13-103731-00Electrical
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: FTTN SITE #E.399937
Project Address: 1ST AVE S
Permit #: 13-103731-00-EL
Inspection Request Line: (253) 835-3050
Parcel Number:
Project Description: Installing underground raceways and grounding,100 amp 120/240 volt service; and two
15amp circuits.
Owner
Applicant
Contractor
QWEST (KENT)
THOMPSON ELECTRICAL CONSTRUCTORS
THOMPSON ELECTRICAL
23315 66th Ave S
INC
CONSTRUCTORS INC
PO BOX 45260
THOMPECO08CW (2/16/14)
KENT WA 98032
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
Alt. Srvc / Feeder 0 to 200 amps (C 1 Circuits - Commercial .................... 2
PERMIT EXPIRES Wednesday, February 19, 2014
Permit Issued on Friday, August 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 use will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Date Owner or agent: �� ? j
THIS CARD IS TO REMAIN ON -SITE
CITY OF Construction In, ection Record
Federal Way INSPECTION RE4uEIVS: (253) 835-3050
PERMIT #: 13-103731-00-EL Address: 1 STAVE S
Project: QWEST (KENT) FEDERAL WAY, WA
Scheduled inspections may be failed if this card is not on -site. DO NOT LOSE Ti-fI 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_
By
Approved
LEI
Date g_"-4.,t, „BY
❑
Service (4235)
Approved
By
Date
Ceiling Cover (4020)
Approved
By
Date
n cover k4VJU) ❑ Slab/Concrete Floor_(.
Approved Approved to place concrete
Date '�a t 11 By Date
❑ Feeders/Sub-panels (4045) Rough Electrical (4225)
Approved Approved
By Date By Date
Final - Electrical (4055)
Approved
BY Date
El Rough Electrical Final Electrical ❑ Right of Way
Approved of
Approved
By Date By Date
BY Date
CITY OF A��-P
Federal Way
RECEIVE®
AUG 2 3 2013
ELECTRICAL
PERMIT APPLICATION
CryOFFFO �
PERMIT NUMBER vl9q
� `�
SITE ADDRESS: _
�:3or31 1s' ►�G--�
PROJECT VALUATION ASSESSOR'S TARIpARC$L #
PROJECT NAME
("Penaui or Homeowner Last Ara me) •ram S
PROJECT DESCRIPTION
Detailed descr[plion of work to
be included on this permit nnly
PROPERTY OWNER
ELECTRICAL
CONTRACTOR
APPLICANT
PROJECT CONTACT
NAME
MA7L[xC, ADnRESs
CITY
#NAME—
WA STATE CONTRACTOR'S LICENSE #
NAME
bIAILING ADDRESS
CITY
NAME
STATE ! Zip
STATE I Zip
EXPIRATION DATE
Z-/I/, / le,
STATE 1 Zip
SUITEJUNITISPACE #
al) T;9sfva
CURRENTJPR.POSED IISE
FAX
FEDERAL WAY BUSINESS LICENSE #
PRIMARY PHONE
E•MAD,
FAX
PRIMARY PHONE
{ GS-3 Irk I i
I certljy :ruder penalty of perjury that ! um the property owner or authorized agent ajthe property owner. ! cer t3fy that to the hcsf
Of my knowledge, the Feder at�an sre guI tee in support of this perm{t application is true and correct. I certify that! wttl comply with
all appIlcable City of Federal Way regulations pertatnlny to she Mork authorized by the issuance o a
issuance of this permit does not remove the owner's responsibility for compliance w,th local, stair, or
construction or environmental laws. f permit. 7 understand that the
cral
regulating
'further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fcessencurred in
the invcstiga re and defense of such claimJ, which ■nay be made by any person, including the undersigned, and filed against the city,
but only :where such claim arises out of the releaser of the city, inriudiny Its officers and employees, upon the accuracy injarmafion suppeied to the cety as a part of rI[is application,
of the
SIGNATURE:
PRINT NAME:—DATE���
Bulletin #160—January 1, 2013
Page 1 of 2 k:0andouts0ectrical Permit Application
Cd'