14-103523 s
t • • Electrical
City of Federal Way Permit #. 14-103523-00-EL
Community&Econ.Dev.Services •
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: PAPA MURPHY'S
Project Address: 31653 PACIFIC HWY S VVIt.+- f Parcel Number: 082104 9196
Project Description: Electrical work for tenant improvements.
Owner Applicant Contractor
HARSCH INVESTMENT PROPERTIES LLC WESTSIDE WIRE LLC WESTSIDE WIRE LLC
1121 SW SALMON ST 2801 BICKFORD AVE SUITE 103 WESTSW892KL(7/23/15)
PORTLAND OR 97205 SNOHOMISH WA 98290 2801 BICKFORD AVE SUITE 103 ^
SNOHOMISH WA 98290
Additional Permit Information
Is this an Online or O.T.C.application Yes Is Use Educational or Institutional? No
Service greater than 999 Amps? No
Electrical Fixtures'
Alt.Srvc/Feeder 0 to 200 amps(C 1
PERMIT EXPIRES Monday, January 12, 2015
Permit Issued on Wednesday, July 16, 2014
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 Washington
and th Cf Federal Way.
Owner or agent: Date: /6.A"/-
FINALE
THIS CARD IS TO MAIN ON-SITE ,
„NA,
Federal Way Construction In ection Record
SPECTION REQ TS: (253)835-3050
PERMIT#: 14-103523-00-EL Address: 31653 PACIFIC HWY S
Project: HARSCH INVESTMENT PROPERTI 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.
o UFER Ground (4295) ❑ Ditch cover(4030) Ei Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
0 Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
o Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
o Final-Electrical(4055)
Approved
By tilA4 Date 1 G 11.0 L jer
El Rough Electrical El Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
• RBCEIVEDEPECTRICAL
CITY OF ' „,,,. JUL 16 2014
Federal Way PERMIT APPLICATION
CITY OF FEDERAL WAY
CDS
PERMIT NUMBER / / 3 5 t? 3 _ v
4,0
SUITE/UNIT/SPACE M
/SITE ADDRESS: 3/ (1, 53 Pi.-`� 1
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name) A `'N'iN(}� I
&-onctre etec-k-c--ir-A( /let—) if.'n.AAtd—
PROJECT DESCRIPTION a ' k ' "" (
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER ( ) —
MAILING ADDRESS E-MAIL
/05 s
CITY STAT ZIP FAX
IePA l ,J � �g ( ) -
NAME /TIMAR( �bE L�r‘Act 4((('''"77t �X )' Y-PHONE
43
MAILING ADDRESSE-MAIL
i�
ELECTRICAL Deo �� Y� ` /oe
CONTRACTOR CITY STATEZ FAX
5no hom.5 U.�,,R .D7v ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
KZ-
NAME PRIMARY PHONE
APPLICANT ( )
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
N E PRIMARY PHONE
PROJECT CONTACT fab C
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: DATE '7//6 1/41
PRINT NAME: 61-\ W)Z
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application