13-104544 . .� ! • Electrical
1
City & Federal Way n Permit #: 13-104544-00-EL
Communi &Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003
:'.77'.31- � ��
Ph:(253)835-2607 Fax:(253)835-2609 :S9p Inspection Request Line: (253) 835-3050
Project Name: KEY BANK
Project Address: 32400 PACIFIC HWY S Parcel Number: 162104 9044
Project Description: Installing L/V calbling of voice,data,CCTV,and alarm wiring.
Owner Applicant Contractor
KEY BANK OF WASHINGTON TELDATA SYSTEMS TELDATA SYSTEMS
PO BOX 560807 PKWY SE 12600 INTERURBAN AVE S TELDASI995PB (10/02/15)
DALLAS TX 75356 TUKWILA WA 98168 12600 INTERURBAN AVE S
TUKWILA WA 98168
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional9 No
Service greater than 999 Amps? No
Electrical Fixtures
Low Voltage-Other(Commercial 1
PERMIT EXPIRES Saturday, April 12, 2014
Permit Issued on Monday, October 14, 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
end thCity of Federal Way. f
Owner or agent: 4//A-----:-.7' Date: (01//i3
• THIS CARD IS TO "MAIN ON-SITE
•
CITY OF •" Construction Inssppection Record.
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT#: 13-104544-00-EL Address: 32400 PACIFIC HWY S
Project: KEY BANK OF WASHINGTON FEDERAL WAY, WA 98003-8502
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.
ElRough Electrical(4225) - •❑ Ceiling Cover(4020) D Final-Electrical(4055)
Approved Approved Approved
By Date By Date By Date t 3 ttAi,
D Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
• �tECEIVED
CITY OF o EL CTRICAL
Federal Way OCT 14 2013 PERMIT APPLICATION
CITY OF FEDERAL WAN
CDS
PERMIT NUMBER — 0 k 5 —
/ SUITE/UNIT/SPACE#
SITE ADDRESS: e-q00 Paf flL HO ' Fcie 642y p30,3
PROJECT VALUATION ASSESSOR'S TAX/PARCIFt#
CURRENT/PROPOSED USE
$ 6 )< 00 — — - —
PROJECT NAME
(Tenant or Homeowner Last Name) . 411 le tn
PROJECT DESCRIPTION kr.ki VE,'Age. or 17 CG I . `1 `
Detailed description of work to
be included on this permit only
NAME • PRIMARY PHONE
PROPERTY OWNER K &� < (!`J3 ) 'I -3O3
MAILING ADDRESS E-MAIL
'C? aril es b r' __t�-r��n��r;� t^ CC.V
CITY STATE ZIP FAX
hat"q"(1 wC,t,y w R C/600 ( ) -
NAME C'�/'` / PRIMARY PHONE
IJJ k A j aC, (z0 )60e-- 0..7Z
MAILI
f ,q E-MAIL j
ELECTRICAL //5-9 ,�/t�v�-4i Q� dolavi { -tC'ici61,C/47f'."'
CONTRACTOR CITY STATE ZIP FAX
%g1c3 ( )6196- 0107
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PRIMARY PHONE
•
APPLICANT %� FI:
' P^ � tre(I6 ) Z53 7q7SS
MAILING A1)DRESS E-MAIL
R9X 89q93
CITY STATE ZIP FAX
(Jr 13e (WWI ) 15Z - o.7o7 .
NAME PRIMARY PHONE
PROJECT CONTACT /k, t,�L� �, (Z j 3 ) t(G, - 'O_-;
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.
SIGNATURE: „ / /07(.4(7/3 DATE
PRINT NAME: /(..t jC.11 .ti/
Bulletin#160—January 1,2013 Page 1 of 2 kaHandouts\Electrical Permit Application