15-101221 4
•
Electrical
Cfty r � &Federal
�o�"aseN� FILE Permit #: 15-101221-00-EL
33325 Sth Ave S
Federal way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: 7-11
Project Address: 33915 1ST WAY S Unit 205 Parcel Number: 926504 0150
Project Description: Install lighting and miscellaneous power.
Owner Applicant Contractor
CUNA MUTUAL INVESTMENT ERIC OLSEN OLSEN ELECTRIC INC
5910 MINERAL PT RD OLSEN ELECTRIC OLSENEI931PE(10/5/15)
MADISION WI 53705 325 WASHINGTON AVE S SUITE 91 325 WASHINGTON AVE S SUITE 91
KENT WA 98032 KENT WA 98032
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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
Circuits-Commercial 15
PERMIT EXPIRES Tuesday, September 8, 2015
Permit Issued on Thursday, March 12, 2015
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the u be in acco •ance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent Date: -37i&
G
r
LFINALED
DATE INSPECTOF AREA AND TYPE C INSPECTION
3I I is tri P4✓-�l'&1 Rou - O - - God C✓'
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41 10 IS 1/13 'Focal-mu e a..4.la — O"- Tb Gov &t r-r 5104244%12- (204-
THIS CARD IS TO MAIN ON-SITE
CITY OF 0 Construction In ection Record .
Federal Way INSPECTION REQ TS: (253)835-3050 ,
PERMIT#: 15-101221-00-EL Address: 33915 1ST WAY S Unit 205
Project: CUNA MUTUAL INVESTMENT 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.
El LIFER Ground (4295) - El Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
❑ Pool Bonding(4195) 0 Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
O Feeders/Sub-panels(4045) 0 Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date 4 Bye Date 4 _( s.--L"i
El Final-Electrical(4055)
Approved
� Date .d.__1,L (z
•
O Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
fiCEIVED
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MAR 12 2015 ELECTRICAL
CITY OF
Federal Way CITY OF FEDERAL WAY PERMIT APPLICATION
CDS
PERMIT NUMBER / 5 _ / D L _ i_......1.....„y
SUITE/UNIT/SPACE#
SITE ADDRESS: 3 J 2 1 5- ( S`r w 5 07 FC ecc L kk i 6z yr
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ 1(0/600 - a l 5 D V- 0L 5-0 R-e ‘\
PROJECT NAME ,,n
(Tenant or Homeowner Last Name) /V 1,Ci,, L4.000
PROJECT DESCRIPTION \ C\ - t \\c
Iv+C c-vs ). YVl ':,y_. PCS LA1 1 r:
Detailed description of work to
be included on this permit only
NAM PRIMARY PHONE
PROPERTY OWNER ()4 ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
( \sen, c` ( ) -
MAILING ADDRESS E-MAIL
ELECTRICAL g S U0c..,1 t4y {-r:vlS ( J u 5-k-+n el, c)(-5-c-)eLe-6-41(,0
CONTRACTOR CITY STATE ZIP J FAX
Vat �A- C&k)3 l (asp )0i' - ict o
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
C 0 L$ EN ei_c.3 P L 10 / 5 /t s o20-ot -to.zt.ez-oo 6L
NAME / PRIMARY PHONE
APPLICANT 4,.S t--(VN6 n�c 62,3 )0 72- L `c 0 S
MAILING ADDRESS E-MAIL
S uu-5k c\--/-1—^ ,4 cS `_- 1 t JUsd- vlh.e„e.teLU';k--4red
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
PROJECT CONTACT Sc ( )
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. 2 /r
SIGNATURE:��wr DATE ✓71 al G c
PRINT NAME: T.) .k-- ("\. G-N-rse" "
JI
Bulletin#160-January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application