14-106191 • 41, Electrical
City of FeWay Permit #: 14-106191 -00-E L
Community&Econ.on.Dev.Services
33325 8th Ave S
Federal Way WA 98003 i' Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 ion 4
s.
Project Name: T-MOBILE
Project Address: 32225 PACIFIC HWY S Unit 202 Parcel Number: 150050 0100
Project Description: Programmable thermostats for new HVAC.
Owner Applicant Contractor
HARSCH INVESTMENT PROPERTIES UNIVERSAL REFRIGERATION INC UNIVERSAL REFRIGERATION INC
PO BOX 2708 (GENERAL) (ELECTRICAL)
PORTLAND OR 97208 PO BOX 614 UNIVERI000B0(1/20/16)
AUBURN WA 98071-0614 PO BOX 614
AUBURN WA 98071-0614
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
Thermostat 2
PERMIT EXPIRES Monday, June 1, 2015
Permit Issued on Wednesday, December 3, 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
and the i of federal Way.
Owner or agent: . , /� s �l v�� Date: /7--7
alt.,. n
THIS CARD IS TO MAIN ON-SITE ,
CITY OF _ Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 14-106191-00-EL Address: 32225 PACIFIC HWY S Unit 202
Project: HARSCH INVESTMENT PROPERTI 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.
❑ UFER Ground (4295) 0 Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
o Pool Bonding(4195) ❑ Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
'
❑ Feeders/Sub-panels(4045) ElRough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By IAN!, Date 12.(c f 1 I. By t c Date I.7,_ 1 „--t ` k
o Final-Electrical(4055)
Approved
By Date ) 2 2t�—i y-
❑ Rough ElectricalCI Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
• RECEIVED
EC'T'RICAL
CITY OF DEC 0 3 2014
Federal Way PERMIT APPLICATION
CITY OF FEDERAL WAY
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PERMIT NUMBER J - / 0 _@ f . ( r v
t 6 SUITE/UNIT/SPACE#
SITE ADDRESS: �z z c- c_/47/17 - 7( 91?—,3 ,Z 6) 2_
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
•
11 Op / (5 0 0 - d l U 0 .-744
PROJECT NAME ( _ 0 /
(Tenant or Homeowner Last Name) _,c
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PROJECT DESCRIPTION � �^'� vo/ �l Q ` ro rail-1--t 4Zs-- 74-- if-41-5
Detailed description of work to
be included on this permit only
NAME /_ , PRIMARY PHONE
PROPERTY OWNER 7 7"?#'5Gh 4- Vef7w►e�c� /Y-oyer/(e-
MAILING ADDRESS / E-MAIL
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CITY 1,-�� t STATE ZIP
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NAME / ,. -r e . PRIMARY PHONE
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MAILING ADDRESS
ELECTRICAL hecr7% L/`I/veysri 4N2_
CONTRACTOR CITY STATE ZIP FAX C- 7Z
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WA
53)7c--WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LI ENSE#
G(4'/fr' v/' /z° //6' l7- 99-i 7097-co
NAME PRIMARY PHONE
s � 5 ct five_ ( ) -
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP ( FAX
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NAME �/ PRIMARY PHONE
PROJECT CONTACT P� /Gy4-.7 6��..1 (zs-3)r37 -��/
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 his application.
SIGNATURE: (` �� i� 400r."%'4 _ DATE /� ' .6/�
PRINT NAME: V . �f e-SCI�fI 1440 ys2
Bulletin#160-January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application