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19-101026Electrical City of Federal Way Permit #:19-101026-00-EL Community Development Dept. " 33325 8th Ave Svo Federal Way, WA 98003 Inspection Request Line: (253) 835-3050 Ph: (253) 835-2607 Fax: (253) 835-2609 Project Name: STARBUCKS @ PACIFIC DENTAL BUILDING Project Address: 164 SW CAMPUS DR Parcel Number: 415920 0715 Project Description: Low -voltage wiring for modifications to fire alarm system. Owner Applicant Contractor FEDERAL WAY COVENANT GROUP LLC KIRBY ELECTRIC INC KIRBY ELECTRIC INC 17000 RED HILL AVE 4826 "B" ST NW SUITE 101 KIRBYET077BN (1/13/21) IRVINE CA 92614 AUBURN WA 98001 4826 "B" ST NW SUITE 101 AUBURN WA 98001 Additional Permit Information Is this an Online or O.T.C. application? .................. Yes Low Voltage - Fire Alarm (Co 1 PERMIT EXPIRES Wednesday, 4 March, 2020 Permit Issued on Tuesday, March 5, 2019 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 accArdance with the laws, rules and regulations of the State of Was7hgton r d the City of Federal Way. Owner or agent: aA Date: �' crrr os 111A!� Federal Way THIS CARD IS TO REMAIN ON-SITE Construction Inspection Record INSPECTION REQUESTS: (253) 835-3050 PERMIT #: 19101026 00 Address: 164 SW CAMPUS DR Unit 102 Project: FEDERAL WAY COVENANT GROL FEDERAL WAY WA 98023 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 UFER Ground (4295) 0 Ditch cover (4030) 0 Slab/Concrete Floor (4255) Service (4235) Approved Approved Approved Approved to place concrete By Date By Date By Date ® Pool Bonding (4195) 0 Rough Electrical (4225) Temporary Power (4275) © Service (4235) Approved Approved Approved Approved 13y Approved By Date By By Date By Date 0 Feeders/Sub-panels (4045) 0 Rough Electrical (4225) Final Electrical Ceiling Cover (4020) Approved 113Y Approved Approved 13y Date Date By Date *3 —1 5 -JdJ ® Final - Electrical (4055) Approved By Date 'I 13 Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date CITY OF 'A Federal Way REnyr- ELECTRICAL MAR 0 5 2019 PERMIT APPLICATION CITY OF FEDERAL WAy COMMUNITY DEVELOp'T NUMBER SITE ADDRESS: L-1//ii/� j� SIZ M(NAy SUITE/UNIT/SPACE # PROJECT VALUATION ea ASSESSOR'S TAX/PARCEL # a S CURRENT/PROPOSED USE PROJECT NAME (Tenant or Homeowner Last Name) PROJECT DESCRIPTION Detailed description of work to be included on this permit only IMoi) j: 'F' 6� TeeC)J j l-� PROPERTY OWNER NAME F�EbF tA.L LADM & OF OA 4-r G r>.f> 0-C PRIMARY PHONE ( ) - MAILING ADDRESS 1 70CC� PES 9ILL AJ f—= E-MAIL CITY STATE (ilk I ZIP 926) FAX ELECTRICAL CONTRACTOR NAME PRIMARY PHONE MAILING ADDRESS LlJ� i'' 1J Lod E-MAIL CITY AkA6"t?-A STATE LOA ZIP 98k/0-© I FAX (L5� 0,59-Z3(o3 WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE V 34Fi k( t / i3 121 FEDERAL WAY BUSINESS LICENSE # 1Cr-70-io),%)-W-8, APPLICANT NAME Z'S XtA; PRIMARY PHONE ( ) MADdNG ADDRESS E-MAIL CITY STATE I ZIP FAX PROJECT CONTACT NAME �A PRIMARY PHONE (053) 631- t1 egg I certgy 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 s out of the re nce fhe city, including its officers and employees, upon the accuracy of the information supplied toa part of this plicaQ SIGNATURE: DATE 3 - PRINT NAME: PERMIT CENTER + 33325 811, Avenue South + Federal Way, WA 98003-6325 253-835-2607 + FAX 253-835-2609 + permitcenterCt cityoffederalway.com Bulletin #160 -April 14, 2016 Page 1 of 1 k:\Handouts\Electrical Permit Application