14-106122 Ir -y . , f . .�
II Electrical
City of Federal Way -i Permit #: 14-106122-00-E L
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,WA s8�3 Inspection Request Line: (253)835-3050
I Ph:(253)835-2607 Fax:(253 835-2609
Project Name: BECU
Project Address: 35105 ENCHANTED PKWY S Unit G102-A Parcel Number: 185295 0040
Project Description: Install low voltage wiring for security system
Owner Applicant Contractor
OPUS NORTHWEST LLC DIEBOLD INC DIEBOLD INC
915 118TH AVE SE SUITE 300 936 INDUSTRY DR BLDG 24 DIEBOI*179J5(7/2/16)
BELLEVUE WA 98005 TUKWILA WA 98188 936 INDUSTRY DR BLDG 24
TUKWILA WA 98188
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-Burglar Alarm(Cor 1
PERMIT EXPIRES Saturday, May 30, 2015
Permit Issued on Monday, December 1, 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
eava th City of Federal Way.
Owner or agent: Gw' /40--ct Date: /?.— it'" /`l/
FIN
Aliw' *1)
4
THIS CARD IS TO MAIN ON-SITE
CITY OF 110 Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 14-106122-00-EL Address: 35105 ENCHANTED PKWY S Unit G1
Project: OPUS NORTHWEST LLC 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) ❑ Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
❑ Pool Bonding(4195) ❑ Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
`El Feeders/Sub-panels(4045) El Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
El Final-Electrical(4055)
Approved
By V4 Date 12-11S I (c{- .
El Rough Electrical Final Electrical Right of Way
Approved Approved1:1 Approved
By Date By Date By Date
' • -I ii,ECEIVED
CITY OF i EICTRICAL
DEC 0 2014
Federal Way CITY OF FEDERAL WAS PERMIT APPLICATION
CDS
PERMIT NUMBER / (/' — / O 6, ,c E
/ SUITE/UNIT/SPACE#
SITE ADDRESS: 3 57a 5— eG 4$4.41/es( / G•✓4l f
•
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name) • a • C. vt' .
PROJECT DESCRIPTION Vii/ ' J1-- — /4 fi44/ ,je Gr.4i 47 flu�/�/hv
Detailed description of work to /
be included on this permit only
NAME /� E(/// PRIMARY PHONE
PROPERTY OWNER {/(/0•/�) lei ( )
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( ) -
NAME PRIMARY PHONE -•t//e‘• c.,lO /I✓G- • (C(z i c)I- /`'IT
MAII.IN� 3
�� E•MAU.
ELECTRICAL /✓l/4 $/7 IP, 0 Gof Z Y. 0-4fi$Q/k-j.0d 44.a0,Ca
CONTRACTOR CITY STATE ZIP �/ b v
?kwvl*. VJ/'- 7i,'! d FAX
( )
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
P/444••i' /?qXi"
NAM ....."“..."..../ PRIMARY PHONE
APPLICANT
./114.VI d a.0 (sob)3S10 -f z
MAILING ADDRESS ./ ,/ /^J L i� E-MAIL
CITY ;L ifa I r7 •- �STATE �L ( -" I .
(4kW wR.• // i 4- 7 'f1 ( )ZIP FAX
NAME PRIMARYPHONE
PROJECT CONTACT %' / f /fes f (*LST0 1-
/V.S1
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 localstate, 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 t 'SIUnc of the city, including its officers and employees, upon the accuracy of the
information supplied to ity as a part of is applic on.
SIGNATURE: .A � /4.k DATE /4..—/ r/7
r
PRINT NAME: . i S'p
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application