15-101131 •
Electrical
City &Federal Way Permit #: 15-101131 -00-E L
Community Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 InspectionFILEq
Project Name: BELMOR PARK
' Project Address: 2101 S 324TH ST Parcel Number: 162104 9037
Project Description: Installation of automated gate controls.
Owner Applicant Contractor
BELMOR HOLDINGS LTD TYSON ELECTRIC LLC TYSON ELECTRIC LLC
1571 BELLEVUE AVE W SUITE 210 PO BOX 1673 TYSONEL95OCC (2/2/17)
VANCOUVER BC SUMNER WA 98390 PO BOX 1673
CAN SUMNER WA 98390
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
Low Voltage-Other(Commercial 1
PERMIT EXPIRES Saturday, September 5, 2015
Permit Issued on Monday, March 9, 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 accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: " ` Date: -3/
7
THIS CARD IS T MAIN ON-SITE
CITY OF - •
,at*a.... Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 15-101131-00-EL Address: 2101 S 324TH ST
Project: BELMOR HOLDINGS LTD 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.
UFER Ground (4295) 0 Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
O Pool Bonding(4195) ❑ Temporary Power(4275) Service(4235)
Approved Approved Approved
By Date By Date By Date
• Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
El Final-Electrical(4055)
Approved
By Date t{ I
111 lc—
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
CITY OF _.,,,,,,,,N. 8
ELECTRI AL
Federal Way PERMIT APPLICATION
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PERMIT NUMBER J 5_ / 0 / /3 / _ / A M,4 n O.9
�. !!! 777 VVV✓✓/ C o rT 2015
SITE ADDRESS: da 1 0 s - 3„2..q -� s T SUITE/UNIT/SPACE s CFbERA
PROJECT VALUATION ASSESSOR'S TAX/PARCEL S CURRENT/PROPOSED USE CbS i . Wq y
$ 0,oo d l G 2 1 6 i-! - 9 0 3 7
PROJECT NAME I /_
(Tenant or Homeowner Last Name) 6 44o e._ of a K
I 1)sTA-cc (,�7 e U�-d-l�rd� u�P,t 7-
PROJECT DESCRIPTION ® CO f••)('-if L S
Detailed description of work to
be included on this permit only
N / /) / PRIMARY PHONE
PROPERTY OWNER S`.4( I /Uo�r L HOME lV/f a Le 529997 ( )
MAILING ADDRESS E-MAIL
21 b1 5 3 ,qt- sr
CITY STATE ZIP FAX
-E-bei4wr4y w 14 9 S'0 0 3 ( )
RAMP
/J6 'f" V c 4 LC (AO) PHONE
33 7
G AD
ELECTRICAL 7o.
X /6 7 3 tysotiELEcE•M`eL.c{14y-
s ' e
CONTRACTOR CITY STATE ZIP FAX
S(A/time 609 ?'81376 UV)34.5"---6W 6
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
Tso6 E C 9'SO C c U Z /d 2_/..261-1
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS ( ) E-MAIL.
CITY STATE ZIP FAX
( )
NAV PHONE
PROJECT CONTACT om/rm A �Rt^ (Ao )PRIMARY
I certify under penalty of perjury that I 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 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 arty 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.
.0/j" .- 5
SIGNATURE: ,Ir�/`'� �; DATE
PRINT NAME:_ g (f1 ' / r^� �O
Bulletin#160—January 1,2013 Page 1 of 2 k:U3andouts\Electrical Permit Application