14-100207 , • • Eitctrical
City of FE n DevWS Permit #: 14-100207-00-E L
Community&EL�n.Dev.Services
33325 8th Ave S
Fedex away,kVA:583)73
8003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: EVERGREEN CORPORATE CENTER
Project Address: 33405 8TH AVE S SUITE 200 Parcel Number: 926500 0060
Project Description: Installation of low-voltage HVAC controls.
Owner Applicant Contractor
LBA REALTY FUND II-CO I LLC SPECIALTY ELECTRIC INC SPECIALTY ELECTRIC INC
PO BOX 847 14241 NE WOODINVILLE DUVALL RD SUITE SPECIEI892C4(2/24/15)
CARLSBAD CA 92018 WOODINVILLE WA 98072-0564 14241 NE WOODINVILLE DUVALL RD SUIT
WOODINVILLE WA 98072-0564
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
Thermostat 55
PERMIT EXPIRES Monday, July 14, 2014
Permit Issued on Wednesday, January 15, 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
the City of Federal Way.
Owner or agent: Date: i/I /'/
..FINALED
THIS CARD IS TO MAIN ON-SITE
CITY of -
Federal WayConstruction In ection Record`
INSPECTION REQUE TS: (253)835-3050
PERMIT#: 14-100207-00-EL Address: 33405 8TH AVE S SUITE 200
Project: LBA REALTY FUND II-CO I LLC 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.
0 LIFER Ground (4295) 0 Ditch cover(4030) ip Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
0 Pool Bonding(4195) D Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) 0 Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date B �� Date 2_4 _
o Final-Electrical(4055)
Approved
By., -(-S Date`- 3_ IA
J .
0 Rough ElectricalEl Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
ETVED
,4411,
. 0� ELEC'T'RICAL
CITY OF ` . • ! 15 2014
Federal Way PERMIT APPLICATION
CITY OF FEDERAL WAY
//�� /�
CDS
PERMIT NUMBER / _ / 0 0 V 7
_ v SUITE/UNIT/SPACE#
SITE ADDRESS: 33 1-.1o5 Ste" Ate. S. t-E.D - t- vJAy,w'A 9$e03
PROJECT VALUATION AS OR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ I I,000. �' 7 0? (p s C) 0 - d' 0 (, C)
PROJECT NAME
(Tenant or Homeowner Last Name) L Q[7 A / E.V�4N '30I LD 1/J(,
INSTIot L_.t..ATlo� OF 1..0 t4VRL.
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAMEPRIMARY PHONE
PROPERTY OWNER k . ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
..... _ . ... .NAME PRIMARY PHONE...
Spe-c+At—T-/ EI.ECTWL =SIC.. ( y25) 582- 1222-
MAILING ADDRESS E-MAIL
ELECTRICAL 142y1 NE Woo'DIAIvlt.I.E PvvA%.l. f24.*. 183 IGEN McSpEcIALINELE'cTRK-INAC..Co/A
CONTRACTOR CITY STATE ZIP FAX
8072WW60D1;4VI1L C WA 98072-
WA
A STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME ,/� PRIMARY PHONE
APPLICANT CoN 4-P.-AC-4-012 ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME PRIMARY PHONE
PROJECT CONTACT = f=,plC.. (253)/c9) - 1o7(DQ
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 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.
SIGNATURE: //yam DATE 1/i 6J /
PRINT NAME: AA G.- --77$$S 1"1
Bulletin#160—January 1,2013 Page 1 of 2 k\l-Iandouts\Electrical Permit Application