13-104441City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-ik7 Fax: (253) 835-2609
Project Name: C & C COMMMCATIONS
Project Address: 33650 6TH AVE S Unit 210
Electrical
Permit #: 13 -104441 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number. 926480 0210
Project Description: Adding (6) devices for new smoke detectors with associated tenant improvement
Owner
A Ian icant
Contractor
SUN LIFE ASSURANCE COMPANY OF
MVMCGHEE
MVMCGHEE
CANADA
ONE 37TH ST NW UNIT F
MVMCG"96400(10/25/14)
777 108TH AVE SUITE 103
AUBURN WA 98001
ONE 37TH ST NW UNIT F
BELLEVUE WA 98004
AUBURN WA 98001
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes Is Use Educational or Institutional? ....................... No
Service greater than 999 Amps? .............................No
Electrical Fixtures
Circuits - Commercial .................... 6
PERMIT EXPIRES Saturday, April 5, 2014
Permit Issued on Monday, October 7, 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 7d d nce with the laws, rules and regulations of the State of Washington
9fidjhe City of Federal Way.
11
Owner or agent: U � Date: / cc T-- 21 ?�
CITY OF 4 4✓'
Federal Way
PERMIT #:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
13 -104441 -00 -EL Address: 33650 6TH AVE S Unit 210
Project: SUN LIFE ASSURANCE COMPANY 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.
13
UFER Ground (4295)
Ditch cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
E]
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
Temporary Power (4275)
E]
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
E]
Rough Electrical (4225)
Ceiling Cover (4020)
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
By
Date
Datel 0—
-13
Final
Final - Electrical (4055)
Approved
B
Date U_ 7_4
Rough Electrical
Approved1:1
Final Electrical
Approved
oRight
of Way -^
Approved
By
Date
By
Date
By
Date
CITY OF
Federal Way
ELECTRICAL
PERMIT APPff*6,W1qbN
PERMIT NUMBER I _ I ,� 4 --� ( _ 00
OCT 0 7 2013
CITY OF FEDERAL WAY
CDS
SITE ADDRESS:
SUITE/UNIT/SPACE i
PROJECT VALUATION
ASSESSOR STAR/PARCEL • O ^
CURRENT/PROPOSED USE
-
PROJECT NAME
n
G �0`M v � �
(Tenant or Homeowner Last Name)
1. r *,:Z-kG N S
N ST A I( M I _ IC)Ns,
7� 1 S'f 1 S `► ✓� ,-
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
Z �lQ� C� 1 U
( ) -
MAILING ADDRESS
E -MAH,
CITY
STATE
ZIP
FAX
NAME _
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(� PRIMARY PHONE
C - ) s t - 2-709
MAILING ADDRESS
d N %r �T- V\J (/ T
E-MAIL
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ELECTRICAL
CONTRACTOR
CITY
t3��tir.�
STATE
Vi A-
ZIP
1B (a) t
PAR
WA STATE CONTRACTOR'S LICENSE N EXPIRATION DATE
►M C C (a -00 f U i 2 s �Zol4
FEDERAL WAY BUSINESS LICENSE A
NAME
PRIMARY PHONE
APPLICANT
t V� �Kc'C
(� ) 57 ) - Z 9
MAILING ADDRESS
11li� i0 �►sr LN 5 w Q X03
F XAII,
CITY
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STATE
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ZIP�,y�
FAX
PROJECT CONTACT
NAME
M 1 ICe 11/I c <bl
PRIMARY PHONE
(�lD) 57 I - 29Ce
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 this application. - —
SIGNATURE. DATE1
PRINT NAME:
Bulletin # 160 — January 1, 2013 Page I of 2 k:\Handouts\Electrical Permit Application