18-101333Ir - A.
City of Federal Way
Applicant
Community Development Dept.
33325 8th Ave S
SEA -TAC CENTER ASSOCIATES
Federal Way, WA 98003
FILE
Ph: (253) 635-2607 Fax: (253) 835.2609
32419 3RD AVE SW
Electrical
Permit #:18 -101333 -00 -EL
Inspection Request Line: (253) 835-3050
Project Name: SOUND MEDICAL CENTER
Project Address: 31830 PACIFIC HWY S Parcel Number: 092104 9221
Project Description: Installing (33) 2x4 fixtures, installing receptacles, switches, cat -6 wiring and TV wiring.
Owner
Applicant
Contractor
SEA -TAC CENTER ASSOCIATES
NW ELECTRIC SERVICES INC (01)
NW ELECTRIC SERVICES INC (01)
21014TH AVE UNIT 310
32419 3RD AVE SW
NWELEES925DL (3/30/18)
SEATTLE WA 98121-2317
FEDERAL WAY WA 98023
32419 3RD AVE SW
FEDERAL WAY WA 98023
Is this an Online or O.T.C. application?...
Circuits - Commercial
Yes
33
PERMIT EXPIRES Tuesday, 26 March, 2019
Permit Issued on Monday, March 26, 2018
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy and t e in accordance with the laws, rules and regulations of the State of
Washin n and the City of Federal Way.
Owner or agent: �/' Date: � 7
i THIS CARD,IS TO REMAIN ON-SITE
C"V CW Way Construction Inspection Record
Federal INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 18101333 00 Address: 31830 PACIFIC HWY S Unit D
Project: SEA -TAC CENTER ASSOCIATES 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.
®
UFER Ground (4295)
El
Ditch cover (4030)
®
Service (4235)
Slab/Concrete Floor (4255)
Approved
Approved
Approved
Approved
Approved
By
Approved to place concrete
By
Date
By
Date
By
Date
®
Pool Bonding (4195)
®
Temporary Power (4275)
®
Service (4235)
10
Approved
Approved
By
Approved
By
Date
By
Date
By
Date
?❑
Feeders/Sub-panels (4045)
Approved
By
Date
10
Final - Electrical (4055)
Approved
By
Date .�
® Rough Electrical (4225)
Approved
B4C(-7-r--- Date
Ceiling Cover (4020)
Approved
Date e�
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
I
1w,
Approved
By
Date
By
Date
Date
CITY OF
� aEc��vEQ ELEC'T'RICAL
Federal Way MAR 26 2018 PERMIT APPLICATION
FEDERAL WAY
CITY OF PMEN? NUMBER UMBER
COMMUN;"`'"� O )
SITE ADDRESS'
SUITE/UNIT/ SPACE #
PROJECT VALUATION
$
ASSESSOR'S TAX/PARCEL #
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
�2�' ��2lti y-hs�Jl
Ced '" r h �•
PROPERTY OWNER
NAME
PRIMARY PHONE
( ) -
MAILING ADDRESS
E-MAIL
CITY
STATE
I ZIP
FAX
( )
ELECTRICAL
CONTRACTOR
NAME
n/aJ VC—Crielc Sc—Rdic&-s c4vC
PRIMARY PHONE
MAILING ADDRESS
3 2 q/ r U L SPJ
E-MAILA_
%LI 16aa 0 y�q
ITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S ICENSE # EXPIRATION DATE
6t -
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME
PRIMARY PHONE
MAILING ADDRESS
3141/ 3ro// 6 S�
E-MAIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME
PRIMARY PHONE
J-311- edr-1
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:
PRINT NAME:
0 3 — z� --z®/,�
Bulletin # 160 —April 14, 2016 Page 1 of l k:AHandouts\Electrical Permit Application
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