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16-102154V ` Ekctrlcal City of Federal Way Community & Econ. Dev. Services ermit #. 1 6-1 021 54+00-E L 33325 8th Ave S Federal Way, WA 98003 FILEP Inspection Request Line: 253 835-3050 Ph: (253) 835-2607 Fax: (253) 835-26Q9 p q Project Name: DSAS DISABILITY DETERNIINATION SERVICES (DDS) Project Address: 33810 WEYERHAEUSER WAY S Unit 200 1 Parcel Number: 215466 0030 Project Description: Run low. voltage wire and relocate (20) t -stats to better match new tenant improvement floor plan. wn r A RIicant Contractor MD VENTURES TALON LLC HEATH HAMBLEN UNIVERSAL REFRIGERATION INC 6725 116TH AVE NE SUITE 100 UNIVERSAL REFRIGERATION (ELECTRICAL) KIRKLANDWA 98033 4102 B PL NW UNIVERIOOOBO (1/20/18) AUBURN WA 98001 PO BOX 614 AUBURN WA 98071-0614 Additional Permit Information Electrical Work Valuation?....................................2500 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 ..................................... 20 PERMIT EXPIRES Friday, May 5, 2017 Permit Issued on Thursday, May 5, 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 accordance with the laws, rules and regulations of the State of Washington a" the City of Federal Way. c Owner or agent: l f,, Date: ' FINALED ,Q.k CITY OF Federal Way PERMIT #: Project: THIS CARD IS TO IN ON-SITE Construction Ins ction Record INSPECTION REQUE TS: (253) 835-3050 16 -102154 -00 -EL Address: 33810 WEYERHAEUSER WAYS Unii MD VENTURES TALON LLC FEDERAL WAY, WA 98001 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. Final - Electrical (4055) Approved By V-4 Date 1, 1 q b UFER Ground (4295) Ditch cover (4030) ❑ Slab/Concrete Floor (4255) ❑ Approved By Approved Approved to place concrete By Date By Date By Date Final - Electrical (4055) Approved By V-4 Date 1, 1 q b Pool Bonding (4195) Temporary Power (4275) ❑ Service (4235) By Approved By Approved By Approved By Date By Date By Date E] Feeders/Sub-panels (4045) Rough Electrical (4225) Ceiling Cover (4020) Approved Approved Approved By Date By Date By V63 Date to ( b Final - Electrical (4055) Approved By V-4 Date 1, 1 q b Rough Electrical Approved Final Electrical Approved Right of Way Approved By Date By Date By Date MY of'AMAY 05 2016 ELECTRICAL Federal Way CITY OF FEDERAL WAY PERMIT APPLICATION CDS PERMIT NUMBER _ I O 5/�-- SITE ADDRESS: l �Q . (� �� << SUITE/UNIT/SPACE # Z o d Floor PROJECT VALUATION e, �,�C7 L© ASSESSOR'S T /PARCEL # // C� - _) t1� 0 CURRENT/PROPOSED USE , f3(4 vteg5 l c PROJECT NAME Tenant or Homeoumer Last Name) PROJECT DESCRIPTION Detailed description of work to be included on this permit only 14 101200 !.V ( e— 1'V—/0C-0A= C ZO x l� Gt2 m ett) 7evt D �. PROPERTY OWNER NAME PRII[ARY PHONE MADJNO ADDRESS lv -7 //CvfGl 441 AYE #/,,, LMAH. CITY STATE tV4 Z1P FAX ELECTRICAL CONTRACTOR NAME PRURANY PHONE MAMUNO ADDRESS 725)F�;w c-omc CrrY 44r &W&A STATE .4 ZIP 9807 F ( ) - W5,2 - WA STATE CCONNTTRRAACTOR's L1C E #E # EXPIRATION DATE FEDERAL WAV EUSINESS LICENSE # APPLICANT N (,./ l ♦ �Gf (�ci (/ p�/Y! (cll.� N PR119ARY PHONE Gam _ MALUNGADDRESS /V�i/ , QTY STATE ZIP FAX PROJECT CONTACT NAME /' �E� GL viiilO�E PRn1AR1r SONE (X� ) - d I certtry under penalty of perjury that I am the property owner or authorisedp owner. I c agent of the property ro ertjfji that to the bast of my knowledge, the injbrmation submitted in support of this permit application is true and correct. I eert(fy 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 taws. I jiather 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 flied 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 apart of this application. t PRINT NAME: Bulletin #160 - January 1, 2013 Page 1 of 2 k:U3andoutsUslectrical Permit Application