13-104391 h, Electrical,
City ofEc D Way
Pe III
#. 13-104391 -00-�L
Community Econ.& Dev.Services
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: CHEVRON
Project Address: 34727 PACIFICHWY S Parcel Number: 202104 9133
Project Description: Adding/altering(1)circuit to remove and replace vacuum machine
Owner Applicant Contractor
CHEVRON TEXACO AIR SERV AIR SERV
P O BOX 1392 5113 PACIFIC HWY S AIRSESG900DU(7/6/14)
BAKERSFIELD CA TACOMA WA 98424 5113 PACIFIC HWY S
93302 TACOMA WA 98424
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational orInstitutional? No
Service greater than 999 Amps? No
Electrical Fixtures
Circuits-Commercial 1
PERMIT EXPIRES Tuesday, April 1, 2014
Permit Issued on Thursday, October 3, 2013
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: Wly-,-- ---)-y7--z Date: /0'-3/3
II
THIS CARD IS TO .MAIN ON-SITE
61TY'OF , ' Construction In ction Record ... t
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 13-104391-00-EL Address: 34727 PACIFIC HWY S
Project: CHEVRON TEXACO 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.
❑ UFER Ground (4295) ❑ Ditch cover(4030) ❑ 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
❑ Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
0 Final-Electrical(4055)
Approved
By/7 Date 1U- 9-,/ 3
Rough Electrical Final Electrical
El
Right of Way
ElApproved I=1 Rough
Approved
By Date By Date By Date
RIVED
(` 3 2013 EL!CTRICAL
CITY OF
our S "
Federal WayCm OF FEDERAL WAY PERMIT APPLICATION
PERMIT NUMBER / _ / 0 t 3 % / -
1 SUITE/UNIT/SPACE#
SITE ADDRESS: �`-7 2-7 pp L 't Wy S F.et eN-4 (�f
PROJECT VALUATION ( ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$) _
PROJECT NAME /
(Tenant or Homeowner Last Name) C(�ry'/o -i -Feel
eit( 1`V
u/e/i0-4- k=. unAl
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER � t FZee,, L11 ( ) -
MAILING ADDRESS ' l E-MAIL
`172-7 PCLc (�'i s 7�C L y s
CITY STATE ZIP FAX
�vl 9 -)3 ( )
MME -.- PRIMARY PHONE
)
MAILING ADDRESS� E-MAIL
ELECTRICAL L c `�Z {z\-c_xi �� 7
CONTRACTOR CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ / 2D1 l03153 00.
NAME PRIMARY PHONE
/�r0T/n ABY J (Z5.) 377 -37g
APPLICANT MAILING ADDRESS
E-MAIL
X13
CITY STATE ZIP FAX
VO-Wahh Li lc .� 1`{ ( )
PROJECT CONTACT NAME PRIMARY PHONE
/u off;m )3 J 7 - 6576
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 a 1
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.
DATE G 03 i j
SIGNATURE: b
PRINT NAME:/1]CA)/1,1 rwycRS
Bulletin#160—January 1,2013 Page 1 of 2 kAHandouts\Electrical Permit Application