16-101148City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: PAVILION APARTMENTS - CLUBHOUSE
Project Address: 1900 SW CAMPUS DR
Project Description: Electrical work for clubhouse remodel project.
0 • EIeetrical
Permit #: 16 -101148 -ft -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 132103 9103
Owner
Anniicant
Contractor
FPA4 CASCADE RIDGE LLC
J N M ELECTRIC INC
J N M ELECTRIC INC
4685 N MACARTHUR CT SUITE 400
PO BOX 7059
JNMELEI87104 (9/24/17)
NEWPORT BEACH CA 92660
BONNEY LAKE WA 98391
PO BOX 7059
BONNEY LAKE WA 98391
Additional Permit Information
Electrical Work Valuation?....................................19500 Is this an Online or O.T.C. application? ................. Yes
Is Use Educational or Institutional? ....................... No Service greater than 999 Amps? ............................. No
Electrical Fixtures
Circuits - Commercial .................... 12
PERMIT EXPIRES Tuesday, March 7, 2017
Permit Issued on Monday, March 7, 2016
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
City of Federal Way.
Owner or agent: Date: 3 r Zo�6
THIS CARD IS TOrTSI(253)
ON-SITE
CITY CW Construction Inon Record
Federal Way INSPECTION REQU835-3050
PERMIT #: 16 -101148 -00 -EL Address: 1900 SW CAMPUS DR
Project: FPA4 CASCADE RIDGE LLC FEDERAL WAY, WA 98023-6533
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.
UFER Ground (4295)
Ditch cover (4030)Slab/Concrete
Floor (4255)
Approved
Approved
Approved to place concrete
By Date
By Date
ByDate ._ jb
Pool Bonding (4195)
Rough Electrical
Approved
Temporary Power (4275)
Final Electrical
Approved
Service (4235)
Approved
Right of Way
Approved
Approved
Date
Approved
By Date
By
Date
Date
By
Date
❑
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By Date
By
Date
By
Date % L_j_j
Final - Electrical (4055)
Approved
By �� Date i a
Rough Electrical
Approved
Final Electrical
Approved
M
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF A
Federal Way
ELECTRICAL
MAR' 0 7 2016 PERMIT APPLICATION
CITY OF FEDERAL WAY
PERMIT NUMBER DS
—Z-� - Y2 -
SITE ADDRESS: 1q(6
cj
SUITE/UNIT/SPACE #
i�CA 9"5-
OJECT VALUATION
ASSESSOR'S TAX/PARCEL#
-/—
O � _ � �
CURRENT/PROPOSED USE
PROJECT NAME
, Y
(Tenant or Homeoumer Last Name)
V r
6L.L& i -%F_ -%F Nl
Di FY eXIS"ii
PROJECT DESCRIPTION
-
Detailed description of uAork to
be included on this permit only
PROPERTY OWNER(�%
NAME
PRUIiARY PHONE
) S-
MAII,AfO ADDRESS
&PAM
Crry
(l
STATE
/
ZIP
L
FAX
NAME
PRUTAARY PHONE
MAILING ADDRESS
N, 90A IDS41I
EMAIL
d Gr
ELECTRICAL
-
CITYs�ATE
ZIP
-
CONTRACTOR
WA STATE CONTRACTOR'S LICENSE #
133 -IRAN DATE
1
4
NAME A - As
fA.AMAH
�' c r
l.L:.
AL-
t1
PRn�IwRY PHONE
APPLICANT
ING ADDRESS
E-MAIL
CITY
STATE
I ZIP
FAX
PROJECT CONTACT
NAME
--�
CCO
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 cert(fy 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 laws.
I Jiurther 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 flied against the city,
but only where such claim arises out a!f the reliance of the city, Including its officers and employees, upon the accuracy of the
igformation supplied to go city as apart of this application.
SIGNATURE:
PRINT NAME: -
5- 7- .2b i In
Bulletin #160 - January 1, 2013 Page 1 of 2 k:\HandoutslElectrical Permit Application
CITY OF PERMIT APPLICATION
DEC 2 9 PERMIT CENTER + 33325 8m Avenue South + Federal Way, WA 98003-6325
Federal Way 253-835-2607 + FAX 253-835-2609 + permitcente acitvoffederalway.com
�pr�p�p�+ �,��yyL c` X
PERMIT NUMBER! _
/0 6 / - M TARGET DATE
SITE ADDRESS —SUITE/4—a
to � V10"�T- . sr�-A-{v6 v� �Y�v,�--6,
PROJECT ION
� AN
$
ZONING
ASSESSOR'S T�PAR� # � � � -
Z — —
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING 9MECRANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
_ (fS T&"
PROJECT DESCRIPTION
C 21.1 -
Detailed description of work to
lJY'4' 0-JU-1 P" AJ
r.
be included on this permit only
NAMECC PRIIIARY PHONE
N l�St�
PROPERTY OWNER
MAII.ING ADDRESS
8 -MAIL
Kt ,i�a,J
CITY STATE ZIP
NAME
PWRX
:y
t-iDit2re4 &-.5
E -
r1iCt.1/�I��'✓�� !'iDiGSI
CONTRACTOR
MAD) G ADDRESS
CITY
STATER
ZIP
FAX
WA STATE CO CTO 'S LICENSE 9 EXPIRATION DATE
INW9-1 I K7 W7
FEDERAL WAY BUSINESS LICENSE #
AME
PRIBIARY PHONE
APPLICANT
BAILING ADDRESS
E-MAM
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAM;
NE
C+ 7
�`t •"/ c+r✓�'
(The individual to receive andE-KAIL9
respond to all correspondence
CITYT�7 is'tTATEE 2I�
FAX
concerning this application)
PROJECT FINANCING
NAME
❑ OWNER -FINANCED
When value is $5,000 or more
(RCW 19.27.095)
MAIIJNG ADDRESS, CITY, STATE, ZIP
PHONE
I cert(fy under penalty of perjury that 1 am the property owner or authorised agent of the property owner. I cert{fy that to the best
of my knowledge, the iq ormation submitted in support of this permit application is true and correct I certib 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 UA- ch claim/, which may be made by any person, including the undersigned, and jlled against the city,
but only where such c s out of the reliance of the city, including its officers and employee; upon the accuracy of the
Wormation suppli he ci apart of this application.
49 45w- jo I
SIGNATl DATE
PRINT NAME: A f !dkaA!� �(fh�N
Bulletin 4100 — January 29, 2016 Page 1 of 2 k:Uiandouts\Pennit Application
hL
3,.>.Q
P.AK 4iL
.O. VV
GENERAL INFORMATION
CRITICAL AREAS OR PROPERTY?
WATER PURVEYOR
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
# of
Stories
Additional Information
$ �;O C r z
Indicate how nuvty of each type o
re to be installed or relocated as
part of this project. Do not include e)cistingfixtures to remain.
AIR HANDLING UNITS
FANS
GAS PIPE OUTLETS
OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERTS HOODS (commercial)
ZAUA (/YVI PS
BOILERS
FURNACES
HOT WATER TANKS (caa)
WATER PIPING
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
OTHER (Describe)
— DUCTING
GAS PIPING
WOODSTOVES
r:
GENERAL INFORMATION
CRITICAL AREAS OR PROPERTY?
WATER PURVEYOR
VALUE OF PLUMBING WORK
PLUMBING PERMIT
# of
Stories
Additional Information
NNW NUiLDTXG.
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
RMSTING FIRE SPRIRELER SYSTEM?
$
ADDITION
Indicate how many of each type offixture
to be installed or relocated as
part of this project, Do not include existingfixtures
to remain.
BATHTUBS (or Tub/shower Combo)
LAVS (Hand Sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
r:
DRINKING FOUNTAINS
SINKS (Kitchen/Utility)
WATER HEATERS (Electie)
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS OR PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EMSTING IMPROVEMENTS
# of
Stories
Additional Information
NNW NUiLDTXG.
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
RMSTING FIRE SPRIRELER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
ADDITION
❑ Yes ❑ No
❑ Yes ❑ No
COMMERCIAL - NEW/ADDITION
AREA DESCRIPTION
Area in
Square Feet
Occupancy Group(s)
Construction
# of
Stories
Additional Information
NNW NUiLDTXG.
ADDITION
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area in
Square Feet
Occupancy Groups)
Construction
# of
Stories
Additional Information
TOTAL $9M.DIX1Q
r:
TENANT AREA ONLY
Bulletin #100 — January 29, 2016 Page 2 of 2 Ul-Iandouts\Per nit Application