13-101577City 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 -101577 -00 -EL
Inspection Request Line: (253) 835,3050
Project Name: IONNG COUNTY LIBRARY @ SOUTH 320TH STREET
Project Address: 848 S 320TH ST Parcel Number: 082104 9222
Project Description: Low voltage voice, and data cabling for new library
Owner
gpnlicant
Contractor
KING COUNTY LIBRARY SYSTEM
E Z INTERFACE
E Z INTERFACE
960 NEWPORT WAY NW
2725 SOUTH HOSMER
EZINTI*9170T (12/7/13)
ISSAQUAH WA 98027-2702
TACOMA WA 98409
2725 SOUTH HOSMER
TACOMA WA 98409
Additional Permit Information
Is this an Online or O.T.C. application? ................. es
Service greater than 999 Amps? .............................No
Electrical 1=ii dunes
Low Voltage - Other (Commercial 1
Is Use Educational or Institutional?.......................No
PERMIT EXPIRES Monday, October 7, 2013
Permit Issued on Wednesday, April 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 wi in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date:
� J,
CITY OF 'V;&P
Federal Way
PERMIT #:
THIS CARD IS TO 4"IN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
13 -101577 -00 -EL Address: 848 S 320TH ST
Project: KING COUNTY LIBRARY SYSTEM FEDERAL WAY, WA 98003-5346
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.
Final - Electrical (4055)
Approved
By Mo Date
❑
UFER Ground (4295)
0
Ditch cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
❑
Approved
0
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Mo Date
❑
Rough Electrical
Approved
❑
Temporary Power (4275)
❑
Service (4235)
0
Pool Bonding (4195)
Approved
Date
Approved
Date
Approved
By
Date
By
Date
By
Date
Ceiling Cover (4020)
Rough Electrical (4225)
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Mo Date
❑
Rough Electrical
Approved
❑
Final Electrical
Approved
❑
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF A
Federal Way
PERMIT NUMBER 1
ELECTRICAL
PERMIT APPffffi&VON
IV t 5 �77__ OD
APR 10 2013
Cm OF FEDERALWAY
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I cert{fy 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 apart of this application.
SIGNATURE: DATE
PRINT NAME: Greg Kuraspediani, President
Bulletin #160 —January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application
SUITE/SPACE #
SITE ADDRESS: 848 South 320th Street, Federal Way, WA
PROJECT VALUATION
$ 7,568.00
ASSESSOR'S TAX/PARCEL # 0 4 -
Z —
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
320th Library, King County Library
Install 120 telephone and computer cables
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
King County Libra
(425 ) 369 - 3237
MAILING ADDRESS
E-MAIL
960 Newport Way NW
CITY STATE ZIP
FAX
Issaquah WA 98027
( ) -
NAME
PRIMARY PHONE
EZ Interface
(253 ) 444 -5555
MAILING ADDRESS
E-MAIL
ELECTRICAL
2725 South Hosmer
CITY
STATE
ZIP
FAX
CONTRACTOR
Tacoma
WA
98409
( ) -5555
STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
EZINTI*9170T 12/07 /13
NAME
PRIMARY PHONE
Same
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
( FAX
l )
PROJECT CONTACT
NAME
Katie Peterson -Sutliff
PRIMARY PHONE
( 253 ) 444 -5555 x 109
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I cert{fy 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 apart of this application.
SIGNATURE: DATE
PRINT NAME: Greg Kuraspediani, President
Bulletin #160 —January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application