08-105545 City of Federal Way 411 • Electrjcal
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Community Development Services Permit #: 08-105545-00-E L
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: COMCAST
Project Address: 33800 1ST WAY S Parcel Number: 926480 0235
Project Description: Installation of a new 20AMP unmetered service for CATV.
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Owner Applicant Contractor
CITY OF FEDERAL WAY-PW/SWM M K ELECTRIC INC M K ELECTRIC INC
33325 8TH AVE S PO BOX 612 MKELEKE957PO 10/20/09
FEDERAL WAY WA 98003 BUCKLEY WA 98321 PO BOX 612
BUCKLEY WA 98321
Service greater than 1000 Amps? No
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telt z Y x
New Service/Feeder: 0- 100 amps I
PERMIT EXPIRES Tuesday, November 17, 2009
Permit Issued on Monday, November 17, 2008
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
nd t City of Federal Way.
Owner or agent: r� L e� d'c t� i l l Date: /7//// t.
t
Aith THIS CARD IS TO iiiMAIN ON-SITE
CITY OF tY p t tommuni Develo m Inspection Record
p
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-105545-00-EL
Owner: CITY OF FEDERAL WAY - PW/SWM
Address: 33800 1ST WAY S
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FEDERAL WAY, WA 98003-6240
•
This card is part of your required inspection documents. 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.
❑ UFER.Ground (4295) ❑ Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
- 0 Pool Bonding(4195) ❑ Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date /.. ZZ c )
0 Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
❑ Final-Electrical(4055)
Approved
Byczjej Date /-Z...Z -6
.
For inspector reference only
O Rough Electrical 0 • FINAL-Electrical
Approved Approved
By Date By Date
• E ���./
cFne"d
�G> Y _irry .!.L5-' - .1.L .. I .1 i.
etDlryELilMENT sy NOV 7 2�(! PERMIT SF MF CO MEE1) PL DE EN FP
33325 D RALWIESOUITI•POBOX9718 FE_ A� P TCATI \�/N
FEDERAL WAY,WA 98083-9718 Il'11��t�,iY/�■,./ �
253-835-2607•FAX 2531 1j / -.-,-, —
weintwituofii=eleralwal CDS
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
S PROPERTY INFOR\LA"110A
SITE ADDRESS- /1--- ""al 5. 33 eccp SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - LOT SIZE(sr)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
e1 aeh sePoirde r .for iensrmu legal deecnigionl
■ PROJECT INFORM vMON
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION)g ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this vermit noted
., 6 A- ()A,4t.e4-erecl Ser vice Ai- a ATI/
PROJECT NAME(Name of Business or Owner Last Name) (fhrweaS 4-
al PLOP' T. INFOR\I1IION
PROPERTY NAME^ r) � PRIMARY PHONE
OWNER (/,.,,.' L B K1//l ( )
MAILING AD CITY.STATE,ZIP E-MAIL ADDRESS
CONTRACTOR COMPANY NAME APPLICANT NAME �/ OFFICE PHONE
171 E)EG-�. Enc- . T•v� X ID S-F4,r-hno�n (0755)S3q - 170 J
MAILING NESS STATE,ZIP CELL PHONE
MESS. Qb)C (p► ? c.J f e ,IP
DATE ells,
153x)9oS -S3)3
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
( ) -
tONTRACTOR'S REOISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
m K � LE KE 75'70 Pa to/E6/0 ? T7r/os • .. O r t E/eo1rK.Z
APPLICANT COMPANY NAME OFFICE PHONE cam.
(14 k. E.l ecri-; enc APPI1 Jos 4erAAA.n ( I -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant %Agent ❑Other ( ) -
PROJECT NAME �' PRIMARY PHONE E-MAIL ADDRESS
CONTACT 4 s/e r,vt a-A (ZS3) qtr - $ 3, 3
LENDER NAME Per ROY 19.27.095:
Lender information is required(f project value exceeds$5,000
MAILING ADDRESS CITY.STATE,ZIP PHONE
( I -
• DETAILED I31;ILDTNG INFORMATION
EXISTING USE ,i//4 PROPOSED USE CF.rl- Se'rv1G''l_.
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ f60�=
SPRINKLERED BUILDING? 0 YES 'id NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES pi NO
WATER SERVICE PROVIDER o LAKEHAVEN 0 HIGHLINE 0 TACOMA ❑PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑LAKEIIAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. S8.FT. Sg.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS e:a raoro� minx TOTALMAIMSF TOTALPnWOsdver TOTALS?
"'NEW HOMES ONLY NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURE
:-
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work$ (A COPY OF BID OR ESIIMA7E MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(commercial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or ab/Shower Combo) LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(fouet)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
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 app .
SIGNATURE: .�_�� DATE /3 CIO
• .perty Owner and/or Authorized Agent
FOR OFFICE USE ONLY
o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? ❑YES o NO
NEW ADDRESS REQUIRED? a YES ❑NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES ❑NO DEMO PERMIT REQUIRED? ❑YES o NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application