09-101807City of Federal Way
Community DevelapmeW Services
P.O, Box 9718
FederalWa8063-9718
Ph: [253] 835-2607 Faxg{253) 835_2609
Electrical
Permit #: 09 -101807 -00 -LL
Inspection Request Line: (253) 835-3050
1—Jecr iName: CAMELOT SQUARE SPACE 166
Project Address: 3001 S 288TH ST SP 166
t
Project Description: Replace electrical pedestal. �"' Parcel Number: 042104 9231
caner Anglican
CAMELOT SQUARE INC EAGLE ELECTRIC OF SEATTLE LLCContractor
3001 S 288TH ST 10434 39TH AVE SW EAGLE ELECTRIC OF SEATTLE LLC
FEDERAL WAY WA 98003-8019
SEATTLE WA 98146 EAGLEES991QR (11/19/09)
10434 39TH AVE S W
SEATTLE WA 98146
Is Use Educational or institutional?—....Additional Permit Information
........
No
Alt. Serv./Feeder: 0 to 200 amps (F 1
Electrical Fixtures
PERMIT EXPIRES Tuesday, May 18, 2010
Permit Issued on Monday, May '18, 2009
I hereby certify that the above information is correct and
the occupancy and the use, will be in acC0rrlanr6 ,airf l &L
Owner or agent:
V the construction on the above described property and
laws, rules and regulations of the State of Washington
Federal W y,
Date:
4 J--� Il/,p/,,9
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community: DeAvelopment Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 09 -101807 -00 -EL
Owner: CAMELOT SQUARE INC
Address: 3001 S 288TH ST SP 166
FEDERAL WAY, WA 98003
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.
❑ Ditch cover (4030)
❑
Slab/Concrete Floor (4255)
❑ UFER Ground (4295)
Approved
Approved
Approved to place concrete
By Date
By Date
j
By
Date
❑ Temporary Power (4275)
❑
Service (4235)
❑ Pool Bonding (4195)
Approved ' -
Approved
Approved
By Date
By Date
By
Date
❑ Rough Electrical (4225)
❑
Ceiling Cover (4020)
❑ Feeders/Sub-panels (4045)
Approved
Approved
Approved
By Date
By Date
By
Date
❑ Final - Electrical (4055)
Approved
By Date
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
RECEI VEE:
My or
Federal Way MAY 1 8 2009PERMIT
commummpgVfiWPAf hTSERvicss
33375 ETK A L WA ,OATH. 7X 911E _ AT I O N
P8f18kiL WAY, WA 91O63S3.97T8
959-E3S-•607• FAX 9 59.83 ?I'�/ �- FE
:7
SF MF CO 6ELL DE EN FP
RS an incomplete application will not be accepted.
The following is required tnforr a
Please print legibly (in iniq or type.
SUITE/UNIT i#
ASSESSOR'S TAX/PARCEL ti _ _ — — y-- " LOT BIZE (SA
j
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) + f
rft=h separate papa for 1wvfhp lapd ddSC*
MI. • ' •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
DCRipTioN (Provide detailed description of work
PROJECT NAME (Name of Business or Owner Last Name) 3' --
gli PEOPLD INFORMATION
AREA DESCRIPTION
°L'7fIBTING PROPOSED TOTAL
BASEMENT S . FT. S . FT.
8Q. FT.
FIRST
SECOND
THIRD
ADDITIONAL FLOORS (DESCRIBE)
DECK (11 COVERED OR D UNCOVEREW)
GARAGE CI CARPORT O
NUMBER OF FLOORS
raaaoser rorv. rare sus
riNu ar roru rsorarxn ar
rarsc ar
";NEW HOMES ONLY" NUMBER OF BEDROOMS
ESTIMATED SELLING PRICE $
Indicate number of each type
of furture to be installed or
MCUANICAL
relocated as
_ ` part of this project. Do not include existing fixtures to remain.
Value of Mechanical Work $
BASIC PLAN?
_ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED
AIR
WITH APPLICATIONJ
HANDLING UNITS
EVAPORATIVE COOLERS
BBQS
FANS
OAS PIPE OUTLETS WOODSTOVES
BOILERS
COMPRESSORS
FIREPLACE INSERTS
GA8 WATER HEATERS MISC (Describe)
HOODS (commoI
DUCTS
FURNACES
—�-
RANGES '
GAS LOO SETS
REFRIG. SYSTEMS
PL U1L2BING
a YES
o NO
13ATETUF33Iorhib/shower combo)
DISHWASHLRS
LAVS (BullUt-M S4L"
URINALS
DRINKING FOUNTAINS
RAINWATER SYST
VACUUM BREAKERS MISC (Describe)
ELECTRIC WATER HEATERS
SHOWERS
SINKS
WATER CLOSETS R,,j
HOSE BIBBS
SUMPS
WASHING MACHINES
[ comity under penafty of pII that I am the property owner or authoriaelication is rl iegent aj tae properly owner I ce !
kaowtedge, the lrlformat&n submitted In support of this ermi!
City riot re ra[ [fray rsgutatlans pertaining to the work uthartitzedpby the issuance of a permit. !understand that ti a is u nae aj this pcabzr
daea not ramous tae owner's res pertaining
true and carrett, I rt'ff3l that - will cotnpty with all
appIicahIhat to the best r
4r !e far compliance ae with local, state, or federal taws regulating construction or environmental laws.
! further agree to bald harmless the City o1 Federal i�qy as to any claim (Including coats, expenses, and attorneys' fees incurred in Elia
tnuustigation and defense of such cluing, which may be made h a
where such claim arises out of the reliance of the city, inafudtng its officers and employees, upon the accuracy of the !►{formation auppiied to
y .�y parson, Including the undersigned, end flied against the city, hu! arty
the city as spar! oft application! .
SIGNATURE: L�
�Ferb Owner andlar Authorized Afzent DATE
o NEW a ADDITION
BUILDING SHELL ONLY?
ZONING DESIGNATION
NEW ADDRESS REQUIRED?
PLATTED LOT?
a ALTERATION
a REPAIR 0 TENANT IMPnovEMEXT
C3 YES o NO
BASIC PLAN?
a. YES
a NO
CHANGE OF USE?
a YES a NO
a YES
o NO
UP/SEPA/SU?
a YES o NO
a YES
o NO
DEMO PERMIT REQI7IREI]?
a YES
a NO
Bulletin #100—January 1, 2008
Page 2 of 4 klllandautsU'emit Application