19-103451 -
Electrical
City of Federal Way Permit #:19-103451-00-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: TILT 348 -OFFICE
Project Address: 1019 S 351ST ST Parcel Number:202104 9027
Project Description: Installation of 200-amp 480-v panel,200-a,208v panel,miscellaneous power and lighting,and
low-voltage wiring for fire alarm system.
Owner Applicant Contractor
NEUMEIER HOLDINGS LLC TARAS KRYSAOLSEN ELECTRIC INC OLSEN ELECTRIC INC(01)
22610 88TH AVE S SUITED 325 WASHINGTON AVE S SUITE 91 OLSENEI931PE(10/5/19)
KENT WA 98031 KENT WA 98032 325 WASHINGTON AVE S SUITE 91
KENT WA 98032
Additional Permit Information
Is this an Online or O.T.C.application9 Yes
r use„ ' r , u 44L r 4
Low Voltage-Fire Alarm(Co 1 Add'!New Feeder(s) 101-200; 1 Add'!New Feeder(s)601-800, 1
PERMIT EXPIRES Friday, 17 July,2020
Permit Issued on Thursday,July 18,2019
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. �1
Owner or agent: Date: 'l/‘$[�Q
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. ,
THIS CARD IS TO REMAIN ON-SITE
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 103451 00 Address: 1019 S 351ST ST
Project: NEUMEIER HOLDINGS LLC FEDERAL WAY WA 98003
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) z❑ Ditch cover(4030) i 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
•
® Pool Bonding(4195) ® Temporary Power(4275) ® Service(4235)
Approved Approved Approved
By Date By Date ' By Date
Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020)
Approved Approved Approved
•By
ex
Date/2"2b a5��By Date •�By Date
•
El Final-Electrical(4055)
By 1/ Approved
Date :;?...,-6 4.0
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
CITY OF --
RECEIVED ELECTRICAL
Federal Wayju 4 �� g PERMIT APPLICATION
IT NUMBER / q - / V 3 _/ - EG✓
SUITE/UNIT/SPACE#
SITE ADDRESS: \o\3\ 3 3S\A 5�
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
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PROJECT NAME � 'r-C4�
(Tenant or Homeowner Last Name) N e,L\ThrAtr
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PROJECT DESCRIPTION rhSt0. B .)0,AyNy wticV U.(l2\ aCX7G�CY� 90t, (1.ne
Detailed description of work to B:c c c "
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be included on this permit only `�
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NAME
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PROPERTY OWNER 1 V Q�,� e�e,� � � e,�� (2S3)*TY\ *-4joS
MAILING ADDRESS E-MAIL
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CITY STATE ZIP FAX
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NAME PRIMARY PHONE
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MAILING ADDRESS E-MAIL
ELECTRICAL \I[•I5.,.,\ 1\\,. S \ tAco.S�®o\tCl�c•C1e�t-
CONTRACTOR CITY vv STATE ZIP FAX
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WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PRIMARY PHONE
APPLICANT �h �kC, 1 C (3 '•-• )) �1a \p5
MAILING ADDRESS E-MAIL
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CITY x.J STATE ZIP FAX
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NAME PRIMARY PHONE
PROJECT CONTACT \1iC4Sa ( ) t7d.- pct
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. th
SIGNATURE: .".41111Mil?•� DATE
PRINT NAME: %S.Cj. V-Nc
PERMIT CENTER+ 33325 8th Avenue South + Federal Way,WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcentei a cityoffecic 2-:
Bulletin#160-April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application