17-102857City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 83&2607 Fax: (253) 835-2609
Project Name: AVALON CARE CENTER
Project Address: 135 S 336TH ST
Electrical
Permit #:17 -102857 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 926504 0110
Project Description: Disconnect existing generator, connect backup generator while existing generator is being
repaired, disconnect backup generator and reconnect generator when repairs are finished.
Owner
Applicant
Contractor
135 SOUTH 336TH STREET LLC
UNITY ELECTRIC CONST INC
UNITY ELECTRIC CONST INC
6380 WILSHIRE BLVD SUITE 800
20636 15TH AVE NE SUITE A
UNITYEL919L9 (7/13/19)
LOS ANGELES CA 90048-5019
SHORELINE WA 98155
20636 15TH AVE NE SUITE A
SHORELINE WA 98155
Additional Permit Information
Is this an Online or O.T.C. applications ................ Yes
PERMIT "'Mrs
;. Is on dna
I hereby certify that the above i formation * orrect and
and the occupanNIW � will n accordance
W inqton and the d
Owner or agent:
y,1 W
,Ju ,20177
Whstruction on the above described property
laws, rules and regulations of the State of
feral Way.
Date: v/ /�
THIS CARD IS TO REMAIN ON-SITE
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Construction Inspection Record
INSPECTION REQUESTS: (253) 8353050
PERAUT #: 1710285700 Address: 135 S 336TH ST
Project: 135 SOUTH 336TH STREET LLC FEDERAL WAY WA 98003-6601
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)
0
Slab/Concrete Floor (4255)
Approved
113y
Approved
Approved
1By
Approved
By
Approved to place concrete
By
Dat!
By
By
Dat!
By
Date
®
Pool Bonding (4195)
®
Temporary Power (4275)
®
Service (4235)
Approved
113y
Right of Way
Approved
1By
Approved
By
Date
By
Date
By
Date
UZI
Feeders/Sub-panels (4045)
®
Rough Electrical (4225)
®
Ceiling Cover (4020)
Approved
Right of Way
Approved
Approved
By
Date
By
Date
By
Date
1 o Final - Electrical (4055)
Approved
By Date
0
Rough Electrical
0
Final Electrical
0
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
1�CIW OF
Federal Way
Building Division
33325 Eighth Avenue South
Federal Way, WA 98003-6325
Phone 253-835-2607 Fax 253-835-2609
CORRECTION NOTICE
ADDRESS: -33(.11` s--•
PERMIT#: 1?- IoZS'S-1-bo- Wt -
1 NAL 112
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IF YOU HAVE QUESTIONS CALL IM,
(253) 835- 7-le-2-
WHEN
-lo2
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS.
1011V 1 1,
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
CITY OF 4A
Federal WayOF
RECEIVED
JUN 14 2017
COM UN17Y D�ELO MENT
ELECTRICAL
PERMIT APPLICATION
PERMIT NUMBER
SITE ADDRESS:
3 5 3 �� S
BUTTE/UNIT/SPACE #
PROJECT VALUATION
ASSESSOR'S TAR/PARCEL #
v I
CURRENT/PROPOSED USE
DaI��
!!I-2tp5Uq_ c7
PROJECT NAME
(Tenant orHomeoumerLast Name)
V9Z-o v —,r6�L
PROJECT DESCRIPTION
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d'Z%VC/ 0/C LS 1-L
Detailed description of work to
be included on this permit only
NAME -
PRIMARY PRONE
PROPERTY OWNER
14l/'Al o pf C 47Z -i C fit.., T�
S'3) 93S- `7 `153
MAILING ADDRESS
WKADL
35- S S 3 L Td s7 -
CITY
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STATE7
ry
ZIP
C)
FAX
-
NAME
PRIMARY PRONE
CiYti�Ty ELELTiLrC
(o1d6 )57S- -0937
MARLING ADDRESS
p 3 O i s -"J f1, /V - �1l
E-MAIL
ELECTRICAL
CITY
STATELIP
FAX
CONTRACTOR
S1ioa=L/IvC
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V66 )S7S- 7770
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
urust`F9i9L.9 7 / 13 / ice(
-/J-IaISy 2 -vcj- (5L -
NAME
1594d �s
PRIMARY PRONE
06) 66 O - 52-6-3
APPLICANT
MAIIANG ADDRESS y
E•MADL
20 306 $i/� yr
- (,)A J, 4 ( I I effL .0
CITY
STATE
ZiP
FAX
-
PROJECT CONTACT
NAME
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/Z(,;206
PRIMARY PHONE
)-3v- 8308'
I certify under penalty of perjury that I am the property owner or authorised 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 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 lawns 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 clam, 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 offlcers and employees, upon the accuracy of the
information supplied to the city as a,omit of this app n
SIGNATURE: DATE
PRINT NAME: %z
PERMIT CENTER + 33325 8th Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcente a,:cityoffederalway.com
Bulletin #160 –April 14, 2016 Page 1 of 1 k:\HandoutsTlectrical Permit Application
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