HomeMy WebLinkAbout15-106260 Electrical CityCommunity of Federal Way ILEPermit #: 15-106260-00-EL Community&Econ.Dev.Services 33325 8th Ave S Federal Way,Fax 98003 Inspection Request Line: (253) Ph:(253)835-2607 Fax:(253)835-2609 p Q 835-3050 Project Name: 7-11 STORE#27284 Project Address: 32935 1ST AVE S Parcel Number: 182104 9037 Project Description: Disconnect&Reconnect walk-in cooler electrical equipment. • Owner Applicant Contractor C G L PACIFIC LLC VILMOS KUSA POINTER ELECTRIC INC 376 EL EDCANTO DR 13865 RECTOR RD POINTEI148DE(5/31/17) PASADENA,CA 91107 BOW WA 98232 13845 RECTOR RD BOW WA 98232 Additional Permit Information Electrical Work Valuation 2087 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 2 PERMIT EXPIRES Tuesday, June 7, 2016 Permit Issued on Thursday, December 10, 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 in ordance with the laws, rules and regulations of the State of Washington and the City of Federal Way. Owner or agent: Date: 1t 4- (O -Lo (-� 9 THIS CARD IS TO REAMN ON-SITE * - _ `. CITY OFConstruction Inspalion Record Federal Way INSPECTION REQUESTS: (253)835-3050 PERMIT#: 15-106260-00-EL Address: 32935 1ST AVE S Project: C G L PACIFIC LLC FEDERAL WAY, WA 98003-6304 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. O UFER Ground (4295) 0 Ditch cover(4030) 0 Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date Pool Bonding(4195) El Temporary Power(4275) 0 Service(4235) �^ Approved Approved Approved By Date By Date By Date o Feeders/Sub-panels(4045) CI Rough Electrical(4225) 0 Ceiling Cover(4020) Approved Approved Approved By Date By Date By Date `0 Final-Electrical(4055) Approved Z Date i2_1.,4— (c„--- El Rough Electrical CIFinal Electrical Right of Way Approved Approved Approved By Date i By Date By Date RECEIVE® ' 4111116. • 77 9 LEC'I'RICAL w CITY OF ,,,� DEC 1 2015 Federal Way em of FEOE �WAY PERMIT APPLICATION cps PERMIT NUMBER 15 _ I 0 6 ` r� 7 j / ! `2 _ SUITE/UNIT/SPACE# SITE ADDRESS: 3,2 q,35- i S I A- PROJECT VALUATION7 ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE C7 - PROJECT NAME 7-if STod Z.*-2-72 &y (Tenant or Homeowner Last Name) PI.S00i WO -G7 t ag.L3ciNWOC7 w A-0 -- (IJ PROJECT DESCRIPTION CSC 1' 2'L(cT-(G- gafr/!Q(..(� P �- -' Detailed description of work to be included on this permit only NAME 'n PRIMARY PHONE PROPERTY OWNER 7- 1( C O • (x•53)q 6012-- MAILING ADDRESS E-MAIL XZ6/55- l 7- ,4Of s CITY STATE ZIP FAX R ab L374-- 1 UM-- t Ce3 ( ) - NAME PRIMARY PHONE (9D(NTtEk. EteC-raiLic( (NC. (360)757- t 2O MAILING ADDRESS E-MAIL ELECTRICAL 1 ENS- Tog--1 o lion`^D CONTRACTOR CITY STATE Zip FAX (2)ow (k- til3 022 2- ( ) WA STATE CONTRACTOR'S LICENSE# EXP TI N DATE FEDERAL WAY BUSINESS LICENSE# Pow 2RI14 S 3 t7 2.0-0 -toi 4 6,100ez. NAME / PRIMARY PHONE APPLICANT V l L ( 11,‘_1( SA- (36©)7 r 000 MAILING ADDRESS E-MAIL (176Lt. ,R2C Y'o 2 %' 4owe,,,re POin--e k ,(4)/14 CITY STAT P FAX 210W Q14 ZI?823 2.-- ( ) - NAME PRIMARY PHONE PROJECT CONTACT Gi‘.), PD(A)-1 (.)) 757'- 13o 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. �j, SIGNATURE: �i DATE (o,—IV—PO( r PRINT NAME: Il/ L/ t�-1•I 5j4 Bulletin#160–January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application