14-105978 • Electrical
City of Federal Way
Community&Econ.Dev.Services Permit #: 14-105978-00-EL
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609. ns p q
Project Name: TIC RESERVE APARTMENTS-RECREATION CENTER
Project Address: 125 SW CAMPUS DR Parcel Number: 192104 9017
Project Description: Low voltage wiring for data cabling
•
Owner Applicant Contractor
KW/WDC WEST CAMPUS LLC BILLS ELECTRIC SERVICE BILLS ELECTRIC SERVICE
9701 WILSHIRE BLVD SUITE 220 8010 NE 140TH PL BILLSES87OBJ(1/11/15)
BEVERLY HILLS CA 90210 KIRKLAND WA 98034 8010 NE 140TH PL
KIRKLAND WA 98034
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
Low Voltage-Other(Commercial; 1
PERMIT EXPIRES Saturday, May 16, 2015
Permit Issued on Monday, November 17, 2014
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: ((7/0
THIS CARD IS TO : • • 1 ON-SITE•Federal Way Construction In . coon Record ..y INSPECTION REQ TS: (253)835-3050
PERMIT#: 14-105978-00-EL Address: 125 SW CAMPUS DR
Project: KW/WDC WEST CAMPUS LLC FEDERAL WAY, WA 98023-8365
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.
O LIFER Ground(4295) -❑ Ditch cover(4030) - -0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date Date \\ 1 41 I 21 By Date
O Pool Bonding(4195) 0 Temporary Power 4275 ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
El Feeders/Sub-panels(4045) El Rough Electrical(4225) Ceiling Cover(4020) .
Approved Approved Approved
By Date By Date By Date
. . • .
O Final-Electrical(4055)
Approved
By r Date
2--1��\5
1
Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
110 III .
ELECTRICAL
CITY OF
Federal Way PERMI LICATION
PERMIT NUMBER (4- _ I O `� c( 7 _ co NOV 1 7 2014
CITY OFYEDERAL WAY
5,�y.S Pvt //�r T:c ,_ CDS SUITE/UNIT/SPACEN
SITE ADDRESS: � � �i
2 .S W CAvicO c S '�'i 7C±023 W - ti�"r5f�
PROJECT VALUATION ASSESS Q$8 TAR/ 1,L 0 _ O CURRENT/PROPOSED USE° 1
PROJECT NAME y,} j�
(Tenant or Homeowner Last Name) .S 1Z V.• 2 '�/7r /'s
2? V 1/ / S LocA`1 re,v S c.4TZ.Z.7'g.)z 97 -7)Cpi & t 2
PROJECT DESCRIPTION L o C i4 T 0 0`E ` t`7 e_o i( :7r- (00 ! /
Detailed description of work to t.)-1 Lk..-NIA\ (\t--76-T) t_ rCF-( -a-✓A``-) _7
be included on this permit only
NAME /], PRIMARY PHONE
PROPERTY OWNER f VV At IM14i ( ) -
MAILING ADDRESS E-MAIL
CITY I STATE I ZIP FAX
)
NAME PRIMARY PHONE
3.�tv5 a CZ itL q c.-R LL-C- (?c( )177- 5 g6 l
MAILING ADDRESS E-MAIL
e \ Arr. 1 eqo f Pt ,�,pR e r S
03geaf r :.Cps
CONTRACTOR CITY STATE ZIP FAX
e<14 b WA- q c3 `f -
-
WA STATE CONTRACTOR'S LICENSE M EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE F
/ /
NAME C PRIMARY PHONE
' t( -l-a i 0t (61-11s16--c-rk-xi-csrestrLSROc-)777 -5-76
/
APPLICANT
MAILING ADDRESS E-MAIL
54 L1 tF�, S PK:t-cS 60r?-* P, (pet-,
et-,
CITY STATE ZIP FAX
)
NAME PRIMARY PHONE
PROJECT CONTACT ) _
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 supplied to the city as a part o this application.
`-' v I j
SIGNATURE: DATE C ! //7//C(
PRINT NAME: w'1'U r 4-IAA 4_ S eii
Bulletin#160-January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application