19-101366 motile
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Electrical
City of Federal Way Permit #:19-101366-00-EL
Community Development Dept
33325 8th Ave S
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: Install Cat5e for network infrastructure,Approx.26 Cat5e cables;network cabinet.
Owner Applicant Contractor
FEDERAL WAY COVENANT GROUP LLC ADVANCED ELECTRICAL SOLUTIONS ADVANCED ELECTRICAL SOLUTIONS
17000 RED HILL AVE 17028 19TH DR NE 17028 19TH DR NE
IRVINE CA 92614 ARLINGTO9N WA 98223
ARLINGTO9N WA 98223
USA USA
Additional Permit Information
Is this an Online or O.T.C.application9 Yes
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Low Voltage-Other(Commei 1
PERMIT EXPIRES Tuesday,24 March,2020
Permit Issued on Monday,March 25,2019
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 accordance with the laws, rules and regulations of the State of
Washington and the City of Federal Way.
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Owner or agent: Date: 5h-dr())
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THIS CARD IS TO REMAIN ON-SITE
Construction
Inspection Record
CITY OP
11111vay INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 101366 00 Address: 164 SW CAMPUS DR Unit 102
Project: FEDERAL WAY COVENANT GROI 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 Rough Electrical(4225) 0 Final-Electrical(4055)
Approved et Approved
By Date By . Date
0 Rough Electrical 0 Final Electrical Right of Way
Approved Approved Approved
By Date , By Date By Date
RECEIVED
2 2019 ELECTRICAL
Federal Way MAR 5 PERMIT APPLICATION
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT
Parr Ntlm=R l q _ (a /
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SITE ADDRESS: SW Campus Dr. Federal Way, WA 98023 SUITE/UNIT/SPACE
PROJECT VALUATION AAEESSOR's TAX/PARCEL I CURRENT/PROPOSED USE
$ 1500.00 - — — — —
PROJECT NAME
(Tenant or Homeowner Last Name) Starbucks
Install Cat5e for network infrastructure, Approx 26 cat5e cables.
PROJECT DESCRIPTION network cabinet.
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER Starbucks ( ) -
MAILING ADDRESS E-MAIL
2401 Utah Ave S. Suite 800
CITY STATE ZIP FAX
Seattle WA 98134 ( ) -
NAME PRIMARY PHONE
Advanced Electrical Solutions (425 )923-9487
MAILING ADDRESS a-An
ELECTRICAL 17028 19th Dr NE aes_inc@yahoo.com
CONTRACTOR CITY STATE ZIP FAX
Arlington WA 98223 ( )
WA STATE CONTRACTOR'S LICENSES EXPIRATION DATE FEDERAL WAY EDSIRIMIS LICENSE•
ADVANES876NR 08,31 /19
NAME PRIMARY PRONE
APPLICANT Jeremy Galyan (425)923-9487
MAILING ADDRESS E-MAIL
17028 19th Dr NE aes incAvahoo.com
CITY STATE ZIP FAX
Arlington WA 98223 ( ) -
N AME PRIMARY PRONE
PROJECT CONTACT Jeremy Galyan (425 )923-9487
I certify under penalty of perjury that I am the property owner or authorised agent of the property owner.I certify that to the test
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 authorised by the issuance of a permit.I understand that the
Jamaica of this permit does not rewePs the owner's responsibility for compliance with local, state, or federal tows regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(inctading 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 ulcers and employees, apes the accuracy of the
information supplied to the city as a part of this application.
SIONATURi .►�.. _ . � DATE 342/? 19
PRINT NAME: ll,1[�'�'�M i.1.A
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Bulletin 0160—April 14,2016 Page 1 of 1 k:\Handouts'Electrical Permit Application