16-102749• - r 0 • Electheal'
City of Federal Way
Community & Econ. Nv. Services Permit #: 16-102749-00-EL
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: 253 835 -3050
Ph: (253) 835 -2607 Fax: (253) 835 -2609 a
Project Name: MY GOODS MARKET UNITED PACIFIC #5483
Project Address: 2535 S 320TH ST
Project Description: Modify existing circuit for new coffee maker.
Parcel Number: 599970 0010
Owner
An lia cant
Contractor
REGULATORY AFFAIRS DEPARTMENT
GARIN HAGEDORN
HARBOR NORTHWEST ELECTRIC LLC
AFRO, LLC DBA UNITED PACIFIC
HARBOR NORTHWEST ELECTRIC LLC
HARBONES54MI (8/3/17)
17311 S MAIN ST
1404 17TH AVE
140417TH AVE
GARDENA CA 90248
BATTLEGROUND WA 98604
BATTLE GROUND WA 98604
Additional Permit Information
Electrical Work Valuation ? ......... ...........................1000
Is Use Educational or Institutional ? ....................... No
Electrical Fixtures
Circuits - Commercial. ................... 1
Is this an Online or O.T.C. application ? .................Yes
Service greater than 999 Amps? .............................No
PERMIT EXPIRES Tuesday, June 6, 2017
Permit Issued on Monday, June 6, 2016
hereby certify that the above information is correct and that the construction on the above described property and
the occupancy an the use 11 be in accordance with the laws, rules and regulations of the State of Washington
,and the City of Federal Way.
Owner or agent: � Date:��G
FINp1.Eo
THIS CARD IS TO ON -SITE
Construction In ect I Retard
Federal W� INSPECTION REQ TS: (253) 835 -3050
PERMIT #: 16- 102749 -00 -EL Address: 2535 S 320TH ST
Project: REGULATORY AFFAIRS DEPARTA FEDERAL WAY, WA 9$003 -5443
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.
❑
round
Ditch cover ( )
By
Slab/Concrete Floor
Approved
0
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
Approved
By Date
Feeders/Sub- panels (4045)
Approved
By Date
0 Final - Electrical (4055)
Approved
By Vj Date 1,'4'
11
Temporary Power (4275)
Approved
By
Date
Right of Way
Approved
0
Rough Electrical (4225)
Approved
By
Date
11
Service (4235)
Approved
By
Date
Right of Way
Approved
By
Ceiling Cover (4020)
Approved
By
Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
JUN 6 X016 ELECTRICAL
CITY of f•-1 NJ AY
Federal Way cjV ov Fcos PERMIT APPLICATION
PZWW NvMMR
I certifiy under penalty of pe jroy that r awe the PrQPW c owner or aatiwriwd aysat of the Ps Oft oar 1 oa t{fy that tv the neat a
my knowledge, the ir4formatlon subm#tsd In support of this pomw qpplicatfoa is true and correct. I cortU t that I Will lulus all
cappllouble city of Bederal Bray regulations pertaining to the uxn* aut/ortard by the issuance N' a pennib 1 understand that the
issuance of this permit does not rwkowe the owner's responsepaittl 1br compliance WM local r or federal laws regulating
construction or onviranotenial laces.
I further agrw to hold harmless the City of Federal Willi as to asy claim (ineludisg costar expensaa, and attorneys' fees incarnrd in
the investigation. and dojense of suck cleini w1kich stag be made by argr psraon, tneWding the undersiynad, and the e
but only where claim arises out of the reliance of the city, irketccd6kg its ofJloers and employees, upon
infbrnkation to the Aft as a part of this appticadon.
MGMATUM nwTS b - D(o
PRINT Nw�ss: �
PERM" C=T= + 33325 8th Avenue South + Federal Way, WA 98003 -6325
253- 835 -2607 + FAX 253- 835 -2609 + permitcenter (ctcityoffederalway.com
Bulletin #160— April 14, 2016 Page 1 of I ]OHandouts\11lectrical Permit Application
«1.'L...
SQITE /UR1T /specs #
SITE ADDRESS: S . 35A(i 74
ST.
q 9002
s7oRE
PROJECT VALIIATIOR
ABEnsW" TAX/PARCM i
! /PROP'OSIW Um
$
PROJECT NAME
(Tenant or Homeoumer Last Name)
I Fr E>4
f
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
KAME
PRifIARY Poo=
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CONTRACTOR
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WA STATE 00MRACTORB IJC88HE # EXPE"TIOR DATE
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TEDWAL WAY suantaw mcca E #
APPLICANT
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PRDeARY PaORE 9 Z
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WMAIL
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VVA
PAX
PROJECT CONTACT
RAMS
PRIMARY PROBE
-
I certifiy under penalty of pe jroy that r awe the PrQPW c owner or aatiwriwd aysat of the Ps Oft oar 1 oa t{fy that tv the neat a
my knowledge, the ir4formatlon subm#tsd In support of this pomw qpplicatfoa is true and correct. I cortU t that I Will lulus all
cappllouble city of Bederal Bray regulations pertaining to the uxn* aut/ortard by the issuance N' a pennib 1 understand that the
issuance of this permit does not rwkowe the owner's responsepaittl 1br compliance WM local r or federal laws regulating
construction or onviranotenial laces.
I further agrw to hold harmless the City of Federal Willi as to asy claim (ineludisg costar expensaa, and attorneys' fees incarnrd in
the investigation. and dojense of suck cleini w1kich stag be made by argr psraon, tneWding the undersiynad, and the e
but only where claim arises out of the reliance of the city, irketccd6kg its ofJloers and employees, upon
infbrnkation to the Aft as a part of this appticadon.
MGMATUM nwTS b - D(o
PRINT Nw�ss: �
PERM" C=T= + 33325 8th Avenue South + Federal Way, WA 98003 -6325
253- 835 -2607 + FAX 253- 835 -2609 + permitcenter (ctcityoffederalway.com
Bulletin #160— April 14, 2016 Page 1 of I ]OHandouts\11lectrical Permit Application
«1.'L...