20-101246 Electrical
City of Federal Way Permit #:20-101246-00-EL
Commut3y2D5 8lAmSnt Dept.
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: WATERBURY PARK APARTMENTS-BLDG F
Project Address: 32919 19TH PL S Parcel Number: 797880 0360
Project Description: Installation of(2)LED wall packs.
Owner Applicant Contractor
THRIVE COMMUNITIES STEFKO KOSTADINOVINFINITY INFINITY ELECTRIC SERVICES CO
1518 1ST AVE S SUITE 500 ELECTRIC SERVICES CO INFINES942J5(4/30/20)
SEATTLE WA 98134 8918 139TH AVE SE
NEWCASTLE WA 98059-3487 8918 139TH AVE SE
NEWCASTLE WA 98059
Additional Permit Information
Is this an Online or O.T.C.application? Yes
.� � n 'R
Circuits-Multi-family 1
PERMIT EXPIRES Friday, 19 March,2021
Permit Issued on Thursday,March 19,2020
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
Wpr and City of Federal Way.
Owner or agent: Date:
THIS CARD IS TO REMAIN ON-SITE
CITY
CI` 408 Constr i n
Federal Wa uct o Inspection Record
Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 20 101246 00 Address: 32919 19TH PL S Bldg F
Project: THRIVE COMMUNITIES 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.
UFER Ground(4295) Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
,® Pool Bonding(4195) •�5 Temporary Power(4275) ,• &
❑ p ry ❑ Service(4235)
Approved Approved Approved
By Date By Date w By Date
® Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
D Final-Electrical(4055)
Approved
By I2_,Y__ Date to 1114. 0
0 Rough Electrical
0 Final Electrical ❑ Right of Way
Approved Approved Approved
By Date By Date By Date
CITY OF A ELECTRICAL
Federal Way PERMIT APPLICATION
PERMIT NUMBER A 0 _ /0 / v
SITE ADDRESS'• (4_ SUITE/UNIT/SPACE#
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# / /_O O 2 CURRENT/PROPOSED USE
$
PROJECT NAME •/�Al_ D
(Tenant or Homeowner Last Name) k /7/' / G(fZ V /�9/1/S t ii it 7fr)e T // '/we-5
PROJECT DESCRIPTION ‘--54 /1)✓f 4( /l/3O 4 L'7 / /9 it/'f9/7/1 f/( 4 4/s ,✓7�i'/(
Detailed description of work to //'G / r /
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER r_a/7%�'� �D /??t 'r v`i ''S' ( ) -
MAILING ADDRESS E-MAIL
/1/ /5 /v-( j;
CITY � j�l STATE ZIP FAX
JC�y i51/1/f
/ ,4 U 3 ( ) -
NAME PRIMARY PHONE
/ / C////[,V
f r��rTlI1'�' ��=�1�//(;�s (cava /452- i ,92 4,
MAILING ADDRESS E-MAIL
ELECTRICAL /VI X35 r"1,viv 5t
CONTRACTOR CITY STATE ZIP FAX
/62;i.94t 5/6' /6)/72 SM5Y ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
Ari."- .$ .ft2..7:2: ., ///) /4-92.2
NAME PRIMARY PHONE _._.
APPLICANT (5Tf/--/v ��J5TA1V/Al-rJ! - ( ) -
MAILING ADDRESS E-MAIL
.9/11 /35 N//a.'9 /
CITY STATE ZIP FAX
66/(1 _5/1,' 4,V ,W: 1 ( ) -
NAME PRIMARY PHONE
PROJECT CONTACT ( )
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
PRINT NAME: �.5 /—
/r /SJ /25 T/f/) �,2t.-
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application