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HomeMy WebLinkAbout15-106200 �I�YFA. ELECTRICAL
Federal Way PERMIT APPEftArVEDN
PERMIT NUMBER 15 _ ( 0 0 0200 0 O OFT o s 2015
_ C O�Q _FEDERAL rYI4L
SUITE/UNIT/SPACE it 7
SITE ADDRESS: w i 1 i
2 S,1 L:)ll feu' 1 - <�,. ,f,. �L" ' —.-
PROJECT VALUATION ASSESSOR'S TAR%PARC A f ,{ , ! CURRENT/PROPOSED USE
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PROJECT NAME _ • t i
(Tenant or Homeowner Last Name) -ti/jar ,- /-e cc. ti'2 {c a .i 1 ,„)
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PROJECT DESCRIPTION7` C S�1 le i C 'r�};e �,, IP
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Detailed description of work to
be included on this permit only r t i)..v.-- /�
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NAME PRIMARY PHONE
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PROPERTY OWNER i ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( ) -
NAME PRIMARY PHONE
l' ® /
MAILING ADDRESS E-MAIL 1
ELECTRICAL ?x ';, r�syy7 {^
CONTRACTOR CITY, STATE ZIPCFAX
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WA STATE CONTRACTOR'S LICENSE• EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE A
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NAME PRIMARY PHONE
APPLICANT WAILING ADDRESS ) E-MAIL
CITY I STATE I ZIP FAX
L.___ , ___( ) -
NAME ; -) , f?�r , - PRIMARY PHONE
PROJECT CONTACT ( y,,. /,‘7,'Y Ci:• ) S7.,,'' - c,',.„-_,', --",-,--,'-
I certify under penalty of perjury that 1 am the property owner or authorised 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 1 will comply with
all applicable City of Federal Way regulations pertaining to the work authorised 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 Iaws.
/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 oft application.
SIGNATURE: � Z '` ./�',2z----„-_,,,,,--t----- DATE ' — ✓�
PRINT NAME: ,, t^1p�` f'`''' /1. / r;� f _
Bulletin#160–January 1,2013 Page 1 of 2 k'\Haudouts\Electrical Permit Application
,y 1
• Film•E
ectrical
City of Federal Way i s
Community&Econ.Dev.Services Permit #: 15-106200-00-EL
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2807 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: BAN SOMTUM HEALTHY THAI BISTRO
Project Address: 35109 PACIFIC HWY S Parcel Number: 202104 9047
Project Description: Add(16)circuits for dedicated kitchen appliances,install new dining lighting and
miscellaneous TI wiring. -
• Owner Applicant Contractor
CHUN SUK OH ELDON BROWN E G ELECTRICAL CONTROL
DUK SUN E G ELECTRIC CONTROL EGELEC*000OR(9/19/16)
705 SW 353RD PL P.O.BOX 58984 PO BOX 58984
• FEDERAL WAY WA RENTON,WA 98058-1984 RENTON WA 98058
98023
Additional Permit Information
Electrical Work Valuation 9000 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. 16
PERMIT EXPIRES Sunday, June 5, 2016
• Permit Issued on Tuesday, December 8, 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 - I_, ce with the laws, rules and regulations of the State of Washington
d the City of Federal Way.
Owner or agent: Date: I I" H - C�'
Roto I prKo lil/tt :4 ts1/1 tr1 `(t.4-
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. THIS CARD IS TO .MAIN ON-SITE
Fed�r �W�,y •• Costruction In ection Record
INSPECTION REQU TS: (253) 835-3050
PERMIT#: 15-106200-00-EL Address: 35109 PACIFIC HWY S
Project: CHUN SUK OH FEDERAL WAY, WA 98003-8310
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.
LIFER Ground (4295) Ditch cover
0 ❑ ❑ Slab/Concrete Floor(4255)
Approved Approved(4030)
Approved to place concrete
By Date By Date
By ( Date t — tom
❑ Pool Bonding(4195) ❑ Temporary Power(4275) 0 Service(4235)
Approved Approved
Approved
By Date By Date By Date
j Feeders/Sub-panels(4045) *❑ Rough Electrical(4225) '❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By
�-- .... 7� Date c1-10-11e By Date
❑ Final-Electrical(4055)
Approved
By 10) Date L, 'YIIl
CI Rough Electrical El Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date