13-103979r
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Electrical
Permit #: 13 -103979 -00 -EL
Inspection Request Line: (253) 835-3050
Project Name: COLLAB HEALTH PLAN SERVICES - SUITES 100 & 201
Project Address: 32129 WEYERHAEUSER WAY S Suite 201 Parcel Number. 215484 0020
Project Description: Install modular furniture connected to existing circuits.
Owner
ARRlican
Contractor
EAST CAMPUS TERRACE LLC
S E S INC
S E S INC
C/O:PREFERRED PROP SOLUTIONS
1402 AUBURN WAY N PMB 371
SESIN**990RA ( 12/1/13)
520 CAPITOL MALL SUITE 150
AUBURN WA 98002
1402 AUBURN WAY N PMB 371
SACRAMENTO CA 95814
AUBURN WA 98002
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes
Service greater than 999 Amps? .............................No
Electrical Fixtures'
Circuits - Commercial .................... 10
Is Use Educational or Institutional?.......................No
PERMIT EXPIRES Sunday, March 9, 2014
Permit Issued on Tuesday, September 10, 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 the City of Federal Way.
Owner or agent -, - Date: 9.A;) /
BE
IN
THIS CARD IS TO IN ON-SITE
CITY'
of Construction In gtion Record
Federal Way INSPECTION REQUE (253) 835-3050
PERMIT #: 13 -103979 -00 -EL Address: 32129 WEYERHAEUSER WAYS Suii
Project: EAST CAMPUS TERRACE LLC 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.
0
UFER Ground (4295)Ditch
cover (4030)
o
Slab/Concrete Floor (4255)
❑
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
0
Pool Bonding (4195)
0
Temporary Power (4275)
❑
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
0
0
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By IN1,13 Date a1 14 I t 3
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way —'
By
Date
By
Date
By
Date
Cr1rY of A
Federal Way
PERMIT NUMBER
9 ELECTRICAL
PERMIT APP&(q]kJr60N
- 10 3-q qq - cc
SEP 10 2013
CITY OF FEDERAL WAY
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 application.
SIGNATURE -
TE D 3
Bulletin # 160 —January 1, 2013 Page 1 of 2 k:lHandouts\Electrical Permit Application
SUITE/UkWAPACE #
SITE ADDRESS: 3Z Z(
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PROJECT
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ASSESSO S TA� � # ^ �
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URRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
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PROJECT DESCRIPTION
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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
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PRIMARY PHONE
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MAILING ADDRESS
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FAX
CONTRACTOR
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
0q0194- 12-11 0(
FEDERAL WAY BUSINESS LICENSE #
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PRIMARY PHONE
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APPLICANT
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E-MAIL
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STATE
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ZIP
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PROJECT CONTACT
NAME
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PRIMARY PHONE
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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 application.
SIGNATURE -
TE D 3
Bulletin # 160 —January 1, 2013 Page 1 of 2 k:lHandouts\Electrical Permit Application