18-105700City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax (253) 835-2609
Project Name: FEDERAL WAY MARKETPLACE
Electrical
Permit #:18 -105700 -00 -EL
Inspection Request Line: (253) 835-3050
Project Address: 34520 16TH AVE S Parcel Number: 212104 9010
Project Description: Replace Milbank pedestal on vacant site next to Del Taco.
Owner
Applicant
Contractor
JEFFREY OLIPHANTFEDWAY
BRENT SHEANORTH END ELECTRIC
NORTH END ELECTRIC CORP
MARKETPLACE WEST LLC
3320 N HUSON ST
NORTHEE871DL (3/16/19)
30300 AGOURA RD SUITE 270
TACOMA WA 98407
AGOURA HILSS CA 91301
3320 N HUSON ST
TACOMA WA 98407
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Mast or Meter Repair (Comore
PERMIT EXPIRES Wednesday, 4 December, 2019
Permit Issued on Tuesdav, December 4, 2018
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
Washi gt and the City of Federal Way.
Owner or agent: Date: i3
NIM -111461
cm or TMS CARD IS TO REMAIN ON-SITE
1
Federal Way Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERAM #: 18105700 00 Address: 3452016TH AVE S
Project: JEFFREY OLIPHANT 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 inspections or the inspection sequence. On-going inspections are logged on the back of this card.
0
UFER Ground (4295)
®
0
Ditch cover (4030)
®
Slab/Concrete Floor (4255)
Approved
Approved
Approved
Approved
1By
Approved to place concrete
By
Date
By
By
Date
By
Date
®
Pool Bonding (4195)
®
0
Temporary Power (4275)
®
Service (4235)
Approved
Approved
Approved
Approved
1By
Approved
By
Date
By
By
Date
By
Date
El
Feeders/Sub-panels (4045)
®
Rough Electrical (4225)
Q
Ceiling Cover (4020)
Approved
IBY
Approved
Approved
By
Date
By
Date
By
Date
10 Final - Electrical (4055)
Approved
By ell Date Q, F
Rough Electrical
Final Electrical
Right of Way
IBY
Approved
Approved
Approved
Date
By
Date
By
Date
CITY OF DECEIVED ELECTRICAL
Federal Way DEC 0 4 2018 PERMIT APPLICATION
CITY OF FEDEFMBER /1
*OMMUNfTY DEVEL�_ -L
SITE ADDRESS:
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Sl7rrE/Da1r/SPACE #
as
PROJECT VALUATION
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ASSESSOR'S TAX]PPARML #
CURRENT/PROPOSED USE
P:2
ROJECT NAME
rrenant or Homeowner Last Name)
e Q GCi
PROJECT DESCRIPTION
'
Detailed description of work to
be included on this permit only
NAME
PRMMRY PHONE
PROPERTY OWNER
Cako) (meq -&A(040
MAILING ADDRESS
E-MAIL
3 10 1 <` Ave
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CITY
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STATEZIP
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FAR
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NAME
MUMMY PHONE
-L�OIL
MAILING ADDRESS
E-MAIL
ELECTRICAL
O M..�
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it Ng>Cti,Ei: scCoR
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STATE
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FAX
CONTRACTOR
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WA
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WA STATE CONTRACTOR'S LICENSE #
ERPIRATION DATE
FEDERAL WAY BUSINESS LICENSE i
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3
NAME
mA2 eo
PRIMARY PHONE -
('js )-9-7(o - ci8q
APPLICANT
MAILING ADDRESS
E-MAIL
3340 N, VJSO n St-
'nteiAOe�eck . o
CrrYSTATE
-Ta
1A1 fk
ZIP
W10-1NAMPRIMARY
FAX
CONTACT
renik Cl_ �
PHONE
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I certVy under penalty of perjury that I am the property owner or authorised agent of the properly owner. I certVg that to the best of
my knowledge, the information submitted in support 4f this permit application is true and correct. I certVy 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 local, state, or federal laws regulating
construction or environmental taws.
I further agree to hold harmless the City 4f 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 4f the reliance of the city, including its offers and employees, upon the accuracy of the
information supplied to the city as a pa# of this application.
SIGNATURE:
PRINT NAME:
PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenteta_cityof ederalway.com
Bulletin #160— April 14, 2016 Page 1 of 1 k:\Ilandouts\Electrical Permit Application
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