14-102171' ` 4 vlectrical
s"
City of Federal
CCommunity& Econ. De. S,E
Services Permit #: 14 -102171 -00 -EL
33325 8th Ave S
Federal way, WA 98003 Inspection Request Line: 253 835-3050
Ph: (253) 835-2807 Fax: (253) 835-2609 P q
Project Name: SPRINT
Project Address: 31617 1ST AVE S
Project Description: Cabinet enviromentals.
Parcel Number: 072104 9210
Owne
ARplicant
Contractor
LAKEHAVEN UTILITY DISTRICT
JEFF LONG
J LONG INC
PO BOX 4249
J LONG INC
JLONGLI892DT (3/30/15)
FEDERAL WAY WA 98063-4249
3211 187 PL SE
3211 187TH PL SE
BOTHELL WA 98012
BOTHELL WA 98012
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 .................... 1 A ,
PERMIT EXPIRES
Permit Issued no a ay
I hereby certify that the above information is corrX
the cons
the occupancy and the use will be in accordancelaws, rules
and Fed XV
1�
Owner or agent:dyle
I'mber 8, 2014
12, 2014
on the above described property and
ulations of the State of Washington
Date:�J
CITY OF O&I w
Federal Way
PERMIT #:
Project:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
14 -102171 -00 -EL Address: 31617 1 ST AVE S
LAKEHAVEN UTILITY DISTRICT FEDERAL WAY, WA 98003-5201
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 (4 95)Ditch
cover (4030)
Power (4275)
Slab/Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
Pool Bonding (4195)1:1Temporary
Power (4275)
Service (4235)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Rough Electrical (4225)
Ceiling Cover (4020)
0
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
RECEMW
ciTy oFA MAY 12 2014 ELECTRICAL
Federal Way Cm of FEDERAL WAY PERMIT APPLICATION
CDS 'J
PERMIT NUMBER %
SITE ADDRESS:
� � � l '� �
SUITE/UNIT/SPACE#
PROJECT
OJECT VALUATION /t �uQ
—~ a
ASSESSOR'S TAR/PARCEL /
Q7a L Lo
—
CURRENT/PROPOSED USE
PROJECT NA"
(Tenant or Homeowner Last Name
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
C n( eoV-,(,0qnayCti5
PROPERTY OWNER
BAMS
fDr \ (1
PRIMARY PHONE
MAILING MDRESS
E- II,
CITY
Fears \ W Q
STATE
W
ZIP
FAR
( ) -
ELECTRICAL
CONTRACTOR
BAMS
S e V � Lon
PRIMARY PHONE
(U)C)979 —"7470
MAILING ADDRESS
�j211 187 �' P
E-MAIL.
CITY
sTApTE
z�
FAX
-
WA STATE CON'TRACTOR'S LICENSE f EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE Y
APPLICANT
NAME
J j� �`�
PRIMARY PHO/N,E
(Z S 1 tel- -7 7 -70
MAH GADDRESS
3Zc��La
i EMAI�e
CITY
f�
STATE ZIP
W19 l-7
PROJECT CONTACT
NAME
PRIMARY P HONE
—797-D
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 f this application.
SIGNATURE: DATE
PRINT NAME:
Bulletin # 160 —January 1, 2013 Page 1 of 2 k: flandoutsTlectrical Permit Application
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