14-100943 • • Electrical
' City of Federal Way (} /�
Community&Econ.Dev.Services Permit #: 14-100943-00-EL
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 FILEp Q
Project Name: HOME STREET BANK FULFILLMENT CENTER
Project Address: 33405 8TH AVE S SUITE 200 Parcel Number: 926500 0060
Project Description: Installation of low-voltage wiring for A/V system.
Owner Applicant Contractor
HOME STREET BANK BLUE SKY INTGRTD TCHNLGS INC BLUE SKY INTGRTD TCHNLGS INC
601 UNION ST SUITE 2000 (ELECTRICAL) (ELECTRICAL)
SEATTLE WA 98101 3315 S 116TH ST SUITE 121 BLUESSI932LM(6/14/15)
SEATTLE WA 98168 3315 S 116TH ST SUITE 121
SEATTLE WA 98168
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
Low Voltage-Other(Commercial` 1
PERMIT EXPIRES Saturday, August 30, 2014
Permit Issued on Monday, March 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 City of Federal Way.
Owner or agent: alf Date: 3/3/295i27
•
THIS CARD IS TO MAIN ON-SITE
Construction
In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 14-100943-00-EL Address: 33405 8TH AVE S SUITE 200
Project: HOME STREET BANK FEDERAL WAY, WA 98003-6305
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) ❑ Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
O Pool Bonding(4195) 0 Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
•
0 Feeders/Sub-panels(4045) 0 Rough Electrical(4225) ' D Ceiling Cover(4020)
Approved Approved Approved
By Date By Date W,J�,�: 7 Date ?_J ?j. 14-1
❑ Final-Electrical(4055)
Approved
By 0-4V$._ Date r 1 4
D Rough ElectricalEl Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
fteinVED IP I
art OF ELECTRICAL
Federal Way MAR 0 3 2014 PERMIT APPLICATION
CITY OF FEDERAL WAY
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PERMIT NUMBER / /_ / 0 (73— � ..
0 5 � SUITE/UNIT/SPACE 9
SITE ADDRESS: 2,1-)— t . ��
PROJECT VALUATION ASSESSOR'S TAX/PARCEL• CURRENT/n/Pt1ROPOSED USE
$ C//'� .Sr 6G v - O 0 6 6� ,t
PROJECT NAME �i,F--�- . �� CC
(Tenant or Homeowner Last Name) AK
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PROJECT DESCRIPTION ci5� kN Nitui-7t-R1O- ..-- lE ,A"
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER r JME.. >- r r (24, )261/ - ,i-f2,g
MAILING ADDRESS E-MAIL
6lb 1 vr•)to.,,�4,-r, �„,lc, 2
CITY STATE ZIP FAX
CAIk OS10( ( ) -
NAME PRIMARY PHONE
(-6,_1/4) . Vic/ lTI ( eZ6)) 457 - C5(CPCP
MAILING ADDRESS E-MAIL
ELECTRICAL 3--2 16 /1 FM S6 1/4,s‘e_ 2(
CONTRACTOR CITY STATE ZIP FAX
7t)kw(1-4_4,- /9/6E.) ( ) -
WA STATEL CONTRACTOR'S LICENSE 7 # � EXPIRATION DATE -FEDERAL WAY BUSINESS LICENSE#
NAME �-' 5�4- CC�.�. - 6 - 11 - _ - --
e - PRIMARY PHONE
APPLICANT 3' ' ZR7,Ilry ( ) -
MAHdNG ADDRESS
r � S. t161-4 lac ��(. ,
CITY STATE ZIP FAX
°'70kti,t,tl(0, A q / ( ) -
NAME PRIMAR PHONE
PROJECT CONTACT tt i s €s J J ( 'Z) 9 <(
04)
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,
in
buft onlyormation wheresuppliesuchy
latimthe arisescity a out pof
of thethis reliance of n.the city, including its officers and employees, upon the accuracy of the
as art
I
,SIGNATURE: ': iAL DATE /14441
F IF
PRINT NAME: jig
Bulletin#160—January 1,2013 Page 1 of 2 kAI-landouts\Electrical Permit Application