13-101721 r
- ledtrical
Community�of Federal
ay
Services Permit #: 13-101721-00-EL
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)
.111
Ph:(253)835-2607 Fax:(253)835-2609 �I835-3050
Project Name: WOODMONT
Project Address: 27201 PACIFIC HWY S Parcel Number: 332204 9055
Project Description: Add(1)cabinet& (2)20-amp circuits.
Owner Applicant Contractor
KING COUNTY-PARKS WESTOWER COMMUNICATIONS INC WESTOWER COMMUNICATIONS INC
500 4TH AVE (ELECTRICAL) (ELECTRICAL)
SEATTLE,WA 98004 19500 SW CIPOLE RD WESTOCI964C6(8/31/13)
TUALATIN OR 97602 19500 SW CIPOLE RD
TUALATIN OR 97602
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 3
PERMIT EXPIRES Tuesday, October 15, 2013
Permit Issued on Thursday,April 18, 2013
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: y r Date: 1/—71 '
,A.
THIS CARD IS TO MAIN ON-SITE ._
CITY OF 0 Construction In ection Record ,
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 13-101721-00-EL Address: 27201 PACIFIC HWY S
Project: KING COUNTY FEDERAL WAY, WA 98003-2407
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) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
O Pool Bonding(4195) 0 Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
o 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 &lh-�._ Date ii_,14._ ` ..?
E Rough Electrical El Final ElectricalEl Right of Way
Approved Approved Approved
By Date By Date By Date
., 0 0 . ,
CITY OFA ELECTRICAL
Federal Way PERMIT APPI9N
PERMIT NUMBER I ''. ' _ ` O I 7 z- ( _ 00 APR 182013
CITY OF FEDERAL��IjWAY
SUITE/UN141DCE S
SITE ADDRESS: 27w/ p _'G Aufa
PROJECT VALUATION I ASSESSOR'S TAX/PAR L S ICURRENT/PROPOSED USE
$ 1200 3 3 2_ z o 4- - 0 5 5' CeII -/u
PROJECT NAME a _
(Tenant or Homeowner Last Name) (/V(OCP m 0/rf
itd / Oa
PROJECT DESCRIPTION 614-1- 02" ,4 044 0
Detailed description of work to
be included on this permit only
NAMEPRIMARY PHONE
PROPERTY OWNER 7-0611 1x53)Fs/ -S f V(d
MAILING ADDRESS E-MAIL
CITY- STATE ZIP FAX
1v"144 6,j /)ecu/off WA- 9X7 335- ( ) -
NAME PRIMARY PHONE
�� tieSfiu!i4 amrvtun9 6 (2t ) 76,2,- 5 58
.� MAILING ADDRESS E-MAIL
7\ ELECTRICAL )9(oI S Ido tie S j Chap' ftid v16:p/,as 5kuJPl Lerr
CONTRACTOR CITY STATE ZIP
Or I A4ACLO F L 3 a-8 tJ (W ) 3.5 7-t uo,;_.
WA STATE CONTRACTOR'S LICENSE S EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE I
1/0-STOC .. 9t4 C 6 )L /' / '1.3 ,
NAME PRIMARY PHONE
APPLICANT A.T 4 7 I b/L/71-7 ( ) -
MAILING ADDRESS E-MAIL
leo 224 N �a,L Wei
CI STATE ZIP FAX
f Yt old diA 6465-c9- ( ) -
NAME PRIMARY PHONE
PROJECT CONTACT Jess CA-Na..f rna.i- (360) 61g-- 6U.1 1
I cert(Jy 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 authorised 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.
SIGNATURE: / .-"" DATE '11—/S-7
PRINT NAME: e ss- )a d 1)1 Ll-t'\
Bulletin#160–January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application