16-100450 ifie - - 0: • ElctriVal
City of&Ec .D Permit #: 16-100450-00-
Community 8 Econ. ev.v.Services EL
33325 8th Ave S
Federal way,WA 96003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 FILE
Project Name: TESORO '
Project Address: 3450 S 344TH WAY Suite 135 Parcel Number: 222104 9040
Project Description: Wire(7)pieces of office furniture and(1)interior sign
Owner Applicant Contractor
' LBA REALTY ' ' TROY MOSS ABACUS ELECTRIC CO
600 UNIVERSITY ST SUITE 3025 ABACUS ELECTRIC CO ABACUEC928LT(6/30/16)
- SEATTLE WA 98101 PO BOX 1030 PO BOX 1030
MILTON WA 98354-1030 MILTON WA 98354-1030
Additional Permit Information
Electrical Work Valuation? 1200 Is this an Online or O.T.C.application? Yes
Ts Use Educational or Institutional'? No Service greater than 999 Amps? No
No Fixtures Associated With This Permit!!
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;,,/accordance with the laws, rules and regulations of the State of Washington
/ -nd the Ci ederal Way.
Owner or agent: I' - Date: //?'7/
/
Pitt'
4.
�, fry
• THIS CARD IS TO RE �ON-SITE ,
°� �� Construction InspeL'�ion Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT#: 16-100450-00-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) Ditch cover(4030) ElSlab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
❑ Pool Bonding(4195) '0 Temporary Power(4275) ElService(4235)
Approved Approved Approved
By Date By Date By Date
S . .
Feeders/Sub-panels(4045) Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
❑ Final-Electrical(4055)
Approved
i); Date Z'24 el
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
PP PP Pp
By Date By Date By Date
0 RECEIVED
LECTRICAL
p
CITY OF IAN D 7 2016
Federal Way �,.6. i �FEDERALWAY PERMIT APPLICATION
COS /�
PERMIT NUMBER I W S l./- \ 0 0 t _ Ci `'
SUITE/UNIT/SPACE#
SITE ADDRESS: 34 5e3 50 u.Ti'ri 3+44,- w ate,• 13
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ t, ').d v - - - -
PROJECT NAME
(Tenant or Homeowner Last Name) O 2.0 S T CA/t qio...S Q rk. I V
C_DN c-1 07 p;e€t5 aF et.. C'i c., - s d rveA.(t
PROJECT DESCRIPTION IN 1-,O 1 ;N uc:oQ. S z b ...
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 PRIMARY PHONE
A 1214 CUA ek-Cm I C- Co , (20) f' - it. 11
MAILING ADDRESS "The)
MOS`Mme.
ELECTRICAL 3+o I I 5r• e- . p®A4wt
sr C✓cr:c t_c.con..
CONTRACTOR CITY STATE ZIP FAX
F: Cte WA . `j8 2 (2r3 )?IN- 1G / 3
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DA E FEDERAL WAY BUSINESS LICENSE#
A9A to%&. 926LT G /3 / do Ze --(.1 -Lac- 100 -00
NAME PRIMARY PHONE 6L_
APPLICANT
--az-01 �M OSS ( )
MAILING ADD SS E-MAIL
0 6� ► c3 0
CITY STATE ZIP FAX
f 0k ) (' AA- qS.. 51--/ ( ) -
NAME PRIMARY PHONE
PROJECT CONTACT ( ) -
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 a part of this application. I
SIGNATURE: DATE I /27 /1,t
PRINT NAME: (rpl (Yt OS g
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application