14-106342 Electrical
City & cWay Permit #: 14-106342-00-E L
CommunityEcon.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: BECKER,MARTA DDS
Project Address: 33915 1ST WAY S Unit 100 Parcel Number: 926504 0150
Project Description: Installation of(4)thermostats.
Owner Applicant Contractor
CUNA MUTUAL INVESTMENT CORP HEATTRANSFER CO(GENERAL) HEATTRANSFER CO(ELECTRICAL)
2501 N NORTHLAKE WAY SUITE 201 PO BOX 1268 HEATTC*009DA(5/30/16)
SEATTLE WA 98103 CARNATION WA 98014 PO BOX 1268
CARNATION WA 98014
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'
Thermostat. 4
PERMIT EXPIRES Wednesday, June 10, 2015
Permit Issued on Friday, December 12, 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: Vt 2-/2-e3/y
O
**1
THIS CARD IS TO MAIN ON-SITE
"n"of Construction In ection Record
federal"Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 14-106342-00-EL Address: 33915 1ST WAY S Unit 100
Project: •CUNA MUTUAL INVESTMENT COF FEDERAL WAY, WA 98003
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 UFER Ground(4295) El Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
o Pool Bonding(4195) ❑ Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
o Feeders/Sub-panels(4045) 0 Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
O Final-Electrical(4055)
Approved
By t#407 Date 0_13l I I
El Rough ElectricalEl Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
•
EtilikCTRICAL
CITY OF DEC 12 2014
Federal Way PERMIT APPLICATION
CITY OF FEDERAL WAY
PERMIT NUMBER 1/ / _ / 0 3 y A _6 0
SUITE/UNIT/SPACE#
SITE ADDRESS:
339 /5- 10 tiA Y S i,«Id- 100
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ 9 6S0 y - 0 / _-r
PROJECT NAME
(Tenant or Homeowner Last Name) B E K1:. 2., M A QTR C) s
PROJECT DESCRIPTION ( ' O U L' Li 1 -f-�i-
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER (,any /1/ic4(Ack) .Lrt✓cSfrin.<_fruf$ ( ) -
MAILING ADDRESS E-MAIL
24-0( Al /Vo t--+ . UW-E LA)' .t s,..,;+ Zc0)
CITY STATE ZIP FAX
S E7A7TL w1 ( ) -
NAME PRIMARY PHONE
fFr Trr ,vs �( a> C U<. i ( ) -
MAILING ADDRESS E-MAIL
ELECTRICAL f7.0 60)< 1Z(oR
CONTRACTOR CITY STATE ZIP FAX
CCtr f ioA wf) 13 01 Y ( ) -
WA STATE CONTRACTOR'S LICENSE# EEXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
rkEtirr N-4.. 2beo40 l / it / ,c-
NAME PRIMARY PHONE
APPLICANT 1 �4(1�- ttr`Fe e- ( ) -
MAILING ADDRESS E-MAIL
Eck & (2_1/422
CITY STATE ZIP FAX
CC,.r.u-f<brk L-j CPO it ( ) -
NAME PRIMARY PHONE
PROJECT CONTACT 0-
5:n n ( 2c) 2-24 - 4ocf2-4
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 of this application.
AIIP
SIGNATURE: — =i= DATE 12-/ 1 Z/ Z 19
s.
PRINT NAME: -
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application