05-101730 w
City of Federal Way Electrical Permit #: 05 - 101730 - 00 - EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection re uest line: ((253 835-305C
Ph:(253)835-7000 Fax:(253)835-2609 P l
Project Name: ST FABRICATION
Project Address: 35703 16THrS 1dgB Parcel er: 292104 91
Project Description: Install new,200-amp 480v 3-phase service and 208v s anel.
Owner Appli• Co or
GROUP II LLC INTEGRITY ELE C INC GRITY ELE INC
PO Box 119 4501 KENNEDY ' E 501 KENNEDY RD
• •. A WA 984- TACOMA WA 98422
PO Box 119 !Centralia,WA 98531-0119 (253)943-0500
Fixtures
Description Quantity j Descripti, IIMECIEL cription Quantity
Alt.Serv./Feeder up to 200 ••.s-Co 2
a•
! PE'. ' EXP ' October 1 200
Pe . Ap 1
I her, certify that the above inf• -lion is correct / at the co i . ► e above described property and
the o •ancy and the use will be 'I ordance wi 1 s, s • .tions of the State of Washington and
the Ci f Federal Way.
Owner • ent: /1 Date: LI (.�l -0-5
THIS CARD IS TO REMAIN ON-SIE
CITY OF A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-101730-00-EL
Owner:
Address: 35703 16TH AVE S Bldg B
FEDERAL WAY, WA 98003
This card is part of your required inspection documents. 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 Slab/Concrete Floor(4255) 0 Ditch cover(4030) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) .❑ Service(4235) • .❑ Feeders/Sub-panels(4045) •
Approved Approved Approved
By Date Date G Z.7 By Date
•
❑ Rough Electrical(4225) 0 Ceiling Cover(4020) 0 Final-Electrical(4055)
Approved Approved Approved
By Date By Date By Date
1
❑ Under-slab groundwork(4295)
Approved
By Date
City of Federal Way Electrical Permit #: 05 - 101730 - 00 - EL
Community Development Services
P.O.Box 9718 N
FederalWay,WA 98063-9718
Plr(253)835-7000 Fax:(253)835-2609 Inspection request line: (253)835-3050
Project Name: ST FABRICATION
Project Address: 35703 16TH S B1dgA Parcel Number: 292104 9107
Project Description: Install new,200-amp 480v 3-phase service and 208v sub-panel.
Owner Applicant Contractor
GROUP II LLC INTEGRITY ELECTRIC INC INTEGRITY ELECTRIC INC
PO Box 119 4501 KENNEDY RD NE 4501 KENNEDY RD NE
TACOMA WA 98422 TACOMA WA 98422
PO Box 119 !Centralia,WA 98531-0119 (253)943-0500
Electrical Fixtures
Description Quantity Description Quantity Description ,Quantity
Alt.Serv./Feeder up to 200 amps-Co' 2
PERMIT EXPIRES October 11,2005.
Permit issued on April 14,2005
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 ws,rules and regulations of the State of Washington and
the City of Federal Way. ' /�
Owner or agent: Date: 0c aZas
FINALED
o C S
•
THIS CARD IS TO REMAIN ON-SITE
CITY of Community Development Inspection Record
Federal Way IVR INSPECY1ON;REQUEST PHONE # (253) 835-3050
PERMIT#: 05-101730-00-EL
Owner:
Address: 35703 16TH AVE S Bldg A
FEDERAL WAY, WA 98003
This card is part of your required inspection documents. 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.
O Slab/Concrete Floor(4255) 0 Ditch cover(4030) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date s By Date
❑ Temporary Power(4275) ❑ Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By Date By Date By
❑ Under-slab groundwork(4295)
Approved
By Date
C Of RECEIVED C2� -
Federal Way PERMIT --LaQ
COMMUNITY DEVELOPMENT SERVICA p S F M F CO MAlp PL D E E M FP
33325 AVENUE SWATH•639718 9 1 4 ?°A P P L I C A T I O N
FEDERAL 7Y,FAX
93-8 3-9718 hp / /
253-835-2607.FAX 253-83 2609
wu.w ntyotrederalway �OF
��F1EDERAL
I The following is regquire PdP . n/-an .mplete ap.lication will not be accepted. Please •rint legibly(in ink)or type.
WI PROPERTY INFORMATION
SITE ADDRESS 35 703 /6'"14 SD,,// R/4 8 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
!Attach separate page for lengthy legal deco-paon)
- ►i PROJECT INFORMATION -
TYPE OF PERMIT 0 BUILDING ❑ PLUMBING 0 MECHANICAL
0 DEMOLITION (ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECTC ESCRIPTION(Provide detailed description of work included on th' permit onlg)
T rhew .2C0 as.yi 9,av 3,A0 fe- S'ehc v� e_ 14-- ,2r!/
!/
sc' m (
I pa
PROJECT NAME(Name of Business or Owner Last am-)
- ' - - ' - -- IP; PEOPLE INFORMATION •
PROPERTY NAME / /
e
6 /PRIMARY PHONE
Cr i-
OWNER Gil _Yg:J6 )61D G , 7FO
MAILING ADDRESS CITY,ST E,ZIP
Aa oox X76 A (/ by/4 9Y 7/
CONTRACTOR COMPANY NAME APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE -,
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
- - B L / / ( )
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
/ /
APPLICANT 1KA/ AMI/ y &ci'i-ic �C A���A�� / OFFICE PHONE
A1roti c.2cY)?`7'? -OSc7&
MAILING ARE�SS• CITY,STATE,ZIP CELL PHONE
�lSO( l�ehO Y �Q�/,' L 76.--coi c V4 9c 922 ' ) 660 -AZO
RELATIONSHIP TO PROJECT / • E/ TO!`` FAX NUMBER
❑ Architect ❑ Tenant 0 Agent 0 Other(Describe) COO Scec (..2S3) Q'qj- 0fa,Z
CONTACT NAM ^ PRIMARY PHONE v
,1 7-6-4 iI r!� E-MAIL ADDRESS
J-1-- J V (206)d6G - g710
LENDER Per RCW 19.27.095: Lender information is NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
, -. - - .■ DETAILED BUILDING INFORMATION - - -
EXISTING USE PROPOSED USE
• EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN o HIGHLINE ❑ PRIVATE(SEPTIC)
" PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
I
THIRD
- FOURTH
ADDITIONAL FLOORS(DESCRIBE) _
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL.EXISTING AND PROPOSED
"NEW HOMES ONLY NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ I
r -k,''..`11-.. ._-. .` ';-:::-'-';'.'-::,;:.'•:.[::-:.1"--",:',•':',-Z.:.=FIXTURES -_. - - __- .:-..1,
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG SYSTEMS
BBQS FANS HOODS(Commeraal) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS or Tub/Shoycrcomb.) SHOWERS WATER CLOSETS(rodar MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS I[;athvoomSinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
'-:--•:::z:_ 31. -`;`'-.:-:i-4'�_-'::',1::::'_41--:: - > '=':DISCLAIMER/SIGNATUREBLOCR--.: -- .- .- _- - _ -_ ,
Icertify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way,but only where such claim
arises out of the reliance of the city, including ' fficers and employees, upon the accuracy of the information supplied to the city as a part of
this application. /
NAME/TITLE /t -eV ! DATE O�
/V.,,?/:
� /��
"
s„,,,,,0reI (TLtlel
RELATIONSHIP TO PROJ V T D Owner 0 Agent X Contractor 0 Architect 0 Other
FOR OFFICE USE ONLY
a NEW o ADDITION a ALTERATION o REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES a NO
ZONING DESIGNATION CHANGE OF USE? o YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES o NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES o NO
F
Bulletin ff l00-March 30,2004 -
Page 2 of 4 k\Handouts-Revised\Permit Application