17-100598 Electrical
City of Federal Way Permit #:17-100598-00-EL
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: HOME STREET BANK(EVERGREEN CORPORATE PLAZA)
Project Address: 33405 8TH AVE S Parcel Number:926500 0060
Project Description: Install modular furniture electrical components.
Owner Applicant Contractor
LBA REALTY FUND II-COI LLC S E S INC S E S INC
PO BOX 847 1402 AUBURN WAY N UNIT 371 SESIN**990RA(12/1/17)
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
PERMIT EXPIRES Wednesday,7 February,2018
Permit Issued on Tuesday,February 7,2017
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
Wnd the City of Federal Way.
7/�7
Owner or agent: //' "'yer/eziorashin
— Date:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
FeCiera,Way INSPECTION REQUE TS:(253)835-3050
PERMIT#: 17 100598 00 Address: 33405 8TH AVE S Unit 275
Project: LBA REALTY FUND II-CO I LLC 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.
'E:} UFER Ground(4295) "® ,
Ditch cover(4030) 1=ISlab/Concrete Floor(4255)
Approved Approved Approved to place concrete
BY Date By Date By Date
..
••
® Pool Bonding(4195) ® Temporary Power(4275) ' ® Service(4235)
Approved Approved Approved
By Date By Date By Date
•. .• '
I_1 Feeders/Sub-panels(4045) ® Rough Electrical(4225) 1=1 Ceiling Cover(4020)
Approved Approved Approved
By Datei.By Date By Date
El Final-Electrical(4055)
Approved
By ( Date '"4 ..4--!...1`1
0 Rough Electrical D Final Electrical C Right of Way
Approved Approved Approved
By Date By Date By Date
CITY OF 411 EIV ELECTRICAL
Federal Way ire 0,7 ; � PERMIT APPLICATION
cm 0 Folcanaiki. WAS -� - o0 ,5-
PERMIT NUMBER
SUITE/UNIT/SPACE#
SITE ADDRESS: 40 ( , 4i 4 V C r Z175- .
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ 3Z210 9 2 6, 5 Q - Q Co►YllittiVc-1ice
PROJECT NAME
(Tenant or Homeowner Last Name) / mf t f 1k
dfG `C49, eN-Aeryurti5.
PROJECT DESCRIPTION
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
(f-04.7)-tis" Zh4q
MAILING ADDRESS// / E-MAIL 1
ELECTRICAL /407.- J6�1 -O &Aq IU ?I gt,�Ciatto ? co aca5f. T
CONTRACTOR CIT, STATE ZIPcisoo FAX
4
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAM PRIMARY PHONE
APPLICANT � �' Be
i (Z67 rig/ - �'$k
MAILING ADDR SS u 1�J J/lir J E-MAIL
CITY� � s- j 14!4y STATE // awo e r.OI UI./,S
ivh A 1 '14)/4 Ct2 ( )
NAM PRIMARY PHONE
PROJECT CONTACT W(,I (4i10 ( F') 1/S-- qtY
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 arty 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: G', 6- DATE 2(7
PRINT NAME: is/vAl y • Al/Ghia—.
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application