10-102667 0 Electrical
City of Federal Way
Community Development Services Per it #: 10-102667-00-EL
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 v4„ ;
Project Name: KIEWIT PACIFIC CO
Project Address: 33455 6TH AVE S Parcel Number: 926500 0340
Project Description: Add/alter(2)circuits for signage.
Owner Applicant Contractor
FEDERAL WAY PROFESSIONAL LLC VANCOUVER SIGN VANCOUVER SIGN
3400 CARILLON PT 2600 NE ANDRESEN RD SUITE 50 VANCOSC147CQ(11/3/11)
KIRKLAND WA 98033-7317 VANCOUVER WA 98661 2600 NE ANDRESEN RD SUITE 50
VANCOUVER WA 98661
' I
Is Use Educational or Institutional? No Service greater than 999 Amps? No
M.o
Circuits-Commercial 2
PERMIT EXPIRES Friday, July 15, 2011
Permit Issued on Thursday, July 15, 2010
I hereby certify that theabove information is correct and that the construction on the above described property and
the occupancy and the use will be in acco -ance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agentA:
- Date: 7//S z 0/0
FINALED W2'T/i0
DATE INSPECTOR AREA AND TYPE OF SPECTION
THIS CARD IS TO AIN ON-SITE ;.
C,t,roF Construction In ection Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 10-102667-00-EL Address: 33455 6TH AVE S
Owner: FEDERAL WAY PROFESSIONAL L FEDERAL WAY, WA 98003-6335
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 Ditch cover(4030) ❑ Slab/Concrete Floor(4255) El Service(4235)
Approved Approved to place concrete Approved
By Date By Date By Date
❑ Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date Byi;,-;) Date t.'Z •lv By Date
❑ Final-Electrical(4055)
ApprovedQQ c�
By Date > ' i r /4
.c;;;)
0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
411
•
CITY OF v . .1.-,
. � ELECTRICAL
,UN 4•,)V,io PERMIT APPLICATION - v 12-6
w:) t t�lLP cal permits may be obtained on-line at www.cityoffederalway.com**
CIT`�..OF ACOS PROPERTY INFORMATIONti
SITE ADDRESS: 331_165 6th, Ave 5
SUITE/UNIT/SPACE# ASSESSOR'S TAR/PARCEL# CURRENT/PROPOSED USE
9 (® 5a 0 - 03 't0
PROJECT'INF't RMATTON` ,
PROJECT NAME /
(Tenant or Homeowner Last Name) K i e a\i'
Z') ;Ilten1rt.ockecia 5igts
PROJECT DESCRIPTION t mO ttiu.YYl t:rd- U
Detailed description of work to
be included on this permit only I waI t
PEOPLE
NAME PRIMARY PHONE
PROPERTY OWNER 1Ki'e W'-{ ( ) -
MAILING ADDRESS E-MAIL
332'{ S(0 (o-6k At)
CITY STATE ZIP FAX
FecLe-cc_k (A)&i A I ( ) -
NAME PRIMARY PHONE
Vari GO uuj ec ' �, (3eo) 413 - 1177 3,
MAILING ADDRESS ,3x-k,> E-MAIL
ZGOO NE Art,ctcese�,a Rct# 50 t0;elkivoat,SisaC.o.t Cr1/t
CONTRACTOR CITY STATE ZIP FAX
VaYt,Gouuedc (A)A 9$66 1 (3a) )6(a - z-r2'o
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
VANCO )L17C.&
NAME PRIMARY PHONE
APPLICANTVawGouv�r 5;�n ( )
MAILING ADDRESS / E-MAIL
Z400 Alb- ArvtL f&5er'' Rd-# 0
CITY STATE ZIP FAX
Vaa,couxe,r wA ciS(O(0I ( ) -
NAME PRIMARY PHONE
PROJECT CONTACT A1✓i d StOr rn (s4,0)/93 - 2(77 Zv
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.
C
SIGNATURE: /,,,/ i �' DATE
PRINT NAME:2 C /Oa , 1'0 I\'(Y\
33325 8th Avenue South•PO Box 9718•Federal Way♦WA•98063-9718•253-835-2607•fax:253-835-2609•www.cityoffederalway.com
Bulletin#160—April 9,2010 Page 1 of 2 k:\ andouts\Electrical Permit Application