13-103002Electrical
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: CENTURY LINK FTTN SITE
Project Address: 1ST AVE S
Permit #: 13-103002-00-EL
Inspection Request Line: (253) 835-3050
Parcel Number:
Project Description: New 100 amp 12/240V service, two 15-amp,120 V duplex receptacle circuits, ground grid
and raceways.
LOCATION OF WORK: On Utility easement at the SE corner of intersection of S 299th
Street and 1st Avenue S
Owner
Applicant
Contractor
CITY OF FEDERAL WAY
THOMPSON ELECTRICAL CONSTRUCTORS
THOMPSON ELECTRICAL
33325 8TH AVE S
INC
CONSTRUCTORS INC
FEDERAL WAY WA 98023
PO BOX 45260
THOMPECO08CW (2/16/14)
TACOMA WA 98445
PO BOX 45260
TACOMA WA 98445
Additional Permit Information
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..... ............... 2 New Service: 0 - 100 amps (Comm 1
PERMIT EXPIRES Saturday, January 4, 2014
Permit Issued on Monday, July 8, 2013
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 the City of Federal Way.
Owner or agent: Date:
AFA
CITY OF Vgft .r
Federal Way
PERMIT #:
Project:
THIS CARD IS TO 7-MAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
13-103002-00-EL
CITY OF FEDERAL WAY
Address: 1ST AVE S
FEDERAL WAY, WA
Scheduled inspections may be failed if this card is not on -site. DO NOT ❑SE 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)
Service (4235)
1:1Approved
Approved
Approved
> -tS Date r?- l c-! 3
BY� S Date �7_ t 0 / _'?
By n Date ri- I g-1
Feeders/Sub-panels (4045) ❑ Rough Electrical (4225) Final - Electrical (4055)
Approved Approved Approved
By Date By Date By Date
Rough Electrical
Approved
1:1Approved
Final Electrical
Right of Way
Approved
By
Date
By
Date
By
Date
` RE -IVED
ELECTRICAL
CRYOF JUL 0 8 2013
Federal Way CITY OF FEDERAL WAY PERMIT APPLICATION
CDS
SITE ADDRESS: �9_9 cl O 2
ON L' f 7L
PROJECT VALIIATION
$ 3 COD, 00
PROJECT HAffiE
[Tenant or Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
ELECTRICAL
CONTRACTOR
APPLICANT
PROJECT CONTACT
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SUICTE/UMT/SPACE #
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ASSESSOR'S TAWPARCEL #
CURREWil'/PROPOSED USE
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PRIMARY PHONE
MANMIG ADDRESS
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STATE
23P
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PRIDIARY PHONE
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BIANG ADDRESS
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CITY
STATE
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WA STATE CONTRACTOWS LICENSE i
EXPIRATION DAIS
FEDERAL WAY BUSINESS IICENSE f
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PRIHARYPHONE
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lfANdNG ADDRESS
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STATE
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I certify render penalty of PeedUnJ thud I am the property owner or authorized ragerd of the property ourner. I certify that to the beat
of my knowledge, the information submitted in support of this permit aMUcation is true and correct. I certify that I wttl Cwmply with
ail applicable Cry of Federal Way regulations pertaining to the work authorised by the issuance of a permit. I under&and that the
issuance of this permit does not remare the owner's responedbii#y for oomPRance with locale sta#q ar federa1 laws regulating
construction or environmental laws,
I further agree to hold harmless the t'ity of Federal Way as to. any claim (including costs, expenses; and actor nerys' fees tnM!yTMJ in
the ineeatdgation and defense of such claimj, which may be nurde 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 enlplayees, upon the accuracy of the
information supplied to the city as a part of this aMUcation- v ley
SIGNATURE:
' DATE �;7hlL
PRINT NAME: Fz
293,
o aw,
-Bulletin #160 —January 1, 2013 Page 1 of 2 k_\Iandouts\Electrical'Permit Application