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17-102977 r. a Electrical City of Federal Way Permit #:17-102977-00-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: WEST CAMPUS SPORTS&ORTHOPEDIC Project Address: 505 S 336TH ST 4t 140 Parcel Number:926480 0270 Project Description: Installing CAT.5 voice and data cabling for associated tenant improvement Owner Applicant Contractor F S P FEDERAL WAY CORP CONNECTIONS NORTHWEST CONNECTIONS NORTHWEST 401 EDGEWATER PL SUITE 200 1305 S MADISON ST CONNEN*006LH(6/10/18) WAKEFIELD MA 01880-6207 TACOMA WA 98405 1305 S MADISON ST TACOMA WA 98405 Additional Permit Information Is this an Online or O.T.C.application Yes Low Voltage-Other(Commei I CONDITIONS:_ Separate Electrical Permit PERMIT EXPIRES Thursday,21 June,2018 Permit Issued on Wednesday,June 21,2017 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 Washin• •n and the City of Federal Way. Owner or agent: 1 Date: /2'' %7 / THIS CARD IS TO REMAIN ON-SITE CRY OF Construction Inspection Record Federal Way INSPECTION REQUESTS:(253)835-3050 PERMIT#: 17 102977 00 Address: 505 S 336TH ST Unit 140 Project: F S P FEDERAL WAY CORP 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. Q UFER Ground(4295) 0 Ditch cover(4030) ® Slab/Concrete Floor(4255) Approved Approved Approved to place concrete •By Date �`By Date ��By Date • 0 WI ® Pool Bonding(4195) , 0 Temporary Power(4275) ® Service(4235) Approved Approved Approved By DateBy Date •By Date * Q Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020) Approved Approved Approved By Date By Date 1•By Date El Final-Electrical(4055) Approved By 14 Date li(WIi"1 Rough Electrical El Final Electrical Right of Way Approved Approved Approved By Date By Date By Date RECEIVEDELECTRICAL CITY OF Federal WayJUN z 207 PERMIT APPLICATION COM UNfTY FEDERAL 1 CfTY OF WAY 1 1 CJ Z - 7 LOPM, FRMIT NUMBER— SUITE/UNIT/SPACE# SITE ADDRESS: 5 `J '2J2,( '� corE -V vitL m4,1 VV o(�O6.J \\\ J JJ ) PROJECT VALUATION ASSESSOR'S TAX/PARCEL# ) CURRENT/PROPOSED USE • PROJECT NAME `'' (Tenant or Homeowner Last Name) wEfjC GWMQ QS S�� S ©ve`1)gzp\c_ 1 -\ 4c (-1N-N-6 $►'o\c- 9F�bk--C b PROJECT DESCRIPTION Detailed description of work to be included on this permit only NAME ....see � PRIMARY PHONE PROPERTY OWNER ��j/ - MAILING ADDRESS E-MAIL CITY STATE ZIP ( FAX l ) NAME - - PRIMARY PHONE S?sogfCT . - (26(0 ) - 1,153c MAILING ADDRESS E-MAIL ELECTRICAL \3)5 s Nkts'W Oroke-ziN@ vt CONTRACTOR CITY STATE ZIP FAX ANCok v l k °►��a s ( ) - WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# eo .C.LA -- - NAMEf �._._-. _ _►- _ PRIMARY PHONE APPLICANT ��"`c\ t2-7 (26(0 ) (75-0 - S �o MAILING ADDRESS E-MAIL 5 s Mk�SoN S.'c VAN - CO 1%^/) CITY STATE ZIP FAX NAME PRIMARY PHONE PROJECT CONTACT p � \ck_ c t\Q-Z (2410)(.5- - 1AS 3(o 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: � - DATE 5211 PRINT NAME: c --"L Bulletin#160-April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application