13-102701 t. R
•
Electrical
CityFederalWay Permit #: 13-102701 -00-EL
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: CENTURY LINK
Project Address: 28725 11TH AVE S Parcel Number: 515296 0430
Project Description: 100-amp electrical service tor FTTN communication site.
Owner Applicant Contractor
MARK A LUCAS THOMPSON ELECTRICAL CONSTRUCTORS THOMPSON ELECTRICAL
1414 SW 324TH CT UNIT B209-3 INC CONSTRUCTORS INC
FEDERAL WAY WA 98003-8444 PO BOX 45260 THOMPECOO8CW(2/16/14)
TACOMA WA 98445 PO BOX 45260
TACOMA WA 98445
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
Alt. Srvc/Feeder 0 to 200 amps(C 1
PERMIT EXPIRES Monday, December 16, 2013
Permit Issued on Wednesday, June 19, 2013
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 " City of Federal Way.
Owner or agent: Date: CIL, ( )
. • THIS CARD IS TO 'MAIN ON-SITE
CITY OF4. -• �- Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 13-102701-00-EL Address: 28725 11TH AVE S
Project: MARK A LUCAS FEDERAL WAY, WA 98003-3141
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.
0 UFER Ground (4295) - - Ditch cover(4030) - ID
Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By DateBy- �' 5 Date -ZG-1:7 By Date
❑ Pool Bonding (4195) '❑ Temporary Power(4275) ❑ Service (4235)
Approved Approved Approved
By Date By Date By 0vkL. , Date ,) ., , •,.,
o Feeders/Sub-panels(4045) El Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
'El Final-Electrical(4055)
Approved
By Date r) _ ---))„i '-aJ
❑ Rough Electrical Final Electrical CI Right of Way
Approved Approved Approved
By Date By Date By Date
e • •
�CEIVE®
ELECTRICAL
CITY OF '' ..,„ ”
Federal Way JUN 19 2013 PERMIT APPLICATION
CITY/� OF FEDERAL WAY
PERMIT NUMBER 7 3 _ / /j [ C7 0 ( �
9 '3 SUITE/UNIT/SPACE#
SITE ADDRESS: to
E r 7 kT-(Ac i-a. To 2 fl 25 U Ave S �ka•i ai
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ 3\ 6 1 5 / 9 - c 3 o
PROJECT NAME C�tea,4 Lt
(Tenant or Homeowner Last Name)
(CO MAP L201240 �-t tZu CL-iCAL-S ''f1L(CE u;1Trt 2_ ISA i2.V
PROJECT DESCRIPTION �l�C- Tta Ci -C.lil1?'5 FOP- C0- tuQ-1 IAA*: c7T^i C`'�````"' Jl 14r,J^'
Detailed description of work to St-re
be included on this permit only
N PRIMARY PHONE
PROPERTY OWNER ( )
MAILING ADD SS E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
T* 'tic l bec-o . .. ( "�.C`rei s ().5- )5:39 -ociciri
MAILING ADDRESS E-MAIL
ELECTRICAL t SO (CY3 r�( CT S
CONTRACTOR CITY STATE ZIP FAX
i LA iLA y8 - (2S i )539 -of or
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME PRIMARY PHONE
( )
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
AME , PRIMARY PHONE
PROJECT CONTACT W (2.53) -7(.t- (, 2-.I
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 is application.
SIGNATURE: " t 6 ,/ DATE c (' I
Lk,/
PRINT NAME: � -( - (,s'ri,L-SLN,,,I
Bulletin#160—January 1,2013 Page 1 of 2 k\Handouts\Electrical Permit Application