17-101620 Electrical
City of Federal Way t n •
Community Development Dep[. i Permit #.17-101620-00-EL
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: JASMINE MONGOLIAN GRILL
Project Address: 31515 PETE VON REICHBAUER WAY S Parcel Number:092104 9302
Project Description: Installation of receptacles,switches and lights; circuits for new kitchen equipment and hood.
Owner Applicant Contractor
HAI WANGJASMINE MONGOLIAN GRILL UNIVERSAL ELECTRIC CO UNIVERSAL ELECTRIC CO
2033 2ND AVE SUITE 1900 18602 37TH DRIVE SE UNIVEEI985D2(3/22/18)
SEATTLE WA 98121 BOTHELL WA 98012
18602 37TH DRIVE SE
BOTHELL WA 98012
Additional Permit Information
Is this an Online or O.T.C.application? Yes
T /
Circuits-Commercial 70
PERMIT EXPIRES Wednesday, 11 April,2018
Permit Issued on Tuesday,April 11,2017
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
Washingtort,nd City of Federal Way. �f
Date:
Owner or agent: �; c ' / <
DATE INSPECTOR AREA AND TYPE OF INSPECTION
1 0 -kb-J-7 ��C S � � c ii�.� �- SO4-4'L 4- G
�� THIS CARD IS TO REMAIN ON-SITE
CITY of -
Federala Construction Inspection Record
Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 17 101620 00 Address: 31515 PETE VON REICHBAUER WAY S I
Project: HAI WANG 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 vitos_,c4 Date 5_ .1 By Date
El Pool Bonding(4195) ® 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 - DateL –26—l<-? -►Re. --E-----,SS Date I, i$
Final-Electrical(4055)
Approved
By O \44..2i Date .1 .4 3.,1
❑ Rough Electrical El Final Electrical ❑ Right of Way
Approved Approved Approved
By Date By Date By Date
41/4
CITY OF � 1
RECEIVED ELECTRICAL
Federal Way APR 1 1 2017 PERMIT APPLICATION
CITY OF FEDERAL WAY
COMMUNfiY DEVELOPMEtRMIT NUMBER / _y____ r/ 0 / CO „o- (
7k.
0061 -.S.- SUITE/UNIT/SPACE#
SITE ADDRESS:. , 2 (� / � p
ROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
(sôoô 0 ., A / v St - ? 3 o2 --
RO C''-NAM
(Tenant or Homeowner Last Name) C` ►' ) )11'e..) iia) dC �C�0 6
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PROJECT DESCRIPTION Pc- „reit
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Detailed description of work to �cn����� i �,Q 2 ev
be included on this permit only �1~/ ` /
NAME' /( PRIMARY PHONE
PROPERTY OWNER J C�,S n/L ( 0 e n4,5, (� r!I ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
s
n 9(( 3 Z
MAILING ADDRESS E-MAIL
ELECTRICAL /8 " 2)-1k- .6)( c) L " �"�
;042/40.
CONTRACTOR CITY STATEA Zn
FAX
riC �1�r t � I ( )
A STATE CONTRACTOR'S LICENSE# EXPI TION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME - PRIMARY PHONE
APPLICANT TS CCK ( )
MAILING ADDRESS E-MAIL
/
CITY �� NATE ZIP FAX
( )
NAME PRIMARY PHONE
PROJECT CONTACT ( )
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.
SIGNATURE: i DATE (/ – /—` 7
PRINT-N26IE: - �/ C'� yukiz\
Bulletin 4160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application