16-105593 Electrical
City of Federal way Permit #:16-105593-00-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: VISIONWORKS
Project Address: 1900 S COMMONS Parcel Number: 762240 0010
Project Description: Low voltage wiring for voice and data cabling for associated tenant improvement work
Owner Applicant Contractor
STEADFAST COMMONS LLC INDEPENDENT TELECOM SERVICES INDEPENDENT TELECOM SERVICES
1928 S COMMONS 3913 HAMPTON WAY INDEPTS926C7(4/22/17)
FEDERAL WAY WA 98003-6013 KENT WA 98032
3913 HAMPTON WAY
USA KENT WA 98032
USA
Additional Permit Information
Is this an Online or O.T.C.application? Yes
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Low Voltage-Other(Commel 1
PERMIT EXPIRES Thursday,23 November,2017
Permit Issued on Wednesday,November 23,2016
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 ccordance with the laws, rules and regulations of the State of
ash.n ' n and the City of Federal Way.
Owner or agent: Date: f/ Z3- i
,L 1
�4/
0
"1444.1\__ THIS CARD IS TO REMAIN ON-SITE
Federal WaConstruction Inspection Record
y INSPECTION REQUESTS: (253)835-3050
PERMIT#: 16 105593 00 Address: 1900 S COMMONS Unit A
Project: STEADFAST COMMONS 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.
® UFER Ground(4295) ® Ditch cover(4030) ® Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
® Pool Bonding(4195) CI Temporary Power(4275) ® Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) Di Rough Electrical(4225) CI Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
CI Final-Electrical(4055)
Approved
By i Date (7 —k (fe,
fl Rough Electrical CI Final Electrical CI Right of Way
Approved Approved Approved
By Date By Date By Date
ELECTRICAL
carr O
Federal Way PERMIT APPWT'C,L9N
PERMIT NUMBER ( (0 — 10 5 - 00 NOV 2016
CITY OF FEDERAL WAY
SITE ADDRESS: l o 0 S CO o( SUITE/UNI ►CE#
PROJECT VALUATIO ASSESSOR TAX/PARCEL# ' � 0 0 I O CURRENT/PROPOSED USE
PROJECT NAME V�s, )ON �J-r�-
(Tenant or Homeowner Last Name) v 1�t
`7----04/1 au 4-1-10/0 'U0ff L£
Ice JI -t= \ ,1(A)(�2/N6
PROJECT DESCRIPTION ,I S 1�-i4 1 10I10P-) T O T-- Pttt ' S 7 M A-td9 2Ttk SICK
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER �jr-EA-PFOST C zi,v js l__-C- ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
Fa e5c l,- w fl Y NA 9g00 3 ( ) -
N E PRIMARY PHONE
NP6-126A-P Ti6czM SERV/6 f 5 . (3 t,)5-67 - S
MAILING ADDRESS
sE DErJry
ELECTRICAL 39'1 3 t (f Tbdt ib Y 2 U C� �. 1_ a1M c
CONTRACTOR CITY STATE ZIP FAX
t(�7U-1" tog 6 0 3 Z- ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/A)D6Pr3`/24C7 LI /2-2_ /1-7
NAME PRIMARY PHONE
APPLICANT lA)0 E 196UP-£,0 r ( E 601/1 5E P-Urc e_S 2b 0)54). 7-3505
MAILING ADDRESS E-MAIL
3`1 L3 1MMp- bt-)/V S iec e(a`lti/J6J°EN T"'j'EG€Ci
CITY STAAE ZIP FAX '(/A
7 //0 '7O32- ( ) -
NAME PRIMARY PHONE
PROJECT CONTACTDn_ \ Q {N ( 6 ) 567-3 S OS
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 su ied to t city a a part of this ap it ation. 7
SIGNATURE: c g 7 DATE ! 23-/ 6
PRINT NAME: !/ /C L M- 3 T 7--/
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application