17-105008 Electrical
City of Federal Way Permit #:17-105008-00-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: BROOKLAKE PROFESSIONAL CENTER
Project Address: 918 S 348TH ST Parcel Number: 114040 0010
Project Description: Adding(1)20 amp circuit to new monument sign6 pis) S 34S11.4 S`
Owner Applicant Contractor '
FORTYTWO LLC ADVANCE BUILDERS AND ADVANCE BUILDERS AND
2801 1ST AVE SUITE 1218 TECHNOLOGIES LLC TECHNOLOGIES LLC
SEATTLE,WA 98121 6805 STEWART AVE E ADVAN**951P0(10/20/19)
PUYALLUP WA 98371 6805 STEWART AVE E
PUYALLUP WA 98371
Additional Permit Information
Is this an Online or O.T.C.application'? Yes
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313 3,2 ,`/
Circuits-Commercial 1
CONDITIONS:
***PER TRAFFIC DIVISION***Sign "A" on 9th Ave S-Face of sign must be located at least 15' min.
from edge of traveled way. Sign "B" replacement on S 348th St of existing sign appears to be at least 20'
from edge of traveled way and therefore is acceptable.
PERMIT EXPIRES Thursday, 18 October,2018
Permit Issued on Wednesday, October 18,2017
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
Washington and the City of Federal Way.
_, 7
Owner or agent:,: .....c.:,,,,--, .-- _ Date: /cPSP7
THIS CARD IS TO REMAIN ON-SITE
CITY OF �
Federal Way Construction Inspection Record
y INSPECTION REQUESTS: (253)835-3050
PERMIT#: 17 105008 00 Address: 918 S 348TH ST Bldg A
Project: FORTYTWO LLC FEDERAL WAY WA 98003-7051
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.
r
El UFER Ground(4295) ® Ditch cover(4030) W Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
El Pool Bonding(4195) ;C Temporary Power(4275) ® Service(4235)
Approved Approved Approved
By Date By Date By Date
,I__, r r
Feeders/Sub-panels(4045) W Rough Electrical(4225) W Ceiling Cover(4020)
Approved Approved Approved
By Date s By Date By Date
Date
'
El Final-Electrical(4055)
Approved
By Date 12-141
r .
Rough Electrical El Final ElectricalCI Right of Way
Approved Approved Approved
By Date By Date By Date
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CITY of ,A. ELECTRICAL
Federal Way PERMIT APPLICATION
RECEIVED
PERMIT NUMBER i _ 1 C) 5 3 0 co
- - - � OCT 18 2017
no SITE ADDRESS: S. r 1. C u Ry p��PM S.
PROJECT VALUATION ASSESSOR'S TAX ARC # 0 _ O 0 CURRENT/PROPOSED USE
S `)C-C)0 ` 1 I 4 1
PROJECT NAME 1
(Tenant or Homeowner Last Name) B"^c', k(c(k2.-- ( ,'- )1-ZS-$,,cvua r-e7i-e-v
I 2Oi\ C,v-�N,4- 4,-, ✓V1.:•."1tiW1i-'"4 rX(rraGv icj�'.
PROJECT DESCRIPTION J
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
//�� g -�- / PRIMARY PHONE
f`"7G/(,�i ncz. et-,fr zVS c/Ad Tic(1pi0,c-��C-5 C.�-�. (.-S..3 ) L2, - 70
MAILING ADDRESS -' E-MAIL
ELECTRICAL ,27(' :I ft- Si t` , rjv 64-e2a-,,,-,«at,1'.-4-
CONTRACTOR CITY STATE ZIP FAX
,cow,:; t t)1A 9`3'./Qc ( — __)
W,A STATE CONTRACTOR'S LIC rE�NSSEE# EXPIRATIION DATE FEDERAL WAYrBUSINESS LICENSE
1#
ADVAN4' 0.;ir_✓ 1(,,/ f J // :.r ?,-!.-1/J IC I5z3.'C.'S.'.1__l�L-
NAME PRIMARY PHONE
APPLICANT --5 �'l�v ( )
MAILING ADDRESS E-MAIL
/ L 1 J
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 Iaws 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 v.`.-%'/.S
PRINT NAME: ,•e .J.'-"In ..-::/11.1.--
Bulletin
IrBulletin#160—January 1,2013 Page 1 of 2 k:AHandouts\Electrical Permit Application