13-100180 f j 1 4
• • Electrical
City of Federal Way
Community&Econ.Dev.Services Permit #: 13-100180-00-EL
33325 8th Ave S
Federal Way,WA 80035_2609 Inspection
E M_u
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: HOME STREET BANK
Project Address: 33405 8TH AVE S SUITE 250 Parcel Number: 926500 0060
Project Description: Cut in outlets for kitchen coffee area; install panel for office panel for office partition
furniture;install circuits and connections for modular furniture. Installation of low voltage
wiring for fire alarm system.
Owner Applicant Contractor
LBA REALTY FUND II CO,LLC S M E INC OF SEATTLE S M E INC OF SEATTLE
660 SW 39TH ST SUITE 255 828 POPLAR PL S SMEINS*066DB (3/2/14)
RENTON WA 98055 SEATTLE WA 98144 828 POPLAR PL S
SEATTLE WA 98144
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
Alt.Srvc/Feeder 0 to 200 amps(C 1 Circuits-Commercial 80 Low Voltage-Fire Alarm(Comm(
PERMIT EXPIRES Saturday, July 13, 2013
Permit Issued on Monday, January 14, 2013
I hereby certify that t e above information is correct and that the construction on the above described property and
the occupancy and t - use •- in a• 4 rdance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent - Date: f ° I �'1 ° 13
\` •
S 4" tfit i3
' THIS CARD IS TO MAIN ON-SITE I
•
CITY Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 13-100180-00-EL Address: 33405 8TH AVE S SUITE 250
Project: LBA REALTY FUND II CO, LLC 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.
O UFER Ground(4295) 0 Ditch cover(4030) El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
o Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
O Feeders/Sub-panels(4045) 0 Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By(\" Da a 1 _ `` By Date By Date, `VV`t,ct,
El Final-Electrical(4055)
Approved
By C , Date a`$ ^12
CI Rough ElectricalEl Final Electrical '� Right of Way
Approved Approved Approved
By Date By Date By Date
RECEOE® . ,
. ,.
CITYEL CTRI CAL
Federal Way 1AN 14 2013 PERMIT APPLICATION
/ �j
CITY OF FEDERAL WAY^� ,p ���
PERMIT NUMBER 6 3 _ 7 6 0 / 1/ 0 - �`C^-
33 , O< ���tAe `ol"r11 _ SUITE/UNIT/SPACE#
SITE ADDRESS: 1-*AO c 1 '^ 0
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ ''Ifs/ an) 9 � 4p, 00O - _ 02f)
PROJECT NAME 6 Sire.- 1 `( -
(Tenant or Homeowner Last Name) tT e_ .,,�0. )
&fi 1 v► 06,11 e1 S ),,. .rtI'c--L-ecl C6 .,,x-
PROJECT DESCRIPTION f Ste..k 1 I '"? 1,--e-1 Pr 0 fri<-e art 1'Ti,,,,, / �.i'�t�.i�
Detailed description of work to 1 wS tc-.l( G\V~c 1 LALT5 oc 1/t at ('CA-At/Le-C1-/A."S one- CC. PAr`' t.TM-
be included on this permit only
NAMEk /(-i/ /f PRIMARY PHONE
PROPERTY OWNER // /e /%f7/J�/��/ ( ) -
MALING ADDRESS E-MAIL
CITY STATE ZIP FAX
( ) -
NAME PRIMARY PHONE
(1/Ae- \t"-t- 04' ...`1I<- (2o6 ) 9 - e'/O
MAILING ADDRESS E-MAIL
ELECTRICAL 59•-•V ?ca 71 (Ct.c.e .)-z,-,-.11,_ Jttvt hSYk 4-1 4 . -4-1)-- .
CONTRACTOR c ��ATE ZIP FAX ' (_,�"•
i. %�l - q// 6/c4 _L2OC) 7)h_ cd//0 d
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
smarHsA 066 VS
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS ( ) E-MAIL
CITY STATE ZIP FAX
( ) -
_
NAME �� PRIMARY PHONE
PROJECT CONTACT )cvl 1- d' 2 vy ()-66)-70g 5�o 5—
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 • ' - out of ' e reliance of the city, including its officers and employees, upon the accuracy of the
information supplied the • ty as • •art fi this application.
SIGNATURE: / `` DATE J . / /3
PRINT N .3 Br"'- 33,`LC v
Bulletin#160-January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application