13-101724 .r
1 • ! Electrical
CommCunity 8 Econ.D Wv.S rvices Permit #: 13-101724-00-E L
33325 8th Ave S
Federal Way,WA 98003
`Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: SOUTH KING FIRE AND RESCUE DISTRICT#39
Project Address: 31617 1ST AVE S Parcel Number: 072104 9210
Project Description: Add(1)cabinet&(2)20-amp circuits.
,
Owner Applicant Contractor
SOUTH KING FIRE&RESCUE WESTOWER COMMUNICATIONS INC WESTOWER COMMUNICATIONS INC
31617 1ST AVE S (ELECTRICAL) (ELECTRICAL)
FEDERAL WAY WA 98003-5201 19500 SW CIPOLE RD WESTOCI964C6(8/31/13)
TUALATIN OR 97602 19500 SW CIPOLE RD
TUALATIN OR 97602
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
Circuits-Commercial 3
PERMIT EXPIRES Tuesday, October 15, 2013
Permit Issued on Thursday,April 18, 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
1 - �jand the City of Federal Way.
Owner or agent -- )2te A -- Date: / /1 - 7_3
• THIS CARD IS TO ON-SITE
Construction OF In ection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 13-101724-00-EL Address: 31617 1ST AVE S
Project: SOUTH KING FIRE & RESCUE FEDERAL WAY, WA 98003-5201
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.
O LIFER Ground(4295) ❑ Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
❑ Pool Bonding(4195) 0 Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
❑ Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
El Final-Electrical(4055)
Approved
By 1. Date _ 9.N„%-b
Rough Electrical Final Electrical Right of Way
ElApproved ElRough
ElApproved
By Date By Date By Date
• 0
f w
ELECTRICAL
CITY OF
Federal Way PERMIT APP CATION
ifED
PERMIT NUMBER ( - 1 V ( z._ 0 O APR 18 2013
C`$11178'/IfNpperiCB-rWAY
SITE ADDRESS: 3/ /'ctvt S CDS
PROJECT VALUATION ASSESSOR'S TAX/PARCEL S/iCURRENT/PROPOSED U USE
0 0D a Z / fv --62u) (✓ 4 - 9 0 Cal
PROJECT NAME ;. . i. —
(Tenant or Homeowner Last Name) / /) r (et-t`-
PROJECT DESCRIPTION fk01-4 2 C" 4'f — 4 ` 2-D i C9r&uZ4- '
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER K' (i r'1i P `_ rs* 6-- K j (253)g3'/ - l 3 Li
MAILING E-MAIL
3la)7 /Y- M1e S
CITY STATE ZIP FAX
P o- ht1WA- g rO( 3 ( ) -
7siailexo,,thl PRIMARY PHONE
rriwn.cad7tvt (24,)7 2- SFSS`
MAILING ADDRABS
E-MAIL
ELECTRICAL q q(() / J l d rwi 7S j C1!! rvt, A 144
CONTRACTOR CITY STATE ZIP FAX
Pr I 3a" `f (2d/0 ) 357- (3/o-/-
WA STATE CONTRACTOR'S LICENSE S EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE I
(,t)e51oc 9'(„`f (li to i2_/ 31 /13 Zo _03-16 Itlq9_00-&l
NAME ] PRIMARY PHONE
APPLICANT
Ar-i--7- 114-013t o " I ( ) -
MAILING ADDRESS E-MAIL EMAIL
% 3-) A 7;2/ d 6 l,/ ZIP FAX
/zed a l,dA Tro9 ( ) -
NAME PRIMARY PHONE
PROJECT CONTACT ' Je SS-Ea_ 6 < n/it 4-/,‘___) (%O) 67 r- (7 13
I certify under penalty of perjury that I am the property owner or authorised 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. i i
SIGNATURE: DATE 4-1- / 5 ` /.3
PRINT NAME: ., ' d / s
Bulletin#160–January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application