16-100808 < T • • ' — Electrical
City of
Federal
n.Deo.ServicesPermit #: 16-100808-00-EL
Community b Econ.Dev.
33325 8th Ave S
Federal way,WA 98003 Inspection Request Line:
Ph:(253)835-2607 Fax:(253)835-2609 1 eQ (253)835-3050
Project Name: THE UNION APARTMENTS
Project Address: 2111 SW 352ND ST Parcel Number: 252103 9053
Project Description: Install LED light fixture mounted for associated wall mounted sign
Owner Applicant Contractor
RAAMCO INTERNATIONAL TODD MROS HEATH NORTHWEST INC(ELECTRICAL
270 SYLVAN AVE RAMSAY SIGNS INC 04)
ENGLEWOOD CLIFFS NJ 07632 9160 SE 74TH AVE HEATHNI981JZ(4/9/16)
PORTLAND OR 97206 727 S 96TH ST
SEATTLE WA 98108
•
Additional Permit Information
Electrical Work Valuation? 500 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 1
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
and the City of Federal Way.
Owner or agent: _ Date: 3.7- I�
THIS CARD IS TO ON-SITE
CITY OF Construction In ection Record _ ' ' .
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 16-100808-00-EL Address: 2111 SW 352ND ST
Project: RAAMCO INTERNATIONAL FEDERAL WAY, WA 98023-3130
Scheduled inspections may be failed if this card is not on-site. PO 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 UFER Ground(4295) 0 Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
0 Pool Bonding(4195) ❑ Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
O Feeders/Sub-panels(4045) 0 Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
❑ Final-Electrical(4055)
Approved
By � 4 Date 5 �q�le
❑ Rough ElectricalEl Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
•
EL CTRICAL
CITY OF 1111.
Federal Way PERMIT APPLICATION
RECEIVED
PERMIT NUMBER I (4, _ 0 0 E 0 OD FEB 0 3 2016
CITY OF FEDECDS �t7t1'R/UNITNL
/SPACE#
SITE ADDRESS: 2iMI SW 352,vo yr fiE0Ei2AL wAr 99023
PROJECT VALUATION ASSESSOR'S TAX/PARCEL i CURRENT/PROPOSED USE
$ 5 O. 2 5 2 i 0 3 - 9 o 5 3 App. //4 p4-
PROJECT NAME
(Tenant or Homeowner Last Name) TSF U/u!(IN AN AOA02 TA/ett 7 60 nun 4.)Ai i7
LEO I p 'xroe MOutIiTEA Aboc>E T)-E S/6AJ
PROJECT DESCRIPTION S RI/UN/NV DO WA) OA) THf. S1Gk) FACc-
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER F Pio t# A/EST Pdl NT LLL ( gar' ) 39y - Z 5oa
MAILING ADDRESS E-MAIL
116135 Mkc.A&rHvK 67 SUITE goo
CITY STATE ZIP FAX
N6w Po(1.-r 16 6AsC44 CA 92666 (9116i ) 3y9 - 2531
NAME PRIMARY PHONE
�}€AT1-! AloitrHEb7 (206 ) 62.3 - 3/06
MAILING ADDRESS E-MAIL
ELECTRICAL 21 S 1164A S>. IC'gen 11614r,-N,lUwisav s.V.t:,n"
CONTRACTOR CITY STATE ZIP FAX
SEA1774e wm. 96/06 (200 ) 6z3 - 17 6 S
WA STATE CONTRACTOR'S LICENSE Y EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE M
NEATNNIizz 4 q /
NAME PRIMARY PHONE
APPLICANT 14FA7/4 NSUt2 HW6T (2.o6 ) 623 - 31o6
MAILING ADDRESS n E-MAIL 1,
727 6 96 577 KI' e 0 he4 ANTIw/S�fGi'1
CITY STATE ZIP FAX
SEA! Ttk WA• 96/06 246 62
( ) 3(246 ) 623 - 3/0o
NAME PRIMARY PHONE
PROJECT CONTACT
14.#'S4e, 4y1 Son (246 ) 623 - 3ioo
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 a part of this application.
SIGNATURE: DATE 1-
•PRINT NAME: iqn rasnaea
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application