOR
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
Ce
APPLICANT
N r
' "4'n
PRIMARY PHONE
(W3) "2*- 6 7 ��
7ING ADDRESS
0 0 3
E-MAIL
CITY
GGWc
STATE
ZIPP
/ FAX
PROJECT CONTACT
iiAAE
e e h
PRIMARY PHONE
n_ G S G
��S'3 ) 2n _
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 c as a of th appli ation. �y
SIGNATURE: DATE
PRINT NAME:
Bulletin # 160 -April 14, 2016 Page 1 of 1 k:\Handouts\Electrical Permit Application
MEtT