13-104545Electrical
City of Federal Way
Community $ Econ. Dei. services Permit #: 13 -104545 -00 -EL
33325 8th Ave S
Federal way, WA 98003 Inspection Request Line: (253) 835-3059
Ph: (253) 835-2607 Fax. (253) 835-2609 i .. ,
Project Name: KEY BANK
Project Address: 1918 SW CAMPUS DR Parcel Number: 132103 9109
Project Description: Installing IJV cabling of voice, data, CCTV, and alarm wiring.
Owner
ARRlican
Contractor
KEY BANK OF WASHINGTON
TELDATA SYSTEMS
TELDATA SYSTEMS
PO BOX 560807
12600 INTERURBAN AVE S
TELDASI995PB (10/02/15)
DALLAS TX 75356
TUKWILA WA 98168
12600 INTERURBAN AVE S
TUKWILA WA 98168
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes
Service greater than 999 Amps? .............................No
Electrical Fixtures
Low Voltage - Other (Commercial; 1
Is Use Educational or Institutional? ....................... No
PERMIT EXPIRES Saturday, April 12, 2014
Permit Issued on Monday, October 14, 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 accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: a Date: l®
y
CITY CW
Federal Way
PERMIT #:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
13 -104545 -00 -EL Address: 1918 SW CAMPUS DR
Project: KEY BANK OF WASHINGTON FEDERAL WAY, WA 98023-6401
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.
Rough Electrical (4 25)
Ceiling Cover (4020)
Final - Electrical (4055)
Approved
Approved
n Approved
1
By Date
By Date1 _
By Date Ja'�3
Rough Electrical
Approved
1:1Approved
Final Electrical
Right of Way
Approved
By
Date
By
Date
By
Date
CITY Of
Federal Way
RECEIVEELECTRICAL
OCT EMIT APPLICATION
/''� CITY OF FEDERAL WAY
PERMIT NUMBERJ — (' J ��� -COS
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SITE ADDRESS: C� 1(7 I') �!tJA
996 Z3
SUITE/UNIT/SPACE #
PROJECT VALUATION
ASSIESSOR'S TAS/PARCEL #
CURRENT/PROPOSED USE
$ 0/,S00,00
PROJECT NAME
(Tenant or Homeowner Last Name)
{--
-
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
N7
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PRIMARY PHONE
(ZS3) ✓ - (/',/
MAILING DREss
E-MAIL
CITY /p_ '
(i rit/
W
'STATE
j
ZIP I�
FAX
NAME
ltfik
PRIMARY PHONE
006) HOZ - g 71Z, I
MA LING ADDRESS
I/S3
E-MAIL
v � t o .
ELECTRICAL
CITYSTATE
WA
ZIP
I M8d
FAS
( 6) 632 - 010 Z__
CONTRACTOR
WA STATE CONTRACTOR'S LICENSE #
F� 5� �..r
EXPIRATION DATE
IO 6 //51
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME
�'`'�
PRIMARY PHONE
- V 7
a ADDRESS
E_
CITY
STATE
ZU'
FAX
(Zeis ) 6 L - 4-Z6Z,
PROJECT CONTACT
NAME
,
PRIMARY PHONE
7
53
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 apart of this application.
SIGNATURE:
PRINT NAME:
Bulletin # 160 — January 1, 2013 Page l of 2 k:\Handouts\Electrical Permit Application
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