17-100646Electrical
City of Federal way - Permit #:17 -100464 -00 -EL
Community Development Dept.
33325 8th Ave Sry
Federal way, wA 98003 -' Inspection Request Line:
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: KELLER WILLIAMS
Project Address: 33434 8TH AVE S Parcel Number: 609430 0090
Project Description: Electrical wiring to add (1) strobe and relocate existing
Owner
Applicant
Contractor
8TH & 9TH LLC
ELECTRICAL TECHNOLOGY LLC
ELECTRICAL TECHNOLOGY LLC
11100 NE 8TH SUITE 380
PO BOX 13389
ELECTTL8880G (9/7/18)
BELLEVUE WA 98004
MILL CREEK WA 98082
PO BOX 13389
MILL CREEK WA 98082
Additional Permit Information
Is this an Online or O.T.C. application ................ Yes
Low Voltage - Fire Alarm (Co 1
PERMIT EXPIRES Wednesday, 31
Permit Issued on Tuesday, Janua
I hereby certify that the above information is
and the occupancy and the use will be in
Owner or agent:
Ju
,2018
17
W -
the above described property
regulations of the State of
Date:—,4/1 Z Z CJS
THIS CARD IS TO REMAIN ON-SITE
C" C* Construction Inspection Record
Federal Way INSPECTION REQUESTS:
PERMIT #: 17100464 00 Address: 33434 8TH AVE S Unit 202
Project: STH & 91M LLC FEDERAL WAY WA 98003-6323
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.
®
UFER Ground (4295)
2
Ditch cover (4030)
0
Slab/Concrete Floor (4255)
Service (4235)
Approval
Approval
Approved
Approved to place concrete
By
Date
By
Date
By
Date
®
Pool Bonding (4195)
®
Temporary Power (4275)
®
Service (4235)
Right of Way
Approval
1By
Approval
Approval
Approval
By
Date
By
By
Date
By
Date
10 Final - Electrical (4055)
Approval
By Date
Feeders/Sub-panels (4045)
®
Rough Electrical (4225)
0
Ceiling Cover (4020)
Right of Way
Approval
Approval
Approval
Approval
Approval
By
Date
By
By
Date e,,. $
By
Date %-1,:!rACJ
10 Final - Electrical (4055)
Approval
By Date
Rough Electrical
El
Final Electrical
Right of Way
Approval
Approval
Approval
By
Date
By
Date
By
Date
4%
CITY OF
Federal Way
JAN 31 2017
1?—/DOy63
ELECTRICAL
PERMIT APPLICATION
PERMIT NUMBER 1-7— _ l v O :q & _ 0 0
SITE ADDRESS: `
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SUITE/UNIT/SPACE#
PROJECT VALUATION
CO
ASSESSOR'S TAX/PARCEL #
"3
CURRENT/PROPOSED USE
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PROJECT NAME
(Tenant or Homeowner Last Name)
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Q"'D IA
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PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS
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E-MAIL
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Aw 17
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STATE
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ZIP f
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FAX
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NAME \
PRIMARY PHONE
MAILING ADDRESS
I
E-MAIL
ELECTRICAL
L, A C
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
APPLICANT
MAILING ADDRESS'(
E-MAIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME
PRIMARY PHONE
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I certify under penalty of per 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 reli nce of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as part this plication. J
SIGNATURE 1 DATE
PRINT NAME:42 2S �-
Bulletin #160 —April 14, 2016 Page I of 1 k:\Handouts\Electrical Permit Application
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