11-103590A. . • y
City of Federal Way
Applicant
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
LL.
Ph: (253) 835-2607 Fax: (253) 835-2609
ENERGY MANAGEMENT SERVICES
Project Name: DASH POINT ARCO
Project Address: 1600 SW 312TH ST
0 *Eflactrical
Permit #: 11 -103590 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 122103 9026
Project Description: Adding/altering (1) circuit for Anti -sweat heat controller installation in walk-in cooler
Owner
Applicant
Contractor
JOHN MANAN AMON
ENERGY MANAGEMENT SERVICES
ENERGY MANAGEMENT SERVICES
1600 SW 312TH ST
(ELECTRICAL)
(ELECTRICAL)
FEDERAL WAY WA 98023
15008 35TH AVE W SUITE C
ENERGMS913136 (1/26/13)
LYNNWOOD WA 98087
15008 35TH AVE W SUITE C
LYNNWOOD WA 98087
1�13eim!t�Ci�k
Is Use Educational or Institutional? ....................... No Service greater than 999 Amps? ............................. No
Circuits - Commercial .................... 1
PERMIT EXPIRES Wednesday, September 12, 2012
Permit Issued on Tuesday, September 13, 2011
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 Washington
and th ity of Federal Way.
Owner or agent: Date: ����-
CITY OF VAv
Federal Way
PERMIT #:
Project:
THIS CARD IS TO REMAIN ON-SITE h
Construction Inection Record
INSPECTION REQU TS: (253) 835-3050
11 -103590 -00 -EL Address: 1600 SW 312TH ST
JOHN MANAN AMON FEDERAL WAY, WA 98023-4407
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.
rl
UFER Ground (4295)
El
Ditch cover (4030)
Final Electrical
Approved
Slab/Concrete Floor (4255)
Approved
By
Approved
Temporary Power (4275)Service
Approccd to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date
`1
❑
Rough Electrical
Approved
❑
Final Electrical
Approved
Right of Way
Approved
By
Pool Bonding (4195)
Temporary Power (4275)Service
(4235)
Date
Approved
By
Date
Approved
Approved
By
Date
By
Date
By
Date
E]
❑
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
`1
❑
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
09101,1011 16:30
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Federal Way
COWUMNDEVELOPnW S.ERVICrZ
253 -WS -2407• PAN 2,9.5-05-260,9
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PERMIT
APPLICATION
SITE ADD'RCBfS
(f000 Ste( St r R-aexI'a wat4, WA 96O23
PAGE 03103
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SF MF CO ME T, DE EN FP
ZONING UX/PAR,4=1,
NAMLt OF PROJECT
n)enant or Homeoumer Name)
/� '
bask Pmn+ n+ I-rr CC
TYPE OF PERMIT
❑ BUILDING 0PLUMBING O MECHANICAL
❑ DEMOLITION fJ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENnON
PROJECT DESCRIPTION
Ate►: "o In �5a\k-In o
Detailed description of work to
be included on thea permit only
PROPERTY OWNER
NABS PRIMARY PaONE
\kzQ (253) 157, — Z4 -1S
MAELINGADDRE88, CITY, STATE, ZIP W-XA&
I bo 0 W -12 St. F At tat Way, Wh- 98023
OWNER 1$ AL$O:
[j CONTRACTOR Q APPLICANT PROJECT CONTACT
NAAW
F-hQ Man vneni- Service
PRIMARY PRONE
( 5 14-1 - 357.6
CONTRACTOR
SAD Daa AnnREsa, CITY, &TATE, zw
15008 3S-41 Ave W -Ac nnwrod, wA 913M-(-4;—,,>)
PAR
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WA STATE CONTRACTOR'S 7 iC8"X 0
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337)[RATIOF PATE
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FB.DERAL WAY Bl18riirss ticeNsE #'
APPLICANT
NAME
e Con 1 ` K eVo r Wz)v�o n
PRI]MAY PRONE
KAU.DVG ADDRESS, CWT, STATE, ZIP
PAX
( )
PROTECT CONTACT
(The individual tb recewe and
XAs¢
ocMe 0MIX
PPIMARY PRONE
respond in all Correspondence
mnoerntrlg this appltcatrorz)
MADaio ADDRESS, C=, NATE, 2V
%$ 3�k AW w{ YIV%vOd X4 qW7
TAX
() 4i - 3 5
AT,17,F ,PUtT$ CONTACT NASOE:
P,RVJ�A��R��Y FKQNV
2r3 -
&MA L
PROJECT FINANCING
.t2¢q'uUed.for prpjects with
NAME
OWNER -FINANCED
Ualiie of $5,000 or more
(RCW )9.27,095!
MADnvG ADDRESS, CITY, STATE, ZIP
PRIMARY MOrm
I cert4fy under penalty of perjury that I am the property owner or authorlmd agent of the property owner. I certify that to the
beat of my knowledge, the irlfOv rmation submitted in support of this permit application i9 true and correct. I certify that I will comply
with all applicable City of Fed" Way regulations pertaining to the umrk authorized by the issuance of a permit, I understand that
the issuance of this permit does not remo+ne the owner's responsibility for compliance with local, state, or federal Imus regulating
oonatru4-fion or erwlronmental tains.
I further agree to hold harmums the City of Flederal Way as to any claim (including costs, expenses, and attorneys' jbes incurred
In the investigation and dgfense of such clairrtl, which may be made by any person, including the undersigned, and filed against the
City, but only where such claim arises out of he reliance of the city, including Its go1cers and employees, upon the accuracy of the
irtfornation sVplied to the city as a part of is ation.
SIGNATURE: DATE
PRINT NAME:
Bulletin ##100 ^ 4/21/2009 Page 1 of 4 k:\Handouts\Perl)at ,Application