23-105412City of Federal Way
Community Development Dept
33325 Sth Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: CITY HALL PASSPORT DESK
Project Address: 33325 8TH AVE S
Electrical
Permit #:23-105412-00-EL
Inspection Request Line: (253) 835-3050
Parcel Number: 9265000290
Project Description: Add needed circuits or receptacles, (2) Quad receptacles 2nd Floor, CD and Duplex receptacle
in the power room downstairs
Owner
Applicant
Contractor
CITY OF FEDERAL WAY
BRIAN PEARSONCITY OF FEDERAL WAY
THOMPSON ELECTRICAL
33325 8TH AVE S
-IT
CONSTRUCTORS INC
FEDERAL WAY WA 98003
33325 S 8TH AVE
THOMPEC008CW (2/16/24)
FEDERAL WAY WA 98003
150 100TH ST S
TACOMA WA 98444
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Electrical Fixtures r
Circuits - Commercial 3
PERMIT EXPIRES Tuesday, 30 April, 2024
Permit Issued on Thursday, November 2, 2023
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
City of Federal Way.
Owner or agent: f;ILE
Date:
f, IV(/T/)
-1i;k
CITY OF
Federal Way
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 23 105412 00 Address:
33325 8TH AVE S
Project: CITY OF FEDERAL WAY
FEDERAL WAY WA 98003
Scheduled inspections may be failed if this card is not on -site. DO NOT LOSE T111S CA11D. 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.
1❑
UFER Ground (4295) 0 Ditch cover (4030)
Slab/Concrete Floor (4255)
Approved Approved
Approved to place concrete
By
Date By Date
By Date
0
Pool Bonding (4195)
0 Temporary Power (4275)
0 Service (4235)
Approved
Approved
Approved
By
Date
By Date
By Date
l
Feeders/Sub-panels (4045)
❑ Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By Date
By Date
❑o Final - Electrical (4055)
By
6�Approved �)
Date
❑
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
4
CITY OF
Federal Way
RECEIVED
NOV 0 2 2023
CITY OF FEDERAL WAY
COMMUNffY DEVELOPMENT
ELECTRICAL
PERMIT APPLICATION
PERMIT NUMBER � � _ 1 4 L?�_ _ E, L
SUITE/UNIT/SPACE #
SITE ADDRESS: 3
�- �.��
A S
PROJECT VyA�LUATION
ASSESSOR'S TAX/PARCEL #
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION
;'' 1r0.G� t
GL,,Y-p �
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qa� 1�1,9
Detailed description of work to
be included on this permit only
T
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o v'pll�
PROPERTY OWNER
NAME
C ✓, -v 4
1
G r,¢
(c3S?)
PRIMARY PHONE
_53-S - a SS L
MAILING ADDRESS
E-MAIL
ZIP
FAX
NAME
ASTATE
PRIMARY PHONE
bc
MXIL111IG ADDRESS
E-MAIL
ELECTRICAL
P-0• ;
Z(.a0
CONTRACTOR
CITY
IA
STATE
ZIP
FAX
qq
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
UBI #
NAME
7
PRIMARY PHONE
APPLICANT
VI �'
(1C 3)
�3 "-t�--
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
N E
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PRIMARY PHONE
co - _ 2.S s 1
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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 claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information su d to the city as apart of this application.
SIGNATURE: DATE
PRINT NAME:
PERMIT CENTER + 33325 811, Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenter(c_Dcityoffederalway.com
A
Bulletin #160 — April 14, 2020 Page 1 of 1 k:\Handouts\Electrical Permit Application