13-102923 41/4. ELECTRICAL
CITY OF "°
Federal Way PERMIT AP0ON
( ( _ to zq 2,_ 00 JUL 01 2013
PERMIT NUMBER
CITY OFFEDERAL WAY
SUITE/�1R ISPACE#
SITE ADDRESS: 373. a 8 --) p,4-c.:, 1I c. 1f w V S
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# / CURRENT/PROPOSED USE
$ 3000 . ) ? Z ( 0 4` _ q o Zc
PROJECT NAME /
(Tenant or Homeowner Last Name) /V,elit.[.✓QSi QKS $ f'es , //v C,
PROJECT DESCRIPTION L 0 a—) V a 14a.�,-C_ — /H c-1;*-o/ „S�covt i'-y rt-.--
Detailed description of work to
5171--A --" I -O .../2.0..,,t /
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( ) -
NAME PRIMARY PHONE
2/212 LD /..' c. ( ) -
MAILING ADDRESS E-MAIL
ELECTRICAL 6?// 5'- 20 ({ 'a f'-6.
CONTRACTOR CITY // STATE ZIP FAX
ecof Li' - 'j0 Z- ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
9/e6 01 */7,47:c- / / 10 - 11) .3-M,0
NAME / PRIMARY PHONEP
APPLICANT a ��/' ; (2,06 )5?-0 - S-72.-/
MAILING ADDRESS E-MAIL
l0i// S°_ 20 y -'/` .S-e itsod ,..9di',eto�0. Gam.
CITY STATE ZIP FAX
l -a?'f wA- 76/.72 (2S3 ) 2-7Y - 1,i1-7
NAME PRIMARY PHONE
PROJECT CONTACT
c/e.41 5: leg/S (03-; ce '- /4f.c7
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 arise out of the re ce o the city, including its officers and employees, upon the accuracy of the
information supplied to the city a part of th pplicatio .
SIGNATURE: �Y DATE 7—/ — ZIP i 3
PRINT NAME: /)Gt,VL.el -7CTO
Bulletin#160—January 1,2013 Page 1 of 2 k:\1-Iandouts\Electrical Permit Application
V A 4 1 .
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2807 Fax: (253) 835-2809
Project Name: NORTHWEST BUS SALES, INC
Project Address: 33207 PACIFIC HWY S
Project Description: Installing L/V wiring for security alarm
a
'Electrical
Permit #: 13 -102923 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 172104 9020
Owner
Al2RIlcant
Contractor
LITTLE F D FMLY LTD PTNRSHP
DIEBOLD INC
DIEBOLD
33207 PACIFIC HWY S
3315 S 116TH ST SUITE 149
DIEBOI* 17 (7/2/14)
FEDERAL WAY, WA 98003
SEATTLE WA 98168%�315
S 116 ST SUITE 149
Sig SE WA 98168
Additir
Is Use Educational or Institutional?.......................No
Electrical Fixtures`
1
Low Voltage - Burglar Alarm (Cor 1
PERMIT EXPIRES Saturda
Permit IssuedF o>
0
I hereby certify that the above information is that
the occupancy and the use will be in acco the la
/1 ♦ itv of FE
Owner or agent:
V�
July
nX
%'�s?....... .................No
2013
ion on the above described property and
regulations of the State of Washington
Date: ')- / - 2 d 3
THIS CARD IS TO REMAIN ON -SATE
CITY OF As,
Federal WayConstruction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 13 -102923 -00 -EL Address: 33207 PACIFIC HWY S
Project: LITTLE F D FMLY LTD PTNRSHP FEDERAL WAY, WA 98003-6442
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.
1:1Rough ElectricalFinal Electrical Right of of Way
Approved Approved 1:1 Approved
By Date By Date By Date
UFER Ground (4295)Ditch
11
cover (4030)
11
Slab/Concrete Floor (4255)
Approved
Service (4235)
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
1:1Rough ElectricalFinal Electrical Right of of Way
Approved Approved 1:1 Approved
By Date By Date By Date
Pool Bonding (4195)
11
Temporary Power (4275)
Service (4235)
Approved
Approved
Approved
By
Date
By
Date
By
Date
❑
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
0
Final - Electrical (4055)
Approved
By
Date
1:1Rough ElectricalFinal Electrical Right of of Way
Approved Approved 1:1 Approved
By Date By Date By Date
ViZA�L Federal Way
Building Division
33325 Eighth Avenue South
Federal Way, WA 98003-6325
Phone 253-835-2607 Fax 253-835-2609
CORRECTION NOTICE
ADDRESS: snot ?cac,c- c' Owl PERMIT#: 13 021-L3 - 00 - mi�
1• WOIC, 24(.- 4to, S- 01a ccAvtC,_I W"V'wn p e
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40 ins" 1� -F o s l 1 A c css ; h l -e- S w�Cc,i A,
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T�t' ISS L1C< �iatfm veiV i C.y� � W I+� +�•t N�C� GI .
di w� 0-�'I^•�✓ e � G�,Tb i ca. ( 'ra•Q k � vc w• Gv�'s of "'�� � S G�n.�,� . 11
C10K+11-&C,+vv 6r IKSSvc +0-c i�ic�n bin S1�e, �t�►
Ladd S a✓ Vy�c S -� do Prop• 1wsprc�'i anc� -}b elly'tj
wS flC C46 r '�'o Q✓Dr'L✓ (.a� �1 �� v'ow��s
IF YOU HAVE QUESTIONS CALL
(253) 835-
'L G 2 3
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS.
<< 1 3
DATE
INSPECTOR
DO NOT REMOVE THIS NOTICE
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