16-100440 • Electrical
City of Fedealay
Community&EconrDe v.Services Permit #: 16-100440-00-EL
33325 8th Ave S
•F
:(253)
Fed835era-2607 Way,WFax:A(295830)0135_26
253)89800335-2609 Inspection Request Line: (253) 835-3050
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Project Name: TESORO
Project Address: 3450 S 344TH WAY Suite 135 Parcel Number: 222104 9040
Project Description: Install low voltage wiring for data cabling and office furniture(
Owner Applicant Contractor
LBA REALTY MCKINSTRY CO LLC(ELECTRICAL) MCKINSTRY CO LLC(ELECTRICAL)
600 UNIVERSITY ST SUITE 3025 PO BOX 24567 MCKINCL942DN(3/15/16)
SEATTLE WA 98101 SEATTLE WA 98124 PO BOX 24567
SEATTLE WA 98124
Additional Permit Information
Electrical Work Valuation? 4000.00 Is this an Online or O.T.C.application? Yes
Is Use Educational or Institutional? No Service greater than 999 Amps? No
Electrical Fixtures
Low Voltage-Other(Commercial 66
PERMIT EXPIRES Monday, July 25, 2016
Permit Issued on Wednesday, January 27, 2016
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•011111.
of Federal Way.
Owner or agent: / 1 - Date: ' /c)(*).01 (.0 I
THIS CARD IS TO REION ON-SITE i,
CITY OF - Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT#: 16-100440-00-EL Address: 3450 S 344TH WAY Suite 135
Project: LBA REALTY 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 LIFER Ground (4295) El Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
❑ Pool Bonding(4195) ❑ Temporary Power(4275) Service (4235)
Approved Approved Approved
By Date By Date By Date
`0 Feeders/Sub-panels(4045) . ❑ Rough Electrical (4225) �0 Ceiling Cover(4020)
Approved Approved Approved
By Date Date `- 20-l( '1... ------ Date kr— z
,❑ Final-Electrical (4055)
Approved
Date
•
�____ Rough Electrical isaal Electrical Right of Way
ApprovedApproved Approved
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y Date By Date By Date
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CITY OF �'`
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Way ELECTRICAL
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PERMIT APPLICATION JAN 27 2016
CITY OF FEDERAL WAY
*Most electrical permits may he obtained on-line at xnww.i;ityotfederalWay.cc)P'"
SITE ADDRESS: 2
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PROJECT NAME �'�
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(Tenant oHmName)r ootaner Last Name) Te�dYc-) -a. ✓1�L
PROJECT DESCRIPTION l In S-t-ci �G�%cloy - ✓ t-,ro f�, r i.-%' tc(, ii c",.
Detailed desenption qj work to . /� JI
be included on this permit only }i` C* (, A j w'` '°"wi''�'`. I/ V l l
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NAME PRIMARY PHONE f
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PROPERTY OWNER (J J 9)Pr.4 1
MAILING ADDRESS ,`.K E-MAIL
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CITY TATE ZIP FAX
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NAME PRIMARY PHONE
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MAILING ADDRESS p,,, E-MAIL,
ELECTRICAL �;]CXY5 2j�� t 1 )e_S•
CONTRACTOR W 4k M.P.
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WA STATE CONTRACTOR'S LICEIV�M�� � EXPIRATION I,IATE� FEDERAL WAY SDSINESS LICENSE N
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;N E �p /�Q PRIMARY PHONE
APPLICANT ie,v- nl c`-,✓ U 1`-'G1 (o C l='- 059D'
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MAILING ADDRESS E-MAIL
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PROJECT CONTACT A.iv�,�fsr �<� t(CM) 4L 9.4131-1
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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
alt 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 federat 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 oft a..lication.
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SIGNATURE: ....... ell
DATE 1 a /02 I
PRINT NAME: ,..._ I Q V
33325 8`E`Avenue South•PO Box 9718♦Federal Way♦WA♦98063-9718 1 253-835-2607 4 fax 253-835-2609•www.cityoffederalway.com
Bulletin#160—April 9,2010 Page I of 2 k:AHandouts\Electrical Permit Application