20-100859 Electrical
City ufFederal Way Permit #:20-100859-00-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: FEDERAL WAY PREMIER STORAGE
Project Address: 35200 PACIFIC HWY S Parcel Number:292104 9048
Project Description: COAX ONLY- Engineer,furnish&install emergency responder in building radio system for
EMS,Police and Fire.
Owner Applicant Contractor
CPSG SELF STORAGE FACILITY XII LLC BILL SILVERNAILTOTAL SATELLITE TV TOTAL SATELLITE TV INC
1001 4TH AVE SUITE 3200 INC TOTALST931OQ(9/18/21)
SEATTLE WA 98104 3100 KITSAP WAY SUITE D
BREMERTON WA 98312 3100 KITSAP WAYS SUITE D
BREMERTON WA 98312
Additional Permit Information
Is this an Online or O.T.C.application9 Yes
F 3 vr i�`
4,1 ,6 611V-1 �'fia .., �. YA _.,� �xClM e .._
Low Voltage-Fire Alarm(Co 1
PERMIT EXPIRES Saturday,27 March,2021
Permit Issued on Friday,March 27,2020
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 FII. E Date:
THIS CARD IS TO REMAIN ON-SITE
CITY OF 1011a4 Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 20 100859 00 Address: 35200 PACIFIC HWY S
Project: CPSG SELF STORAGE FACILITY X FEDERAL WAY WA 98003-8319
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) ® Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date 1 By Date
•. •
ElPool Bonding(4195) 0 Temporary Power(4275) i ® Service(4235)
Approved Approved Approved
By Date �By Date By Date
® Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020)
Approved Approved e,erpotµ1J
yApproved
By Date j By Date By Date b%I•.)a
10 Final-Electrical(4055)
Approved
By te.. Date 'S-s
•
•
0 Rough Electrical C Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
.. ELECTRICAL
Federal Way PERMIT APPLICATION
PERMIT NUMBER 02 _ ( V V - c _
SUITE/UNIT/SPACE#
SITE ADDRESS: 3.5 3 0 0 c , i C
/? t-ll'i Cr goks 1--4—
PROJECT
4-
PROJECT VALUATION A$,SESSO 'S TAX/PARCELD -# CURRENT/PROPOSED USE
$ �L7D ' °�`))
PROJECT NAME .
(Tenant or Homeowner Last Name) /_/e L `07 SG L/= givinod4?
/E(��C�!r' I .e-i�_1(/" 11 i -iu)' L t `[ A.r%) I--L_ 5 pyD t+-✓
PROJECT DESCRIPTION d7d7t- 4 )1,xtl l'-3�-(^1 C- /e Jt -A' °0--
Detailed description of work to ,�C� Tt1 l r s �i �2 t
be included on this permit only _
NAME PRIMARY PHONE
PROPERTY OWNER ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
-27,*-7-4 G 5,4*//•le 7-1/.14:e do:R.0100AIE6:411.' (/ ( 361) 373 0 ci7
MAILING ADDRESS E-MAIL
ELECTRICAL 3)0 0 11,IS sh-f t g 71-c,D 1,,A,„44.4;-1_ L° ginv,s44..ze,ripup
CONTRACTOR CITY STATE ZIP FAX n
.Q,e��l, 41`04- fir-31z- ( ) - •001,
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
T,P A-Ls r 33 I a c 9 //s--i zd
NAME PRIMARY PHONE
iSili .S','/✓cIZ-LL.o :L ( /2 9fL/ .- Z-110
APPLICANT MAILING ADDRESS E-MAIL
3/(7 p `.<.fS Ap 1.cJ.4 14 S l'c 0i). 9Eilik.go)p;LjFo1 M1LEl4.DuA
CITY J STATE ZIP FAX •cv,M
ifitl<'/y.evk^J (.c).¢ f r3la ( ) -
NAME PRIMARY PHONE
PROJECT CONTACT ,-/
(PI/ *-5":'ft,e1?--w64 r(... WA— ) rf-z3 Z LITa
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.
d
SIGNATURE: LX k S-____ DATE 2-Z4 —
PRINT NAME: R '7/ j /VG 'L
Bulletin#160-April 14,2016 Page 1 of 1 k:\i-landouts\Electrical Permit Application