15-105661 - _ • 0 Electrical
City of Federal Way Permit #: 15-105661 -00-E L
Community&Econ.Dev.Services
33325 8th Ave S FILE
Federal Way,WA 98003 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p a
Project Name: DECOR DESIGN&ALTERATIONS
Project Address: 31840 PACIFIC HWY S Unit A Parcel Number: 092104 9221
Project Description: Relocate existing circuit for internally-illuminated channel letter wall sign.
Owner Applicant Contractor
SEA-TAC CENTER ASSOCIATES JAMES ADAMS EASTSIDE ELECTRIC
2101 4TH AVE UNIT 310 EASTSIDE ELECTRIC EASTSE*962QR(11/19/16)
SEATTLE WA 98121-2317 1710 TALBOT RD S 1712 TALBOT RD S
RENTON WA 98055 RENTON WA 98055
Additional Permit Information
Is this an Online or O.T.C.application" Yes Is Use Educational or Institutional? No
Service greater than 999 Amps" No
Electrical Fixtures
Circuits-Commercial 1
PERMIT EXPIRES Wednesday, May 4, 2016
Permit Issued on Friday, November 6, 2015
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: (.R /6
-44%V., THIS CARD IS TO REMAIN ON-SITE
CITY OF Construction Insp ion Record Federal Way INSPECTION REQUEST253) 835-3050
PERMIT#: 15-105661-00-EL Address: 31840 PACIFIC HWY S Unit A
Project: SEA-TAC CENTER ASSOCIATES FEDERAL WAY, WA 98003-5449
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) 0 Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date
S By Date
,
❑ Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235)Approv
Approved Approved
By Date By Date
BY Date
0 Feeders/Sub-panelsp (4045) 0 Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved
By Date By Date
By Date
L Final-Electrical(4055)
Approved
ke, Date IL Eical is—
.
ri Rough Electrical
Approved ❑ Final Electrical
Approved El Right of Way
Approved
By Date
_�,,, BY Date By Date
• RECEIVED LECTRICAL
CITY OF ! NOV O s ' l5
Federal Way PERMIT APPLICATION
CITY OF FEDERAL WAY
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PERMIT NUMBER ` r,) _ \ 0 t(/ `i I _ C.r V
2 l SUITE/UNIT/SPACE#
SITE ADDRESS: 3 ) Li o PaC 1 l�,c ;, 5 (,i r I
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# C CURRENT/PROPOSED USE
s �— `C7- 1 0 9- - ( 2 a /
PROJECT NAME
(Tenant or Homeowner Last Name) n J.e-c g r 0 e�t 5 — A.,+-1-.�fc_—r o,--% S
PROJECT DESCRIPTION 11154-4A( S'e 11 C;I C (L4- -f-) !le R.) iry/6 14.1/rl I 1!frith.vY 4.4
Detailed description of work to L'6ci( r'c\-;r} 9 ,e i4 •
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER 0 fro r 6 e.--o 1 5 h 14 I,l•-cJ'G-ng:›ri S (2S'3)2,-19'-`i 3 Y a
MAILING ADDRESS E-MAIL
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CITY STATE ZIP FAX
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NAME PRIMARY PHONE
FOS f-S 1 C,J2-. E I .-c -r r c c— ('-!l-S)tiYY - 7 3 t'S
MAILING ADDRESS oo E-MAIL
ELECTRICAL2 -tom
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CONTRACTOR CIT STATE 24FAX c,AI
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WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
EaS-tSE * 9.62CPR. llil0/,/ l -)
NAME PRIMARY PHONE
APPLICANT EG.S r"$l,fLe_. F ( c-�rr__ ):µ 14 dla--t ("S" ) i-i I 1- 7 3 f c
MAILING ADDRESS E-MAIL
CITY STATE ZIP c FAX II
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NAME PRIMARY PHONE
PROJECT CONTACT I '
OA (2S'3) 2S*+ - 2,0t (
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 a city as a part of this application.
SIGNATURE: ClisAl ---- (DATE 6 / (
PRINT NAME: �1 ttit r rX c` c.
Bulletin#160—January 1,2013 Page 1 of 2 k:AHandouts'Electrical Permit Application