13-101674 ELECTRICAL
CITY OF ---
Federal Way PERMIT APPMEEM9N
PERMIT NUMBER \ ✓ / V I 6 _ OO APR 17 2013
l C OF FEDFRAL WAY
�\ TE/UNITE& CE#
SITE ADDRESS: `_ /�/3 3_ (� II..IJJ
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ 4 _� a - 0 1 9 0
PROJECT NAME
(Tenant or Homeowner Last Name) CT
4111
PROJECT DESCRIPTION L\::--)1.311) V����C� � � C i
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 PRIMARY PHONE
)')85-[ (40a
MAILING ADDRESS E-MAIL
ELECTRICAL
CONTRACTOR CITY STATE ZIP FAX
Cts (93)'>"s L —_,
WA STATE CONTRACTOR'S LICENSSE�# EXPIRAT ON DATE FEDERAL WAY BUSINESS LICENSE#
?-1\ ( 0/I /1Q),�� Cts-ll Cosi �Dt�`��.
NAME PRIMARY PHONE
APPLICANT
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
PROJECT CONTACT cl-�� C �S '�?� L S(o(-1
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 arty 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.
-,.-1111P. [ tC 7,13
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SIGNATURE: C .._.� _— j a DATE `
PRINT NAME:
Bulletin#160-January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application
Electrical
City of Federal Way Permit #: 13-101674-00-EL
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line:
Ph:(253)835-2607 Fax:(253)835-2609 �} (25
3)835-3050
� Z
Project Name: GEMINI ENTERTAINMENTS
Project Address: 33703 9TH AVE S Parcel Number: 926480 0190
Project Description: Install low voltage security system
Owner Applicant Contractor
CAMPUS BUSINESS PARKS LLC GLOBAL SECURITY&COMM OF WA INC GLOBAL SECURITY&COMM OF WA INC
14100 SE 36TH ST UNIT 200 1502 PIKE ST NW SUITE 1 GLOBASCO3OLR (6/19/13)
BELLEVUE WA 98006-1657 AUBURN WA 98001 1502 PIKE ST NW SUITE 1
AUBURN WA 98001
•
Additional Permit information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Service greater than 999 Amps? No
Electrical Fixtures'
Low Voltage-Burglar Alarm(Cor 1
PERMIT EXPIRES Monday, October 14, 2013
Permit Issued on Wednesday,April 17, 2013
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the - ill be in accordance with the laws, rules and regulations of the State of Washington
nd th Ci f Federal Way. q/17
Owner or agent: Date: ZO f 3
THIS CARD IS TO MAIN ON-SITE
CITY OF 40A • '
Federal WayConstruction In ection Record
INSPECTION REQ TS: (253)835-3050
PERMIT#: 13-101672-00-EL Address: 815 S 316TH ST
Project: MICHAEL J THOMPSON FEDERAL WAY, WA 98003-5330
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.
❑ Service(4235) -0 Feeders/Sub-panels(4045) 0 Rough Electrical(4225)
Approved Approved Approved
By Date By Date By Date
❑ Ceiling Cover(4020) El Final-Electrical(4055) *
Approved Approved
By Date ,By a Date 4_22a_13
0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date