12-100138 Electrical
•
City of Federal Way Permit #: 12-10013$;00-E L
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax (253)835-2609 "
Tg`
Project Name: ANIMAL SUPPLY , P �% 'e-if
Project Address: 32001 32ND AVE S Suite.32fr Parcel Number: 215465 0010
Project Description: Altering up to 5 circuits to relocate outlets,switches, receptacles,and light fixtures.
Owner Applicant Contractor
FRC FEDERAL WAY LLC TENANT ELECTRICAL SERVICES TENANT ELECTRICAL SERVICES
PO BOX 94449 19909 BALLINGER WAY NE TENANES931K5 (5/25/13)
SEATTLE,WA 98124 SEATTLE WA 98155 19909 BALLINGER WAY NE
SEATTLE WA 98155
,;Additional Pmit Information
Is Use Educational or Institutional? No Service greater than 999 Amps> No
res/ ?d.. � .,•��r ,.
Circuits-Commercial 5
PERMIT EXPIRES Wednesday, January 9, 2013
Permit Issued on Tuesday, January 10, 2012
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 accord- 'ce with the laws, rules and regulations of the State .f Was/ington
: the City of Federal Way.
Owner or age t: - Date: d
-� � 3oI2
c. THIS CARD IS TO EMAIN ON-SITE
CITY or- • Construction I ection Record
Federalay INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 12-100138-00-EL Address: 32001 32ND AVE S Suite 320
Project: FRC FEDERAL WAY LLC FEDERAL WAY, WA 98001-9625
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 Ceiling Cover(4020) El Final-Electrical(4055)
Approved Approved Approved
By DateBy Date By r Date
❑ Rough Electrical Final Electrical 111 Right of Way
Approved Approved Approved
By Date By Date By Date
• •
4111111%...1.
CITY ofq""'TV
ED 4 ' ?:- J±? c?± 36_
Federal Way ELECTRICAL
,lAN ' O ZO1PERMIT APPLICATION
CITY OF FEDERAL_ i Ji
'`X2 electrical permits may be obtained online at www.cityoffederalway.com**
SITE ADDRESS: 32c).0 S -N 3)-N�5n2-0Z7
SUITE/UNIT/SPACE# ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
:mom i' y !VFROZeT7INF0 s •s :.....:.,: N ,
PROJECT NAMEr� G
(Tenant or Homeowner Last Name) P 1J-0 e....6,-re.% 1 A-1_- �a rL� -1 r
oe....6,-re. 2 l I-ilf..n rs A-t b 471 -t-s_i 1 r ��s
PROJECT DESCRIPTION �'p �> l z i Z.4 Lr --- I H j )Z,ECP T GA S / a
Detailed description of work to
be included on this permit only rD1 Rc►v-t,, -4-- I 0
� � PEOPLE
NAME PRIMARY PHONE
PROPERTY OWNER ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( ) -
NAME PRIMARY PHONE
.-----i rLN T e-rxi e-►t.- sc $C-C (2-06 ? - Ls,- 7
MAILING ADDRESS E-MAIL
ELECTRICAL (F 1a q P 41.4..17`)lrC12.' 1.4.144?
CONTRACTOR CITY STATE ZIP FAX
rt" Tc.-.i ✓k l esi ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
'�'�. t-ip��s �3Ks 5- 1 45`1 /3 11I03(o9I7
NAME PRIMARY PHONE
APPLICANT ( )
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
PROJECT CONTACT )l 1 1c12,- (...1)--1 r'e r_ _ (20k.) 391- 4,5)-7
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 rt of this application.
43‘e
SIGNATUDATE / /U Z
PRINT NAME:
33325 8'"Avenue South♦Federal Way•WA•98003-6325•253-835-2607•fax:253-835-2609 1 www.cityoffederalway.com
Bulletin#160-January 1,2011 Page 1 of 2 k:\Handouts\Electrical Permit Application