14-101021 .Electrical
City of Federal Way
Community&Econ.Dev.Services -• Permit #: 14-101021 -00�EL
33325 8th Ave S in Fr a r
Federal Way,WA 98003 Ins ection Re uest Line: 253 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
Project Name: PIZZA HUT/WING STREET
Project Address: 29007 MILITARY RD S Parcel Number: 042104 9037
Project Description: Relocating the existing 200 amp panel,HVAC circuits for equipment,etc. Also,Low
Voltage wiring for data/phone.
Owner Applicant Contractor
EXECUTIVE HOUSE INC D RIDDING ELECTRIC D RIDDING ELECTRIC
7517 GREENWOOD AVE N 104 148TH PL SW DRIDDE*061B7(1/27/14)
SEATTLE WA 98103 LYNNWOOD WA 98087 104 148TH PL SW
LYNNWOOD WA 98087
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
No Fixtures Associated With This Permit !!
PERMIT EXPIRES Tuesday, September 2, 2014
Permit Issued on Thursday, March 6, 2014
I hereby certify that the e inf. ation is correct and that the construction on the above described property and
the occupancy an. u - wil .= in ordance with the laws, rules and regulations of the State of Washington
i r/, and the City of Federal Way.
I 0'S •Ob • ��!
Owner or agent: Date: `�
THIS CARD IS TO MAIN ON-SITE -
"n QF Construction In ection Record
Fe d era! Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 14-101021-00-EL Address: 29007 MILITARY RD S
Project: EXECUTIVE HOUSE INC FEDERAL WAY, WA 98003-7912
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.
El Service(4235) 0 Feeders/Sub-panels(4045) El Rough Electrical (4225)
Approved Approved Approved
By Date 'By Date B --t--•
s Date 3_ze- (�
0 Ceiling Cover(4020) El Final-Electrical(4055)
Approved Approved
By ..ivi Date ..-k y;-kti
By C\)41.K01 Date S- ` ‘
0 Rough ElectricalEl Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
�,noF ELECTRICAL
Federal Way MAR 0 6 2014 PERMIT APPLICATION
CITY OF FEDERAL W/
CDS
PERMIT NUMBER ( if _ 1 0 I u / _ 00
SUITE/UNIT/SPACE#
SITE ADDRESS: Z'l 60'7 M ) /rimy R S
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ y 1o1i0, -- -
PROJECT NAME ) t2/4•211 K r t r/ 14 r�4 m gr.
(Tenant or Homeowner Last Name
775v4/ i- ‘.7m"'deo d /K�2v i - k:�Z '.v -.r EX i$i//t"I, a I -
PROJECT DESCRIPTION /'/f N'-EL / I-1 fr AG/ C%/&-14 !T,f )P_ e A(l t'0vr 8% ETC
Detailed description of work to J j L/D C-771-46 �)EJA2E. �p D 7// otJ�
be included on this permit only '�+
NAM PRIMARY PHONE
PROPERTY OWNER (? `! ( ) -
MAILING ADDRESS _ E-MAIL
c,i + c-,turn c'I rite t".
CITY. STATE ZIPFAX
NAME,� PRIMARY PHONE
i) Rf.()o/t/Ej kc L& r/f/L ( ) -
MAILING ADDRESS E-MAIL
ELECTRICAL J y — / l k r4 PL
CONTRACTOR CITY STATE ZIP sFAX
R.�,/AJ1 J hJD ) 1i
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WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
a:`Jv // L) %14/ O'/ /3 7- O//,-'' //6
NAME PRIMARY PHONE
APPLICANT ��" / a/�/�/�I (;''./,51 56i; - 6 -O
MAILING ADDRESS E-MAIL
CITY STATE ZIP ( FAX
( )
PROJECT CONTACT `1}(4/4/71/ Ob/E
A-V PRIMARY
r j , PHONE
7
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 suc lai arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supp 'e, o t, city p of this application.
SIGNAT • o: 4 / , DATE 4' ' /tl I,
`
PRINT NAME: Z / 'fL D/A 4
Bulletin#160—January 1,2013 Page 1 of 2 k:AHandouts\Electrical Permit Application