11-104335City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
fILE-
Project Name: SAFEWAY FUELING FACILITY
Project Address: 1207 S 320TH ST
° Eleitrical
Permit #: 11 -104335 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 150050 0020
Project Description: Installation of low voltage voice and data cabling for new Safeway fuel station
Owner
Applicant
Contractor
MGP IX SUNSET SQUARE LLC
TROY ARSENIAN
TELESYSTEMS WEST
425 CALIFORNIA ST FLOOR 11TH
TELESYSTEMS WEST
TELESWI005LH (6/8/12)
SAN FRANCISCO CA 94104
11232 120TH AVE NE SUITE 111
9757 NE JUANITA DR SUITE 100
KIRKLAND WA 98033
KIRKLAND WA 98034
Is Use Educational or Institutional? ....................... No
Low Voltage - Other (Commercial; 15
Service greater than 999 Amps? .............................No
PERMIT EXPIRES Wednesday, October 24, 2012
Permit Issued on Tuesday, October 25, 2011
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.
Owner or agent: i'1 hi 1 rk% 1 = Date:
W IN LM ■ ■ A"
THIS CARD IS TOMAIN ON-SITE f
CITY OF Construction In ection Record.
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 11 -104335 -00 -EL Address: 1207 S 320TH ST
Project: MGP IX SUNSET SQUARE LLC FEDERAL WAY, WA 98003-5339
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.
❑ Pool Bonding (4195)
Approved
By Date
Temporary Power (4275)
Approved
By Date
LIFER Ground (4295)Ditch
cover (4030)
By
Slab/Concrete Floor (4255)
ElRight
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
❑ Pool Bonding (4195)
Approved
By Date
Temporary Power (4275)
Approved
By Date
0 Feeders/Sub-panels (4045) Rough Electrical (4225) E] Ceiling Cover (4020)
Approved Approved Approved
By Date By Date By Date
Final - Electrical (4055)
Approved
By Date
FILE
❑
Service (4235)
Approved
By
Date
0 Feeders/Sub-panels (4045) Rough Electrical (4225) E] Ceiling Cover (4020)
Approved Approved Approved
By Date By Date By Date
Final - Electrical (4055)
Approved
By Date
FILE
❑
Rough Electrical
Approved
❑Final
Electrical
Approved
ElRight
of Way
Approved
By
Date
By
Date
By
Date