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16-102117 `'' .0 P".• Electrical ay Community&Econ.Dev.Services Permit #: 16-102117-00-EL 33325 8th Ave S Federal way,WA 98003 Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax:(253)835-2609 p q Project Name: GOODWILL Project Address: 32521 PACIFIC HWY S Parcel Number: 172104 9083 Project Description: Install data cabling for 13 camera locations throughout store Owner Applicant Contractor TACOMA GOODWILL INDUSTRIES INTRACOMMUNICATION NTWK SYS IN INTRACOMMUNICATION NTWK SYS IN 714 S 27TH ST (INSI) (INSI) TACOMA,WA 98409-8130 4922 N PEARL ST INTRANS994JL(4/10/17) TACOMA WA 98407 4922 N PEARL ST TACOMA WA 98407 Additional Permit information Electrical Work Valuation 3200 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-Other(Commercial, 1 PERMIT EXPIRES Thursday, May 4, 2017 Permit Issued on Wednesday, May 4, 2016 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 acco :ance with the laws, rules and regulations of the State of Washington and the City of Federal Way. Owner or . -1--'� .4_=_' Date: — V—`Z"f I'i -----,„ :�ri- , ,,. ,. .1. N • THIS CARD IS TO MAIN ON-SITE . , CITY&r Mme,,^ Construction In ection Record - Federal Way INSPECTION REQUE TS: (253)835-3050 PERMIT#: 16-102117-00-EL Address: 32521 PACIFIC HWY S Project: TACOMA GOODWILL INDUSTRIES FEDERAL WAY, WA 98003-8501 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 itis 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. 0 UFER Ground(4295) El Ditch cover(4030) 0 Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date 0 Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235) Approved Approved Approved By Date By Date By Date • ❑ Feeders/Sub-panels(4045) 0 Rough Electrical(4225) 0 Ceiling Cover(4020) Approved Approved Approved By Date By Date By Date . ❑ Final-Electrical(4055) Approved B --- Date = �; El Rough ElectricalEl Final Electrical El Right of Way Approved Approved Approved By Date By Date By Date r ,; AI. RECEIVE© E CTRI CAL CITY OF Federal Way MAY 0 3 2016 PERMIT APPLICATION CITY OF FEDERAL WAY (7 / 0 2 ( / -7D CDS PERMIT NUMBER - / 9003 SUITE/UNIT/SPACE# SITE ADDRESS: ` .?,Sa2/ �iSG/,eC /414.da 4d- e.�Iie%d,7/i0- PROJECT VALUATION ASSESSOR'S TAX/PARCEL# 1 CURRENT/PROPOSED USE _=200,I - � 7 2 � 0 - U c- PROJECT NAME i;®dIpvitG ,C,� 7 (Tenant or Homeowner Last Name) '? //Juesfe0 "*"/01S�sz� PROJECT DESCRIPTION aj "MA49 41.j /3 /�'GN2io�.1 �s -7-s 6,9.94,, Detailed description of work to 7 ....40i�l�.s0 ,c67isa2s. be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER ‘.0-00‘.1.././2e, 40'40,,,- R53 J 73 - d?V/ MAILING ADDRESS E-MAIL 7/V s. c.2 ' --r)7/. CITY CITY STATE ZIP FAX l e0i01� G✓/°- ,9f W ( ) - NAME PRIMARY PHONE .1Z / S Z (255 )76/ -eVi9 MAILING ADDRESS , E-MAIL r ELECTRICAL i '22 x/o/dii 4/s7< .2,A.t�.�l� ®/i/•fe •r,; -.44s.. CONTRACTOR CITY STATE ZIP / FAX Go WP ? .e5-3 ),i7f-1/14 WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# /A/7.1e/04/.59L Vi/' i/7 NAME PRI Y PHONE APPLICANT '2-'' / `S "Z- (Z 53) 7G7- l, d MAILING ADDRESS E-MAIL */,7Z2- ' ' f4/SI 1,4e e415..4,r:'/41.to CITY STATEJ'"2' FAX / l NAME PRIMARYPHONE PROJECT CONTACT , g7iii- XS., ) 75- 9-e$/� 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 ., the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the ty as a - of this application. �f SIGNATU • DATE / a 42/ PRINT NAME: , , • , af7'/2 k Bulletin#160-April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application