15-106409w
Electrical
City of Federal Permit #: 15 106409 00 EL
Community &Econ. Dev. v. Sen(ices
33325 8th Ave S
Federal Way, WA 9800-3 Inspection Request Line: 253 835-3050
Ph: (253) 835-2607 Fax (253) 835-2609 � q
Project Name: PLANT 2 LLC
Project Address: 35053 16TH AVE S Parcel Number: 202104 9116
Project Description: Move existing 600A 277/480 vac service 2' north to make room for City ROW and Street
Improvements. .
Owner
PLANT 2 LLC
Aonlicant
ERIC JOHNSON
Contractor
OWNER IS CONTRACTOR
PO BOX 487
CORLISS RESOURCES
SUMMER, WA 98390
35053 16TH AVE S
_.
FEDERAL WAY WA 98063
Additional Permit Information
Electrical Work Valuation?.:.:.................:.........:.:.42000 Is this an Online or O.T.C. application? ................. Yes
Is Use Educational or Institutional? ....................... No Service greater than 999 Amps? ............................. No
Electrical Fixtures
Alt. Srvc / Feeder 201- 600 amps (t 1
PERMIT EXPIRES Wedn
Permit Issued on Friday,
I hereby certify that the above information is correct and
the occupancy and the use wjM be in accordaigpowitin
an i — Fed
Owner or agent:
11b 15, 201
18, 2015
constructs ve described property and
rules and ns of the State of Washington
Date: /'2 —/ g —) S
THIS CARD IS TO REMAIN ON-SITE ,
CITY °F THIS
Inspection Record
Federal Way Construction
REQUESTS: (253) 835-3050
PERMIT #: 15 -106409 -00 -EL Address: 35053 16TH AVE S
Project: PLANT 2 LLC FEDERAL WAY, WA 98023
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 riot 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.
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❑ Rough Electrical
Approved
UFER Ground (4295)11
El Right of Way
Approved
Ditch cover (4030)
Date
Slab/Concrete Floor (4255)
By
Approved
Temporary Power (4275)
Approved
❑ Service (4235)
Approved to place concrete
By
Date
By
Date
By
Date
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❑ Rough Electrical
Approved
Final Electrical
Approved
El Right of Way
Approved
By
Date
By
Pool Bonding (4195)
Temporary Power (4275)
By
❑ Service (4235)
Approved
Approved
Approved
By
Date
By
Date
CS Date
❑
®
Feeders/Sub-panels (4045)
Rough Electrical (4225)
❑ Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By Date
®
Final - Electrical (4055)
Approved
By
Date
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❑ Rough Electrical
Approved
Final Electrical
Approved
El Right of Way
Approved
By
Date
By
Date
By
Date
RECEIVED
CITY of .DEC 17
2015 ELECTRICAL
Federal Way CITY OF FEDERAL WAY PERMIT APPLICATION
G CDS
PERMIT NUMBER"
SITE ADDRESS:
- n �-
r
SUITE/UNIT/SPACE #
PROJECT VALUATION
ASSESSOR'S TAR/PARCEL #
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
�� r—
- j
r
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAMEPRIMARY
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PHONE
(a 5 )733'(0 - $d 1 V
MAILING ADDRESS
6bX
E-MAIL
CITY
V 17'11
/STATE
I ZIP�j
FAX
NAME
PRIMARY PHONE
( )
MAILING ADD 3
E-MAIL
ELECTRICAL
CITY
STATE
ZIP
FAX
CONTRACTOR
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
APPLICANT
i
A
( )
MAILING ADDRESS
d 20Al 8_7
E-MAIL-
CITY
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STATETi-m-_FAX
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( 914 3"7>- [cy <
PROJECT CONTACT
NAME
PRIMARY PHONE
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:
TE /,� _/ 9'/S'
Bulletin # 160 —January 1, 2013 Page 1 of 2 k:\I-Iandouts\Electrical Permit Application