09-103625a! .
City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Electrical
Permit #: 09-103625-00-EL
Inspection Request Line: (253) 835-3050
Project Name: PACIFIC HWY S @ S 312TH ST -PHOTO ENFORCEMENT
Project Address: Parcel Number: CITYWIDE
Project Description: Installation of photo enforcement cameras in school zone. Install cameras, wire, conduit, 2
camera poles and loops.
Owner
Applicant
Contractor
CITY RIGHT-OF-WAY
SIGNAL ELECTRIC INC
SIGNAL ELECTRIC INC
PO BOX 6209
SIGNAEI325K8 (7/31/11)
KENT WA 98064-6209
PO BOX 6209
KENT WA 98064-6209
Additional Permit Information
Is Use Educational or Institutional?.......................No Service greater than 1000 Amps? ........................... No
Electrical Fixtures
New Service: 0 - 100 amps (Comm 1
CONDITIONS:
*UL SPEC LISTING TO BE ON SITE AT TIME OF INSPECTION* * * wul
PERMIT EXPIRES Saturday, September 18, 2010
Permit Issued on Friday, September 18, 2009
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
z and the City of Federal Way.
G ��_
Owner or agent: �: -- - Date: C1
V1
CITY OF
Federal Way
PERMIT #
THIS CARD 1S TO '-)VIAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
09-103625-00-EL Address:
Owner: CITY RIGHT-OF-WAY FEDERAL WAY, WA
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.
rl
LIFER Ground (4295)
El
Ditch cover (4030)
Slab/Concrete Floor (4255)
Approved
Approved
Approved to place concrete
13}
Date �U�
By
Date
By
Date
Pool Bonding (4195)
Temporary Power (4275)
Service (4235)
Approved
Approved
Approved
By
Date
By
Date
By
Date
❑
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
El
Final - Electrical (4055)
Approved
By Date d
1:1Approved
1:1Approved
Rough Electrical
Approved
Final Electrical
Right of Way
By
Date
By
Date
By
Date
ary of 'A PERMIT"
Federal Way
comw�DEv1A�nrssR 1APPLICATION
253-835-2607• FAX 253-835-2609
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NAME OF PROJECT
(Tenant or Homeoumer Name) 2
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL V
TYPE OF PERMIT
❑ DEMOLITION V ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION
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PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
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PEOPLE
NAME
PRIMAARY PHONE
PROPERTY OWNER
i Of Fao CC, W �
MAILING ADDRESS, crry, STATE, ZIP
E-MAIL,
OWNER IS ALSO:
CONTRACTOR APPLICANT PROJECT CONTACT
_
NAME
PRIMARY PHONE
'
S; c, E(cc-Fr,c
(Z53 B—IZ--I117
ADDRESS, CITY, STATE, ZIP
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FAX
253 39S -u5sG
CONTRACTORMAIdNG
WA STATE CONTRACTOR'S LICENSE 0
EXPIRATION DATE
FEDERAL WAY BUSIMISS LICENSE 0
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S , � I3ZS
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1t1-99-10_1Z7(o-00- a
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PRIMARY PHONE
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APPLICANT
MAIL]MG ADDRESS, CITY, STATE, ZIP
FAX
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3'75- p S S(o
PROJECT CONTACT
NAME --
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PRIMARY PHONE
(2SZ' 1 -I z- - -1
(The individual to receive and
MAILIW& ADDRESS, CITY, STATE, ZIP PO o x
FAX
respond to all correspondence
concerning this application)
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(2S 3) 3 S - 0 55 (o
ALTERNATE CONTACT NAME:
PRIMARY PHONE
E•MAI.
TUr1
(2-mo _S211;
si'rlc(2(ec6iC.
PROJECT FINANCING
NAME
I�
ArT S
p OWNER-FIIYANCED
Required for projects urith
MAILING ADDRESS, CITY, STATE, ZIP
-1(o $ i �- . 6-r4-H e,8 , S c .4+s &1,c, l t Az
PRIMARY PHONE
(18b ) S9 6 - y b& -
value of $5, 000 or more
(RCW 19.27.095)
I certify under penalty of pedury that Z 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. Z cert(ry that Z will comply
with all applicable City of Federal Way regulations pertaining to the work authorised by the issuance of a permit. Z 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 flied against the
city, but only when such claim arises out of the reliance of the city, including its of eers and employees, upon the accuracy of the
information supplied to the city as apart of this application.
1 fl- 9 ` (9 — a9
SIGNATURE: DATE
PRINT NAME:
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Bulletin # 100 — 4/17/2009 Page 1 of 4 k:\Handouts\Pennit Application