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08-1039054 r City of Federal Way Community Development Services P.O. Box 9718 Federal Way, WA 98063 -9718 Ph: (253) 835 -2607 1 ax: (253) 835 -2609 Project Name: Project Address: Project Description: Electrical Perm #:- 08- 103905 r00-E L Inspection Request Line: (253) 835 -3050 ACE HARDWARE NORTHSHORE VILLAGE 35419 21ST AVE SW Parcel Number: 252103 9002 In conjunction with 08- 103902 perform portion of entire scope of work altering up to (20) circuits for TI. Owner Applicant Contractor DAVID HOEK INTERBAY ELECTRIC INC INTERBAY ELECTRIC INC DAVID'S FEDERAL WAY LLC 20603 ISLAND PKWY E INTERI *9820Q (9/20/08) PO BOX 8164 LAKE TAPPS WA 98391 20603 ISLAND PKWY E TACOMA WA 98418 LAKE TAPPS WA 98391 Additional Permit Information Service greater than 1000 Amps ? ..........................No Electrical Fixtures .................. 20 PERMIT EXPIRES Saturday, August 15, 2009 Permit Issued on Friday, August 15, 2008 1 hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the will be in accordance with the laws, rules and regulations of the State of Washington and the City of Federal Way. Owner or agent: -- Date: (S ` ) K-�c°, s- A1,4 City of Federal Way Electrical Per ##: 08'- 103902 06-EL Community Development Services DAVID HOEK - P.O. Box 9718 DAVID'S FEDERAL WAY LLC 2605 NE FERN GLEN RD Federal Way, WA 98063 -9718 Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 835 -3050 Project Name: ACE HARDWARE NORTHSHORE VILLAGE Project Address: 35419 21ST AVE SW Parcel Number: 252103 9002 Project Description: Alt up to (20) circuits for Ti. Add /alter outlets, switches and changing out fluorescent lighting to T -8 lights. Owner Applicant Contractor DAVID HOEK JOHNS ELECTRIC JOHNS ELECTRIC DAVID'S FEDERAL WAY LLC 2605 NE FERN GLEN RD JOHNSE *271B9 (11- 30 -08) DAVID'S FEDERAL WAY LLC PAULSBO WA 98370 2605 NE FERN GLEN RD PO BOX 8164 PAULSBO WA 98370 TACOMA WA 98418 Additional Permit Information Service greater than 1000 Amps ? .......................... No Electrical Fixtures Circuits - Commercial .................... 20 PERMIT EXPIRES Saturday, August 15 2009 Permit Issued on Friday, August 15, 2008 1 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 cordance with the laws, rules and regulations of the State of Washington and t City of Federal Way. Owner or agent: Date. �? /c-- b r THIS CARD IS TO MAIN ON-SITE. CITY OF fommunity Developm t Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050 PERMIT #: 08- 103902 -00 -EL Owner: DAVID HOEK Address: 35419 21ST AVE SW FEDERAL WAY, WA 98023 -3058 This card is part of your required inspection documents. 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 pproved to place concrete By Date By Date By Date _ ❑ Pool Bonding (4195) ❑ Temporary Power (4275) ❑ Service (4235) Approved Approved Approved By Date By . Date By Date ❑ ❑ Feeders /Sub - panels (4045) Rough Electrical (4225) E] Ceiling Cover (4020) Approved Approved Approved By Date By Date <5 '�� By Date ❑ Final - Electrical (4055) Approved By Date ff7 °�G� For inspector reference only ❑ Rough Electrical ❑ FINAL - Electrical Approved Approved By Date By Date j CRY OF AUG 1 5 8 Feiidl VU3y �j� MIT SF MF CO M L PL DE EN FP COMARINI7Y DEVELOPAffiNf ;8 O F FED LW F80BRAL WAY, WA "063-9718 MIT 8TM AVENUE SOUTN 253-935-2607- AX 253 - 8352609 CD A P L I C AT I O N www.cituoffe4crahmu.com l The following is required Wormation -an incomplete application will not be accepts Please print legibly (in inl4 or type. PROPERTY •• • SITE ADDRESS SS q % SUITE/UNIT i ASSESSOR'S TAX /PARCEL i - _ LOT SIZE (st) LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) (A-ch separate page for 1-wd g legal d --WdW4 PROJECT • • TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION�ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work inctuded on this permit oniul PROJECT NAME (Name of Business or Owner Last Name) l ��lly PROPERTY OWNER CONTRACTOR APPLICANT PEOPLE INFORAIATION NAME pao, PRIMARY PHONE • ( - ADDRESS CITY, STATE, ZIP E -MAIL ADDRESS V(LING ° 1,5c,-,A 1 `� `7j$ EXPIRATION DATE COMPANY �NAME APwP- LI- CCA�NT� NAME OFFICE PHONE /OFFICE P�.HOONE Z MAILING ADDRESS / Z-o 63 I L^,-AMC- H..rY t7 CITY, STATE, ZIP 1' L,-^ 4 CELL PHONE Z,- b ? CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER t � - CONTRACTOR'S REGISTRATION NUMBER R"IRATION DATE E-MAIL ADDRESS 12t q Zc 'lrp- ZCr,> . l,. V COMPANY NAME APPLICANT NAME OFFICE PHONE MAILING ADDRESS 5A--► CITY, STATE, ZIP CELL PHONE - RELATIONSHIP TO PROJECT ❑ Architect ❑ Tenant ❑ Agent ❑ Other FAX NUMBER PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS CONTACT o,� (�.nS , �_ t Z.* o - t4 7_t LENDER EXISTING USE NAME Per RCW 19.27.095. Lender Wormation is required if project value exceeds $5,000 MAILING ADDRESS CITY, STATE, ZIP PHONE PROPOSED USE EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? 0 YES 0 NO WATER SERVICE PROVIDER O LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE (WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE (SEPTIC) Ir'tit'11. LaM AREA DESCRIPTION EXISTING 3 . FT. PROPOSED S . FT. TOTAL S . FT. BASEMENT BBQS FANS GAS WATER HEATERS MISC (Describe) FIRST FIREPLACE INSERTS HOODS Ic*nwwd q COMPRESSORS SECOND RANGES DUCTS GAS LOG SETS THIRD PLEMBLArG UP /SEPA /SU? ADDITIONAL FLOORS (DESCRIBE) LAVE (s.d.. skd* URINALS MISC (Describe) DISHWASHERS DECK (O COVERED OR 0 UNCOVERED?) VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS GARAGE O CARPORT 0 ELECTRIC WATER HEATERS SINKS WASHING MACHINES NUMBER OF FLOORS 12�i&o rxoroasv Tone, ToreL ZZMa n u TarnL rsar+Osv ar TOTAL Sr "NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ FIXTURES Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fi aures to remain. Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION) AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES BBQS FANS GAS WATER HEATERS MISC (Describe) BOILERS FIREPLACE INSERTS HOODS Ic*nwwd q COMPRESSORS FURNACES RANGES DUCTS GAS LOG SETS REFRIG. SYSTEMS PLEMBLArG UP /SEPA /SU? BATHTUBS ("r rub /Shm.. C." LAVE (s.d.. skd* URINALS MISC (Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS (raseq ELECTRIC WATER HEATERS SINKS WASHING MACHINES HOSE BIBBS SUMPS I cer fy under penalty of perjury that I am the property owner or authorised agent of the property owner. I cent{ jy that to the best of my knowlea ^ the information submitted in support of this permit application is true and correeL I cert(fy that I 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 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 mag be made by any person, including the undersigned, and filed against the city, but only where such claim arise ut of the reliance of the city, including its officers and employees, upon the accuracy of the triformation supplied to the city as a part of th* a plicatk- SIGNATURE: Owner and /or Authorized 6 -iLi - 6 a NEW a ADDITION o ALTERATION a REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES a NO ZONING DESIGNATION CHANGE OF USE? o YES a NO NEW ADDRESS REQUIRED? o YES a NO UP /SEPA /SU? o YES a NO PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? o YES o NO Bulletin #100 —January 1, 2008 Page 2 of 4 MandoutAPeimit Application