15-105989 • i Electrical
City of Federal Way
Community&Econ.Dev.Services Permit #: 15-105989-00-EL
33325 8th Ave S
Federal way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2809 p Q
Project Name: VERIZON TCC
Project Address: 35007 ENCHANTED PKWY S Parcel Number: 185295 0020
Project Description: Install new security system
Owner Applicant Contractor
A THOUSAND HILLS LLC D.PATRICK HERBERT-OWNER ELECTRONIC DETECTION SYSTEMS LLC
362 N HERBORN ELECTRONIC DETECTION SYSTEMS LLC ELECTDS987DF(3/6/16)
POST FALLS ID 83854 P.O.BOX 526 PO BOX 526
WOODINVILLE,WA 98072-0526 WOODINVILLE WA 98072
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Additional Permit Information
Electrical Work Valuation? 700 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-Burglar Alarm(Cox I
PERMIT EXPIRES Monday, May 23, 2016
Permit Issued on Wednesday, November 25,2015
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
- e City of Federal Way.
Owner or agent: �A 1 / // Date:
-`,:14itose
4
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1.
• THIS CARD IS TO IN ON-SITE Y
CITY OF Construction Ins Dction Record - -
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 15-105989-00-EL Address: 35007 ENCHANTED PKWY S
Project: A THOUSAND HILLS LLC FEDERAL WAY, WA 98003-8359
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.
CI UFER Ground(4295) -CI Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
E Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
O Feeders/Sub-panels(4045) 0 Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
B y By Date B Date By Date
O Final-Electrical(4055)
--- Approved f
By 1 Date * —`
l
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Rough Electrical El Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
9 110 ,
RECEIVED ELECTRICAL
CITY OF NOV 2 5 2015
Federal Way PERMIT APPLICATION
CITY OF FEDERAL WAY
Sri
PERMIT NUMBER 1 5_ 1 0 5/ 9-48 -I -
`J SUITE/UNIT/SPACE M
SITE ADDRESS: 2c00 7" fil C /,m-le j / 4 v S '
PROJECT VALUATIO ASSESSOR'S TAX/PARCEL it ( CURRENT/PROPOSED USE
$ 70_-- t g 6 `it 5 0 0 2:2)
PROJECT NAME I
(Tenant or Homeowner Last Name) C C e /1v/au- Cam nr c i/o i')
PROJECT DESCRIPTION -7-)15.71.1 1/ Se C cr (4/ J rI f'vi
Detailed description of work to C
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER ( ) -
MAILING ADDRESS - E-MAIL
CITY STATE ZIP FAX
) -
NAME !/ n PRIMARY PHONE
Tic c7`rc�t it 9 iLe c/'c`t ,S-K,r4m f (�O( ) V( -LC--- W .
MAILINGADDRES / / E-MAIL
ELECTRICAL ,Po Aai So e CYJ h e k emJ/1 cc jvl
CONTRACTOR CWcoa STATE ZIP FAX
/l k 1/( P W ,70' 70` (go )ia- - ‘76--
WA STATE CONTRACTOR'S LICENSE ^� EXPIRATION�TE` FEDERAL WAY BUSINESS LICENSE�k
NAME p ��/)„-J(' c�`Jl 16 PRIMARY PHONE
APPLICANT / a 7/ gee e'"er21 �O0b )410( - ,0yi
MAILING ADD SS // E//-MAIL
PO &, 3-0=-6 g e J hebe i tttr, Cch FAX
CITY NAME / 4 l l l en PRIMARY PHONE
PROJECT CONTACT pR I 4 � )YO( -,r5 Vi2-
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 m•• be made by any person,including the undersigned,and filed against the city,
but only where such claim arise o of the relia ce of the ci including its officers and employees, upon the accuracy of the
information supplied t• he city - a •art of this • •plica+• .
SIGNATURE: /
`_ • # V DATE 1/—i 4r-liSr
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PRINT NAME: / '
t
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application