16-102537 I
t r
• Electrical
City of Federal Way
Community&Econ.Dev.Services Permit #: 16-102537-00-EL
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: PRIMARY RESIDENTIAL MORTGAGE
Project Address: 33434 8TH AVE S Unit 101 Parcel Number: 609430 0010
Project Description: Installation of 21 CAT-6 data lines.
Owner Applicant Contractor
PRIMARY RESIDENTIAL MORTGAGE INC COMPUTER SYSTEMS SERVICE CORP COMPUTER SYSTEMS SERVICE CORP
33405 6TH AVE S PO BOX 58211 COMPUSS995LR(7/11/17)
FEDERAL WAY WA 98003 SEATTLE WA 98138 PO BOX 58211
SEATTLE WA 98138
Additional Permit Information
Electrical Work Valuation? 3527 Is this an Online or O.T.C.application? Yes
Is Use Educational or Institutional? No Service greater than 999 Amps? No
Electrical Fixtures
Low Voltage-Other(Commercial: 1
PERMIT EXPIRES Thursday, May 25, 2017
Permit Issued on Wednesday, May 25, 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
and the City of Federal Way.
Owner or agent: f\-7\- - Date:
T
THIS CARD IS TO .MAIN ON-SITE
CITY OF A.,.`
f. -.w
Federal Wa • Construction In ection Record
Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 16-102537-00-EL Address: 33434 8TH AVE S Unit 101
Project: PRIMARY RESIDENTIAL MORTGAI FEDERAL WAY, WA 98003-6323
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 Gproound (4295) El Ditch cover(4030) 0 Slab/Concrete Floor(4255)
ApApproved Approved to place concrete
By Date By Date
By Date
O Pool Bonding(4195) ❑ Tem Temporary Power(4275) ❑ Service(4235)
Approved Approved
Approved
By Date By Date
By Date
0 Feeders/Sub-panels(4045) 0 Rough Electrical(4225) ' .❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
.
0 Final-Electrical(4055)
Approved
By GAdvti Date 1 I Z,
❑ Rough Electrical El Final Electrical ❑ Right of Way
Approved Approved
Approved
By Date By Date By Date
E C'TRI CAL
CITY OF h 6f I !D
Federal Way
RECEIVED PERMIT APPLICATION
MAY 252016
CITY OF FEDERAL WAY PERMIT NUMBER 7 6 _ / U OZ 3 7-_ E--C___-•
CDS
SUITE/UNIT/SPACE#
SITE ADDRESS: ) 3 c, 13 �l `'^ A v, S ( o /V-
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ 3 Z -�- _6 D 9 3 0 . 0 0 ( 0
PROJECT NAME Q
(Tenant or Homeowner Last Name) f r t n.,A r r
PROJECT DESCRIPTION 2- I Go f 16 ij ,`�r t y
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER •
V( f Mc(,--./ `)- 4 y,._h b, +(k ( ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP / FAX
( )
NAME PRIMARY PHONE
CCMI gtnt 7,- 5rwi(-1 (C'' r (Lc,/ ) 4 t/1 - % -,,,,,i
MAILING ADDRESS E-MAIL
ELECTRICAL 1)-0. b p k ‘1-41 I(
CONTRACTOR CITY STATE ZIP FAX
4-r CI 4(.-^ w A- 4119 V ( )
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
( 661 47(A4ti c 0 l 4- /
NAME }- PRIMARY PHONE
APPLICANT J f Z,5 4 Pi/t"I 1,,,, ( 2-, 6 ) ,,6( _ 405 4(
MAILING ADDRESS E-MAIL
31(8' 70P-1 ,4 1 4,
CITYSTATE ZIP FAX
t."�d-te-A 1 t-,./01/ WA G14 or l ( ) -
NAME PRIMARY PHONE
PROJECT CONTACT
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 fled 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 suppli4-7\._
d to the city as a part of this application.
I.
SIGNATURE: ✓ —lA___ DATE / 2_ -,--/ \4,
PRINT NAME: -(C.5 A N " k n
Bulletin#160—April 14,2016 Page 1 of 1 k:AHandouts\Electrical Permit Application