13-102792-00Electrical
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
Project Address: 805 S MARE'4E IIILLS WAY
Project Description: Installation of 100-amp service.
Permit #: 13-102792-00-EL
Inspection Request Line: (253) 835-3050
Parcel Number: 515293 0020
Owner
Applicant
Contractor
JIM TINSLEY
THOMPSON ELECTRICAL CONSTRUCTORS
THOMPSON ELECTRICAL
805 S MARINE HILLS WAY
INC
CONSTRUCTORS INC
FEDERAL WAY WA 98003
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
New Service: 0 - 100 amps (Comm 1
PERMIT EXPIRES Saturday, December 21, 2013
Permit Issued on Monday, June 24, 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:
THIS CARD IS TO REMAIN ON -SITE
"TM OF '�:.- Construction In. ,ection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 13-102792-00-EL Address: 805 S MARINE HILLS WAY
Project: JIM TINSLEY FEDERAL WAY, WA 98003-3183
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.
UFER Groun
Approved
By Date
Pool Bonding (4195)
Approved
By
Date
Feeders/Sub-panels (4045)
Approved
By
Date
Final - Electrical (4055)
Approved
By
Date ;1 _ 1 � _ l .
El Ditch cover (4030) El Slab/Concrete Floor T
Approved Approved to place concrete
By S Date —� (� —� By Date
Temporary Power (4275)
Approved
By
Date
FEI
Rough Electrical (4225)
Approved
By
Date
Service (4235)
Approved
By
Date
Ceiling Cover (4020)
Approved
By
Date
FJ
Rough Electrical
Approved
Final Electrical
Right of Way
Approved
Approved
By
Date
By
Date
By
Date
OF 'A
Federal Way
REC IVE® ELECTRICAL
JUN 2 4 2013 PERMIT APPLICATION
CITY OF FEDERAL WAY
CDS
PEMUT N'u=ER 1 - _ / ( ,� �—
SITE ADDRESS:
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SUITE/UNIT/SPACE #
PROJECT VALUATION
0
$ oJi 0
ASSESSOR'S TAX/PARCEL #
_
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
— % T/ll
S/
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
S
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PROPERTY OWNER
NAME
li//(�
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
CITY
STATE
I ZIP
FAX
( )
ELECTRICAL
CONTRACTOR
NAME
P5 ,J GJ&
CoIJS`Q - sj)
PRIMARY PHONE
(253) Sri -
MAILING ADDRESS
232�
E-MAIL
ii'� �� ��Cil
CITY STATE I
CQ1-,)4
ZIP
FAX
(3) 9- of
WA STATE CONTRACTORS LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME
,e
6L
PRIMARY PHONE
( )
MAILING ADDRESS
EMAIL
CITY STATE ZIP
FAX
PROJECT CONTACT
NAME
—
PRIMARY PHONE
Z _
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 wtlI campty with
all applicable City of Federal Way regutations 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 investirgatian and defense of such claim), which may be made 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 employees, upon the accuracy of the
information supplied to the city as apart of this application.
SIGNATURE: f DATE I�
PRINT NAME:
Bulletin #160 — January 1, 2013 Page 1 of 2 k:\IIandouts\Electrical Permit Application