13-101347 IIIIElectrical
cry of
FederalWay Permit #: 13-101347-00-EL
Community&
Dev.Services
33325 8th Ave S ,.,... .,
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: LIBERTY MUTUAL GROUP
Project Address: 33915 1ST WAY S Unit 203 Parcel Number: 926504 0150
Project Description: Install wiring for low voltage voice/data cabling •
`
OwnerApplicant Contractor
CUNA MUTUAL INVESTMENT CORP NORTH WEST ELECTRICAL SERVICE NORTH WEST ELECTRICAL SERVICE
5910 MINERAL POINT RI) PO BOX 1313 NORTHES878CK(2/12/15)
MADISON WI 53701 SPANAWAY WA 98387 PO BOX 1313
SPANAWAY WA 98387
Additional Permit°iornati►a
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Service greater than 999 Amps? No
Electrical Fixtures'
Low Voltage-Other(Commercial; 1
PERMIT EXPIRES Saturday, September 21, 2013
Permit Issued on Monday, March 25, 2013
I hereby certify that the abov- ' • ,,,,,,:f17.n is correct and that - construction on the above described property and
the occupancy and the u - acco •an« ith a -�, rules and regulations of the State of Washington
�nd e •-z •`federal Way.
Owner or agen - `-i Date: -3`�-// -
<‘)
$4,,,,,,, , ( (t9
i
• THIS CARD IS TO MAIN ON-SITE
CITY OF Construction In ection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 13-101347-00-EL Address: 33915 1ST WAY S Unit 203
Project: CUNA MUTUAL INVESTMENT COF 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.
O UFER Ground(4295) El Ditch cover(4030) ❑ 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
/
o Feeders/Sub-panels(4045) 0 Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
O Final-Electrical(4055)
proved
Dat 3
El Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
III •
ELECTRICAL
CITY OF
Federal Way PERMIT APPI CATION
RECEIVED
PERMITNUMBERI3 - 1 0 1 3 4 7-- _ 00 MAR 25 2013
gagigirgi
SITE ADDRESS: 33 9 C S ( ST WA� 5 �t.n�f X03 tagitAL WAY
CDS
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ a.7 sq2 (e 501- . 0 I SD
PROJECT NAME /
(Tenant or Homeowner Last Name) /1 i jt%r I / i1) 4,, /
/
--1:)• "")5/14// GUI--/" 3` rs'
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME / PRIMARY PHONE
PROPERTY OWNER ' f� r?i�. .t ( 213) 5Y -6:3'/7
MAILING ADDRESS /,4 E-MAIL
33 5/5- /-5'� 4. -7 5-6‘-e*4
CITY STATE ZIP FAX
Fe-.47)q- / trJ47 44/4" i'S=ex)3 ( ) -
NAME /DPRIMARY PHONE
AID,"71ZI ic,?/4-V4, 7ir-/f---z."1 x�e ( 25`3) 0.6 _ �. l
MAILING ADDRESS E-MAIL
ELECTRICAL Po Q,.)X /3/3
CONTRACTOR CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE/
r✓,:,-& '.5-7-7., K //2 //;S
NAME PRIMARY PHONE
,..)-"z4;✓ / (z63 ) bfi - 06/7
APPLICANT MAILING ADDRESS E-MAIL
pi) ✓' 13/3
CITY STATE ZIP FAX
-1--x-,47 m1 a- #S35? ( ) -
PROJECT CONTACT NAMEPRIMARY PHONE
6 e.>t7` 4-t41 r.,-Li f )
I certify under penalty of perjury that I am the property owner or authorised 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 authorised 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 , ch claim),which may be made by any person,including the undersigned,and filed against the city,
but only where such claim , o of the rel i• - , o the ty, including its officers and employees, upon the accuracy of the
information supplied to ., as part of this {)/
s,141(
-5/2-6-/e'3
SIGNATU- ',` DATE
PRINT NAME: ` ..5Li ;7 7/7/Z---)ti
Bulletin#160-January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application