19-102484 •
electrical
City of Federal Way Permit #:19-102484-00-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: SOUND CREDIT UNION
Project Address: 2020 S 320TH ST Parcel Number:092104 9297
Project Description: Electrical to include low voltage data wiring.
Owner Applicant Contractor
NWCC CENTER PLAZA LLC SCOTT&MELISSA HUDSONJERRY'S JERRY'S TELEPHONE SERVICE LLC
1402 E PIKE ST TELEPHONE SERVICE JERRYTS885DW(3/20/14)
SEATTLE WA 98122 252 N BODINE RD
KELSO WA 98626 1105-D 15TH AVE SUITE 430
LONGVIEW WA 98632
Additional Permit Information
Is this an Online or O.T.C.application" Yes
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Low Voltage-Other(Commei 1
PERMIT EXPIRES Wednesday,20 May,2020
Permit Issued on Tuesday,May 21,2019
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.
Owner or agent: Date: 2 1- l v\
THIS CARD IS TO REMAIN ON-SITE
°� Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 102484 00 Address: 2020 S 320TH ST Unit 107
Project: NWCC CENTER PLAZA LLC FEDERAL WAY WA 98003
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.
El UFER Ground(4295) Cl Ditch cover(4030) Q Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date ' By Date
® Pool Bonding(4195) 0 Temporary Power(4275) ® Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date --_ --
Eo Final-Electrical(4055)
Approved
4(
By Date 7-02-/,
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED ELECTRICAL
"m'°f � '
"Way MAY 21 2019
Federal PERMIT APPLICATION
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT
PERMIT NUMBER ) _ / 0 2 Li k Gi _ i,
SUITE/UNIT/SPACE/
SITE ADDRESS: 20 26 S 3211A 5u ,)-t I 07 I O-7
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ (LI)q I1I C, 7 r o L/ - q 2 1 7
PROJECT NAME
(Tenant or Homeowner Last Name) Sa U V\CX Cr<b)si- Uki\1 v\
PROJECT DESCRIPTION I"`"Ctsr 1 i\a3 Low Vol T"%Gj't
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER •
S Ute.,�'C v eck.,- (,tet,, Gil ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
-- - NAME PRIMARY PHONE
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MAILING)13‘JZ
DRESS �n E-MAIL
ELECTRICAL (105D ICT'' A J,-( H30 S� e){irbs fi{)epker rt:'
CONTRACTOR CITY STATE ZIP FAX
(,-.o(\ ) "Cvi•J °IOC°z- ( ) -
WA STATE C TRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
3 -2rrv� 'V Be .0 W 3/ zv/.20 _ _
NAMEI PRIMARY PHONE
5 , lt0 f5p1 ( )
APPLICANT MAILING ADDRESS E-MAIL
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CITY STATE ZIP FAX
( )
NAME \ PRIMARY PHONE
PROJECT CONTACT IA-c \-l (2-C) L f(f 5 53.75—
I
3.75—
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 part of this application.
S--
SIGNATURE: ____„A1 ki DATE 5 2 l ~ \ l
PRINT NAME: JLC} 41 I-1 k) 1 o ci ci✓i
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application