13-105684 1 i is,•
Electrical
City of Federal Way • r
Community&Econ.Dev.Services ' Permit #: 13-105684-00-EL
33325 8th Ave S
Federal Way,WA3 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax(253)53)835-2609 p q
Project Name: EVERGREEN CORPORATE CENTER
Project Address: 33405 8TH AVE S Parcel Number: 926500 0060
Project Description: Installation of thermostat&actuator.
Owner Applicant Contractor `
LBA REALTY FUND II-CO I LLC MERIT MECHANICAL INC(ELECTRICAL) MERIT MECHANICAL INC(ELECTRICAL)
PO BOX 847 9630 153RD AVE NE MERITMI951NJ(8/10/15)
CARLSBAD CA 92018 REDMOND WA 98052 9630 153RD AVE NE
REDMOND WA 98052
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional9 No
Service greater than 999 Amps? No
Electrical Fixtures
Thermostat 1
PERMIT EXPIRES Saturday, June 21, 2014
Permit Issued on Monday, December 23, 2013
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the a will be in a cordance ith the laws, rules and regulations of the State of Washington
and the of Federal Way.
Owner or agent: r— Date: \l\ \V0t3
FINAL-ED ._
THIS CARD IS TO AIN ON-SITE
CITY O •F Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 13-105684-00-EL Address: 33405 8TH AVE S
Project: LBA REALTY FUND I1-CO I LLC FEDERAL WAY, WA 98003-6305
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) -0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
O Pool Bonding(4195) 0 Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
•
El Feeders/Sub-panels(4045) ` 0 Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
ByDate ByDate ByC J Date
'at-It '-1.--
El
-LJa Final-Electrical(4055)
Approved
4 t: Date 3 3,..
O Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
Ah„. S °D E1CTRICAL
CITY OF - - DEC
3 2
Federal WayHERMIT APPLICATION
airt OF FEDERAL WAY
PERMIT NUMBER j3 _ / L 5 / X _CD
,(.__-
___ _
" _ ((,j(` J SUITE/UNIT/SPACE#
SITE ADDRESS: 334id S,c>v '1 f` , S
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ qcot--. q2 (95 coo - ov ( v_
PROJECT NAME
(Tenant or Homeowner Last Name) E.UEtigsz ,U Gdkif.
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER Li A k4 L T"17 ( ) -
MAILING ADDRESS E-MAIL
IQ OD lit-A)1 Uri S
-13vZ'
7C STATE ZIP FAX
1 �1 - 1"15k (%Lu 1 ( ) -
N E PRIMARY PHONE
AGI it/1� , ( cin-) TO- gzzw
ING ADDRESS 1�� -� EMAIL
ELECTRICAL 30 / 3 44 14_
CONTRACTOR CITY STATE ZIP FAX
On) ) " 9rva_ ( )
-
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
1E4--LT-VR.i /LI( IUc / /
41-1/-41X)DPRIMARY PHONE
APPLICANT l� d" (-125-) W3-9ZZ /x/Z(T
MAILING ADDRESS AE
?' i S3/4" Azi-v iti mortabeem ,a1(y,•Cup-,
CITY STATE ZIP FAX
44 L 9nS2 ( ) -
PROJECT CONTACT
NAME 514-V1/1Z- ./I.n 41-0/,‘&1447- PRIMARY PHONE
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 cl• 4 arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information 'plied to the as a part of this applica n.
N.
\\\
SIGNATURE: DATE 17-1 231/4)13
PRINT NAME: i(1-14*Cl i 600
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application