18-100914 Electrical
City of Federal Way Permit #.18-100914-00-EL
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 .€ r Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609 4
Project Name: DUTCH BROS COFFEE
Project Address: 27525 PACIFIC HWY S Parcel Number:332204 9220
Project Description: Installation of CCTV and alarm panel.
Owner Applicant Contractor
DUTCH BROS COFFEE NETCO SECURITY LLC NETCO SECURITY LLC
300 NORTH VALLEY DR 2303 171ST ST E NETCOSL854RA(12/1/19)
GRANTS PASS OR 97526 TACOMA WA
2303 171ST ST E
TACOMA WA
Additional Permit Information
Is this an Online or O.T.C.application? Yes
Electrical1J ''}
Low Voltage-Other(Commei 1
PERMIT EXPIRES Wednesday,27 February,2019
Permit Issued on Tuesday,February 27,2018
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 an he of Federal Way.
I gOwner or agent: I '' ,� Date: 0L 2
-�IY�cJIy
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 18 100914 00 Address: 27525 PACIFIC HWY S
Project: DUTCH BROS COFFEE 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.
t❑ 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) ❑s Temporary Power(4275) ® Service(4235)
Approved Approved Approved
By Date By Date By Date
® Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020)
Approved Approved Approved
By Date By Date : By Date
El Final-Electrical(4055)
Approved
By ` \.\;,, Date ._i
El Rough Electrical El Final Electrical111Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
CITY OF >>>; ELECTRICAL
Federal Way FEB 2 7 2018 PERMIT APPLICATION
CITY OF FEDERAL WAY
COMMUNfY DEVELOPMENT /l
PERMIT NUMBER /E _ / U D g / _ Ec,.
SITE ADDRESS' r— SUITE/UNIT/SPACE#
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PROJECT VALUATION ASSESSOR'S T 1
PARCEL# CURRENT/PROPOSED USE
$ i,‘6-- 00. 00 3 3 A d U Y - 9 eA 0
PROJECT NAME
(Tenant or Homeowner Last Name) D l V V v A '\- %--(0
PROJECT DESCRIPTION C e___cT \) Q v, 01 A I 'G c v, '\--D cA vi 12-1 1 11 c ''o 1 l
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER r)L(\' e t P,<7.--C) ( ) _
MAILING ADDRESS E-MAIL
Th
CITY STATE ZIP / FAX
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NAME PRIMARY PHONE
t�C.,\ e..e L.A z \'\t) LLE (zs3) - c)14
MAILING ADDRESS E-MAIL
ELECTRICAL ^21 . 1 9 � S' � t�e' (1 w�i ,0,e f g chAi a i,,l
CONTRACTOR CITY STAT`* ZIP FAX
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WA`` IQ
STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME � PRIMARY PHONE
t"t
APPLICANT 1 k C 1 i}— e—i ( IA ( ) -
MAILING ADDRESS
1 - t E-MAIL
CITY STAT ZIP FAX
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NAMEPRIMARY PHONE
PROJECT CONTACT p i (- .d CC ( )
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 applicati
SIGNATURE: ./" DATE 02 /)q I (S
PRINT NAME: L .(7 t( u C,
Bulletin#160—April 14,2016 Page 1 of 1 k:AHandouts\Electrical Permit Application