14-100071 11111k
• �► Electrical
City of Federal Way Permit #: 14-100071-00-EL-
Community&Econ.Dev.Services rs
33325 8th Ave S
Federal Way,WA 98003 L L
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: NEWLAND COMMUNITIES
Project Address: 505 S 336TH ST Unit 430 Parcel Number: 926480 0270
Project Description: Installation of low-voltage voice& data cable.
Owner Applicant Contractor
KIDDER MATHEWS CONNECTIONS NORTHWEST CONNECTIONS NORTHWEST
1201 PACIFIC AVE S SUITE 1400 1305 S MADISON ST CONNEN*006LH(6/8/14)
TACOMA WA 98402 TACOMA WA 98405 1305 S MADISON ST
TACOMA WA 98405
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 Sunday, July6, 2014
Permit Issued on Tuesday,January 7, 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: c-14‘..4,--*- }I ✓Q Date: /— 7- /y
Nq
•Elti)
N _ 5 �l THIS CARD IS TO 'MAIN ON-SITE r
CITY OF
Construction In ection Record
federal Way i r6 v pcS. _INSPECTION REQUE TS: (253)835-3050
PERMIT#: 14-100071-00-EL Address: 505 S 336TH ST Unit 430
Project: KIDDER MATHEWS 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) El 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) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
O Feeders/Sub-panels(4045) 0 Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date r By �` � Date 1,etc�`t
0 Final-Electrical(4055) '�
Approved
.Ic�. Date 1_ t4_ l
.CI Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
REIVED
AIL ELECTRI A
CITY OF
JAN Q 7 2014 �' L
Federal Way OF FEDERAL WAY PERMIT APPLICATION
CITYCDS
PERMIT NUMBER / L - I 000
` 4/ SUITE/UNIT/SPACE i
SITE ADDRESS: S J„ S k TH 3 3G T 5-fre-e 7 417H FLt y c7
PROJECT VALUATION ASSESSOR'S TAR/PARCEL# CURRENT/PROPOSED USE
$ 3tt-0vc1/ yJ — — —
PROJECT NAME
(Tenant or Homeowner Last Name) / y a\/\I ICI ND CO I\A NAL A n) I l I E S
PROJECT DESCRIPTION 1"S 1'� 11 \h i C£ t OAT 11 c1/31 E
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
0NNE GT�aNS No lH\i e T ( ) -
MAILING ADDRESS E-MAIL
ELECTRICAL ) 3 OS S%.) hh p Q i S n N ST
CONTRACTOR CITY STATE ZIP FAX
7A
t./Ah> VMI) q 8 4/05 ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
CoNNE N 006L d6/�8 /)`l
_..___ .. NAME _.. _.. PRIMARY PHONE ..
APPLICANT R O b.or T H G A r z/q ( glob) 6 Sty'-/534
MAILING ADDRESS E-MAIL
1305 50 AAA DiSo✓v5i
CITY STATE ZIP FAX
141conk-fl WA '1g'/05 ( ) -
NAME PRIMARY PHONE
PROJECT CONTACT F2�b-er-t N G Arz19-
(aUb ) (0 $ 'x/53(0
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: C7'''� r(2"6"- 1 `�¢ % ri- DATE 7 7-1 Li
PRINT NAME: p o b Pr T H G A I-7 19
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application