19-100840,14
City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: COMCAST
" 1
Electrical
Permit #:19 -100840 -00 -EL
Inspection Request Line: (253) 835-3050
Project Address: 1210 SW 346TH ST Parcel Number: 666490 0020
Project Description: Installation of 20 -amp, 120 -volt service for cable amplifier.
Owner
Applicant
Con actor
IH4 PROPERTY WASHINGTON LP
TRI COUNTY ELECTRICAL SERVICES
TRI COUNTY ELE ICAL SERVICES
15400 SE 30TH PL SUITE 100
LLC
LLC
BELLEVUE WA 98007
PO BOX 931
TRICOCE948DZ (3/14/20)
ANACORTES WA 98221
PO BOX 931
ANACORTES WA 98221
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Circuits - Residential
PERMIT EXPIRES Friday, 21 February, 2020
Permit Issued on Thursday, February 21, 2019
I hereby certify that the above information is correct and that the construction on the above described property
and the occupan he use w' -be in accordance with the laws, rules and regulations of the State of
ashing i and the City of Federal Way.
Owner or agent: Date: Z`
THIS CARD IS TO REMAIN ON-SITE
Fri W THIS
Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 19100840 00 Address: 1210 SW 346Th ST
Project: IH4 PROPERTY WASHINGTON LP FEDERAL WAY WA 98023-7040
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.
® Final - Electrical (4055)
Approved
By Date 2
UFER Ground (4295)
ID
Ditch cover (4030)
El
Slab/Concrete Floor (4255)
Service (4235)
Approved
IBY
Approved
IBY
Approved to place concrete
By
Date
By
Date
By
Date
® Final - Electrical (4055)
Approved
By Date 2
Pool Bonding (4195)
Q
Temporary Power (4275)®
0
Service (4235)
Right of Way
Approved
Approved
IBY
Approved
]BY
Approved
By
Date
By
Date
Date
By
Date
® Final - Electrical (4055)
Approved
By Date 2
Feeders/Sub-panels (4045)
®
Rough Electrical (4225)
0
Ceiling Cover (4020)
Right of Way
Approved
Approved
IBY
Approved
Approved
Approved
By
Date
By
Date
Date
By
Date
® Final - Electrical (4055)
Approved
By Date 2
Rough Electrical
Final Electrical
n
Right of Way
Approved
Approved
IBY
Approved
By
Date
By
Date
Date
CITY OF A
RECEIVED ELEC'T'RICAL
Federal Way FEB 21 2019 PERMIT APPLICATION
CITY OF FEDERAL WAY
COMMUN[TY DEVELOPMENT /� J
PERMIT NUMBER L _ / O 8 ®_
SITE ADDRESS: 7 1 b t1(�� Zb� 5T
SUITE/UNIT/SPACE#
PROJECT VALUAT% �, `�
ASSE3S0 TARCEIi # -
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
r nAca;,
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
C-o'u
^ G>�C dg
-
PROPERTY OWNER
NAME
HV
PRIMARY PHONE
)
NAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
( FAX
l
ELECTRICAL
CONTRACTOR
NAME.\
_ PRIMARY PHONE
MAILIN DRESS
d fS' /— �l ✓
E-MAIL
2t Lr '' �/ �= jK� �� i
CITY � 5
G
s��
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FAX
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME r
MC -44,<51,C-40,
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
(/ FAX
l
PROJECT CONTACT
PRIMARY PHONE
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 suppiie ty as apart of this application.
SIGNATURE: � /� /A
DATE
PRINT NAME: � C—o -7 1 0k, 15E) ',t
Bulletin #160 —April 14, 2016 Page 1 of 1 k:\Handouts\Electrical Permit Application