14-101476 to
0 • Electrical
City of Federal Way Permit #: 14-101476-00-EL
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p
Project Name: HOME STREET BANK FULFILLMENT CENTER
Project Address: 33405 8TH AVE S SUITE 200 Parcel Number: 926500 0060
Project Description: Installation of modular furniture(connect to existing wiring).
Owner Applicant Contractor
LBA REALTY FUND II-COI LLC S E S INC SES INC
PO BOX 847 1402 AUBURN WAY N PMB 371 SESIN**990RA(12/1/15)
CARLSBAD CA 92018 AUBURN WA 98002 1402 AUBURN WAY N PMB 371
AUBURN WA 98002
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 1
PERMIT EXPIRES Sunday, September 28, 2014
Permit Issued on Tuesday,April 1, 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 t e City of Federal Way. //�
Owner or agent:
/1/1'1)1^/ �� Date: `�"I //
::_ IIL
- ..,Ab4.
THIS CARD IS TO MAIN ON-SITE y
CITY OF �
Federal Way0 Construction In ction Record
INSPECTION REQ TS: (253)835-3050
PERMIT#: 14-101476-00-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.
O UFER Ground (4295) ❑ 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) El Service(4235)
Approved Approved Approved
By Date By Date By Date
o Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
'
O Final-Electrical(4055)
Approved
B S Dat'1 t_ 14\
El Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
„.. ,
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• E&CTRICAL
CITY OF
Federal Way PERMIT APPLICATION
aceivED
PERMIT NUMBER 1 L ..
_ 1 0 t . 7 1 APR 01 2014
CITY OF Fagg,*
SITE ADDRESS: - -s4.0 .--- 5 lve s CDS
PROJECT VALUATION ASSESSOR'S TAX/PARCEL/ ' # CURRENT/PROPOSED USE
$ 7 b 92- 625- 00 - 000
PROJECT NAME �� �_ /� /- / f ��I
(Tenant or Homeowner Last Name) , m' 3J 2-ee-/ X4IL'L 7 -t6 (/V$1 r,u
PROJECT DESCRIPTION - 1-371-42-1( i?2d1)hd - 414-'44'4141 ( A-Ic 14) ill �.y D� )
Detailed description of work to /
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( ) -
NAME PRIMARY PHONE
5.S , . - ( sof) 7(4 -3(4
MAILING, ADDRESS//,� Ai/1y
1 ,, f E-MAIL
ELECTRICAL i 4102- b(.i/VAJ (i it). '3 I ( ipL1.LD& r.erktcaS-I,.1i
CONTRACTOR STATE ZIP FAX
"vv
to-Al (A)A 61006 2— ( s-5)5'Zv -c4 36
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE N
66.5-TA) t A (NO 1 /2.-/ D( / IS-- -2,o-o2,-1D062:g-4o-61.-
NAME �. PRIMARY PHONE
APPLICANT r 4 6 I COY (204 ) 7('( - R6
MAILING REss
i
154 D/`d I/��n LA 14 , /v . if c7 1/ d LtL kt 4 0 e alma(i.puit-
1STATE FAX
rw�tl
ail 1600
t�OZ- (26-3) 516 - Olv 3‘
NAME PRIMARY PHONE
PROJECT CONTACT -76)4A7 Add ICO (104') 7(`i/- 36 6
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 ofofthis application. 3 SIGNATURE: �/,i�G2f �6i/K�vC7 7DATE 7/�hcr
PRINT NAME: / L Lk/ c. (CO
Bulletin#160—January 1,2013 Page 1 of 2 k:'Handouts\Electrical Permit Application