06-105168 ' •- ri°f eeral Waectrical Permit #: 06-105168-00-EL
Community[ et ?olervices
P.O.Box 9718 Pito
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: CAMPUS POINTE PROFESSIONAL BLDG-G
Project Address: 335--c, -7 9 t /g.V-C._ S ift/dam Parcel Number: 926500 0020
Project Description: Install New 400 amp service
,
Owner Applicant Contractor
THREE THIRTY SIXTH,LLC D&S ELECTRIC INC D&S ELECTRIC INC
1611 9TH AVE N PO BOX 133 DSELEI*131P1 10/21/07
EDMONDS WA 98020 SUMNER WA 98390 PO BOX 133
SUMNER WA 98390
Additional Permit Information
Electrical Fixtures
Service/Feeder:201-400 amps-Ct 1
CONDITIONS:
PERMIT EXPIRES Sunday, April 8, 2007
Permit Issued on Tuesday, October 10, 2006
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the us= ' be in -ccordance with the laws, rules and regulations of the State of Washington
•: •- ► • Federal Way.
Owner or agent: ,, t�ij — Date: 6
f _ A THIS CARD IS TO REMAIN ON-SITE ,
, _
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-105168-00-EL
Owner: THREE THIRTY SIXTH, LLC
Address: 650 S 336TH ST
FEDERAL WAY, WA 98003-6355
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) ❑ Ditch cover(4030) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) 0 Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date Bye s Date 1 _ - r) By Date
O Rough Electrical(4225) ❑ Ceiling Cover(4020) 0 Final-Electrical(4055)
Approved Approved Approved
By Date By Date By Date 1......1".ti's ..
❑ Under-slab groundwork(4295)
Approved
By Date
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3?4?6Vit SRALWAVENUE SOUItf•POBOX 9718 NG q ,PLI CATI O N
5343 -2 WAY, X 98063-9718 DF (i D / /
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www.dtuoffedem(wau.mat
The ollowin- is re, ired ormation—an taco •lete a• •Iicatlon will not be acce•ted. Please •tint legibl in in or 1• .
• PROPERTY INFORMATION
SITE ADDRESS (�
6 J SU 3�� D Li/.fL `/l)Y� SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ ( LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
Attacirwla.km"h7at delaitaddeq
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING . 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT.DESCRIPT1,ON(Provide detailed description of work included on this permit only)
•Sall Hi clf� e0 l S-r2v/e 4 b 6a í4i ((
/610 61v4 A ?f` .3,/- KF z.yr . /L-c n:v)
PROJECT NAME(Name of Business or Owner Last Name) ti'5 /h) ...
U PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER 2734. L(C ( ) -
MAILING ADD "-CITY,STATE,ZIP
CONTRACTORMPANY NAME APPLICANT NAME OFFICE PHONE
`) 1oo4ta 0 : �. `- 6 ( 3) 5
UN ADDRESS CITY,STAT ZIP
CELL PHONE
CITY O DERAL/3 BUSINESS LICENSE NUMBER 3 5 boi ii `EXPIRATION 7S )
E FAX 3)UMBER46 412',Z
4 -5 --1 025 4-B L / l ( s3)f6/ e ,6
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
D 5 ,E L. -r L. 1_' /o / '257
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect 0 Tenant ❑Agent 0 Other(Describe) ( ). -
CONTACT NAME /_ a PRIMARY PHONE E-MAIL ADD
u
aVF 120 (6"3.)46._73 - 6I9 S e ,/G `F.v" _ t i ter---
LENDER
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ •
SPRINKLERED BUILDING? ❑ YES ❑NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? n YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN a HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE CI CARPORT 0
snsror0 rsorosso Toru
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
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(commercial WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING •
BATHTUBS(or Tub/Shower Combo( SHOWERS WATER CLOSETS(roses MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify 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 authorised 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 its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
•
NAME/TITLE DATE
(Signature) Wel
RELATIONSHIP TO PROJECT C)Owner 0 Agent 0 Contractor 0 Architect 0 Other •
o.., ' t c, dpi
Bulletin#100—January I,2006 Page 2 of 4 k\Handouts\Pennit Application