19-103348 T. 1
Electrical
City of Federal Way Permit #:19-103348-00-EL
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: EVERGREEN PROSTHETICS&ORTHOTICS
Project Address: 922 S 348TH ST Parcel Number: 114040 0020
Project Description: Relocate thermostat.
Owner Applicant Contractor
918 FEDERAL WAY LLC HEATTRANSFER CO(ELECTRICAL) HEATTRANSFER CO(ELECTRICAL)
411 84TH AVE NE PO BOX 1268 HEATTC"009DA(5/30/20)
MEDINA WA 98039 CARNATION WA 98014
PO BOX 1268
CARNATION WA 98014
Additional Permit Information
Is this an Online or O.T.C.application') Yes
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Thermostat
PERMIT EXPIRES Saturday, 11 July,2020
Permit Issued on Friday,July 12,2019
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy nd 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: 7� 1 Z-19
s
THIS CARD IS TO REMAIN ON-SITE
Fray Way Construction Inspection Record
y INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 103348 00 Address: 922 S 348TH ST Bldg B
Project: 918 FEDERAL WAY LLC FEDERAL WAY WA 98003-7051
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) 3❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
El Pool Bonding(4195) 0 Temporary Power(4275) ® Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
El F. al-Electrical(4055)
Approved
By Date fl;A?'"/7
•
0 Rough Electrical 0Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
=► CEIVED
crvOF JUL 1 2 2019 ELECTRICAL
Federal Way PERMIT APPLICATION
I Y („F FEDERAL WAY
X)MMUNI Y DEVELOPMENT �j
PERMIT NUMBER /_ / 0 3 3 ye _ EL,
((( ` SUITE/UNIT/SPACET/ #
SITE ADDRESS: 922 South 348 A101
PROJECT' VALUATION, ASSESSOR'S TAX/PARCEL# - CURRENT/PROPOSED USE
`vl 1140400010 Office
PROJECT NAME
(Tenant or Homeowner Last Name) Evergreen Prosthetics
PROJECT DESCRIPTION Move one thermostat.
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER 918 Federal Way,LLC
MAILING ADDRESS E-MAIL
411-84th Ave NE
CITY STATE ZIP FAX
Medina WA 98039 ( ) -
NAME PRIMARY PHONE
Heattransfer Co ( 425- )885-3247-
MAILING ADDRESS E-MAIL
ELECTRICAL P 0 Box 1268 heattransferl(daol.com
CONTRACTOR CITY STATE ZIP FAX
Carnation WA 98014-1268 ( 425 )333-6545-
WA STATE CONTRACTOR'S LICENSE I EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE I
HEATTC•009DA S / 3v 98-105637-00-BL
NAME PRIMARY PHONE
APPLICANT Richard Smnema ( 425 )885-3247'
MAILING ADDRESS E-MAIL
P.O.Box 1268 heattransfer 1@aol.com
CITY STATE ZIP FAX
Carnation WA 98014-1268 ( 424 333-6545-
NAME PRIMARY PHONE
PROJECT CONTACT
Richard Smnema ( 42)885-3247
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 city as a part of this application.
SIGNATURE: DATE �� (/
PRINT NAME: Richard Sinnema
PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
253-835-2607+FAX 253-835-2609 +permitcenter@cityoffederalway.com
Bulletin#160-April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application