17-103210 Electrical
City of Federal Way Permit #:17-103210-00-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: EDWARD JONES INVESTMENTS
Project Address: 31620 23RD AVE S Parcel Number:092104 9051
Project Description: Add up to(5)circuits in the existing tenant space.
Owner Applicant Contractor
BALLI ROAD LLC DANA MERRITTINFINITY CONSULTING INFINITY CONSULTING INC
31620 23RD AVE S SUITE 218 INC (ELECTRICAL)
FEDERAL WAY WA 98003 2915 184TH AVE E INFINCI998PP(10/19/17)
LAKE TAPPS WA 98390 2915 184TH AVE E
LAKE TAPPS WA 98390
Additional Permit Information
Is this an Online or O.T.C.application? Yes
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Circuits-Commercial 5
PERMIT EXPIRES Thursday,5 July,2018
Permit Issued on Wednesday,July 5,2017
I hereby certify that the abo - information is correct and that the construction on the above described property
and the occ ,- and thz use will be in accordance with the laws, rules and regulations of the State of
Washington and the City of Federal Way.
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Owner or agent: '----� /�� Date: l/�
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` THIS CARD IS TO REMAIN ON-SITE
�,noF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 17 103210 00 Address: 31620 23RD AVE S Unit 321
Project: BALLI ROAD 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) ® Temporary Power(4275) ® Service(4235)
Approved Approved Approved
By Date By Date By Date
•
,0 Feeders/Sub-panels(4045) ,•0 Rough Electrical(4225) ® Ceiling Cover(4020)
Approved Approved Approved
By Date — . Dat,'—lZ—,`l By C.. \,144...„J Date 1 4.3 9:2- j`)
0 Final-Electrical(4055)
Approved
By 2vw,. Date 1 fzu,g(...In
LI Rough Electrical D Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
CITY OF RECEIVED ELECTRICAL
Federal Way jut. 05 Z017 PERMIT APPLICATION
CwAy
OMMUNITY DEVELOPMENT
PERMIT NUMBER 7 •
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SITE ADDRESS: 1 zit SUITE/UNIT/SPACE#
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PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ 56000 ' 2 1 c 9 O > r
PROJECT NAME
(Tenant or Homeowner Last Name)
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PROJECT DESCRIPTION /IQ/14'1 Pa itL y 0 TGE t
Detailed description of work to
be included on this permit only )
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ACAVE{.(-+ j`S in ';S-h r1 c� yi 4/1 '7 Spat .
NAME PRIMARY PHONE
PROPERTY OWNER coz,,,xi limp v_ cn.ir S ( ) -
MAILING ADDRESS E-MAIL
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CITY STATE ZIP FAX
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NAME PRIMARY PHONE
*t4v g/ ry i rw/ e-004,sV Cr, rt/ rsios- 6�," C•46(.44MAILING ADDRESS �c KPVM4Ip
ELECTRICAL 41.9/ 5 lir c.( 1 V6 C� 0.,/s)n•r>"y ('uer4
CONTRACTOR CITY STATE ZIP FAX
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WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
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NAME -�7� PRIMARY PHONE
APPLICANT l� 4'...' ,,.�L- ( )
MAILING DREG E-MAIL
CITY {{{��� STATE ZIP FAX
( )
NAME PRIMARY PHONE
PROJECT CONTACT ( )
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 / . /'A
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PRINT NAME: 4 , b(^ e 't-e / , y j/� (((
Bulletin#160—April 14.2016 Page 1 of 1 k:AHandouts\Electrical Permit Application