16-100413 MIL
- E4M1Pc
ilial
t City of Federal Way
Community&Econ.Dev.Services Permit #: 16-100413-00-EL
33325 8th Ave S
Federal 07 WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax.(253)835-2609 p q
Project Name: CRICKET WIREL
Project Address: 1413 S 348TH ST Suite L103 Parcel Number: 185295 0090
Project Description: Add 120 V receptacles to existing circuits and data lines
Owner Applicant Contractor
OPUS NORTHWEST LLC J R ELECTRIC INC J R ELECTRIC INC
915.118TH AVE SE SUITE 300 25909 216TH PL SE JRELEI*022QB(11/2/16)
BELLEVUE WA 98005 MAPLE VALLEY WA 98038 25909 216TH PL SE
MAPLE VALLEY WA 98038
Additional Permit Information
Electrical Work Valuation 2500.00 Is this an Online or O.T.C.application Yes
Is Use Educational or Institutional? No Service greater than 999 Amps? No
Electrical Fixtures
Circuits-Commercial 1 Low Voltage-Other(Commercial 1
PERMIT EXPIRES Sunday, July 24, 2016
Permit Issued on Tuesday, January 26, 2016
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 Washington
and th City of Federal Way.
Owner or agent: Gv1ne-, ' Date: / d — /6
, At, • THIS CARD IS TO RE1W1 T ON-SITE ai
CITY OF Construction Inspalion Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT#: 16-100413-00-EL Address: 1413 S 348TH ST Suite L103
Project: OPUS NORTHWEST LLC 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.
0 UFER Ground (4295) ❑ Ditch cover(4030) El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
0 Pool Bonding(4195) El Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
,
El Feeders/Sub-panels(4045) 0 Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date Bye Date d,``_ ‘` By Date .
El Final-Electrical(4055)
Approved
By C N6-4
Date .tel— v
U Rough ElectricalCI Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
CITY ofA.
ELECTRICAL
Federal Way PERMITUittPkt4CATION
� � - 100 1 ( .' _ 00
JAN 262016
PERMIT NUMBER
— — — —
/'//3 Sou f! 3 ti? ST CITY OF FEDERAL WA1�
i-lD SUITE/UNIT/SPACE#
SITE ADDRESS: ------ -_ _ -
-f6"c14.,-, G e...4/,.3...,? ' '.3'Uo 3 .Z`'I
2.5
PROJECT VALUATION ASSESSOR'S TAX//PPARCEL# coO CURRENT/PROPOSED USE
$� Se)v^ e'-c.) 1 e J z c1 5- -
PROJECT NAME `
(Tenant or Homeowner Last Name) e��4�'`" w/ e rt,.5'S
PROJECT DESCRIPTION 'dam' /�e, ,,,,,G T ' ' ' '* s 14'
Detailed description of work to X/t//,L// e!,‹. e//1
be included on this permit only
y
NAME PRIMARY PHONE
PROPERTY OWNER ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( ) -
NAME PRIMARY PHONE
X / 7-,e''c
fae . -- C--' ( ) -
MAILING ADDRESS E-MAIL
ELECTRICAL 1:2es. 79 vU
CONTRACTOR CITYSTATE ZIP FAX
71.'6'.
A/r �,4 4 g�g'os1.Z ( ) _
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
L7—.e r<- .6z irv22 .4 '//30 //.
NAME / PRIMARY PHONE
APPLICANT -./s3 m -' /e /T L• y cr",'✓ (Lo E ) 5/0 - mac' 7d
MAILING ADDRESS L" A $ E-MAIL
T
s/i-'/Lf ._....4O d to I
CITY STATE ZIP FAX
( ) -
NAME PRIMARY PHONE
PROJECT CONTACT 4 m e'S .7,�✓
(Loi ) 5 /0- 5%/O
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,
i
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 ity as a part of this application
SIGNATURE: /\, ^ d DATE /-oV to ''/6
410
PRINT NAME- i - 1
Bulletin#160—January 1,2013 Page 1 of 2 161-Iandouts\Electrical Permit Application