14-102175 •
-• • • Electrical
City of Federal Way Permit #: 14-102175-00-EL
Community&Econ.Dev.Services FILE
33325 8th Ave S
Federal Way,axsaoo3 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:: eca
(253)835-2609 p
Project Name: PIZZA HUT
Project Address: 29007 MILITARY RI)S Parcel Number: 042104 9037
Project Description: Low-voltage wiring for fire alarm modifications.
Owner Applicant Contractor
EMERALD CITY PIZZA LYNSEN ELECTRONICS LYNSEN ELECTRONICS
12121 HARBOUR REACH DR SUITE 200 PO BOX 9537 LYNSEEC099JH(6/22/15)
MUKILTEO WA 98275 SEATTLE WA 98109 PO BOX 9537
SEATTLE WA 98109
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-Fire Alarm(Comm( 1
PERMIT EXPIRES Sunday, November 16, 2014
Permit Issued on Tuesday, May 20, 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 the Cityt�)f Federal Way.
Owner or agent: % lam / Date: �' w l
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HIS CARD IS TO MAIN ON-SITE
CITY OF
Construction In ection Record
Federal.Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 14-102175-00-EL Address: 29007 MILITARY RD S
Project: EMERALD CITY PIZZA 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.
O UFER Ground (4295) Q Ditch cover(4030) ci Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
O Pool Bonding(4195) 0 Temporary Power(4275) 0 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
B� cc— Date -ZZ— V) .
El Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
p RECEIVED S
�1► ELECTRICAL
CITY OF MAY 12 2014
Federal Ways APPLICATION
CITY OF FEDERAL WAY
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PERMIT NUMBER / 7 _ r Q /FED.
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SUITE/UNIT/SPACE#
SITE ADDRESS: (9U--/ M,11 C� + 4Te> w�\/ CICx)3
PROJECT VALUATION ASSESSOR'S TAX/�lkItCEL# • "", CURRENT/PROPOSED USE
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PROJECT NAME , 1Z� L� I --
(Tenant or Homeowner Last Name) �� W Pry �'
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PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
L\(O&Da Oce.-- ,.JU-.S 3101, Sic-NAL ( 2.ex,j36ct - t gyp
MAILING ADDRESSE-MAIL
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ELECTRICAL a 615 letA3.
CONTRACTOR CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
L._\ taSEEL-oct /
NAME PRIMARY PHONE
APPLICANT INS e-►-) ��� cU.xcs 310 A S,.6,L 17.C6 ) 364. - t4.4
MAILING ADDRESS E-MAIL
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CITY ''ff STATE ZIP FAX
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NAI1L PRIMARY PHONE
PROJECT CONTACT
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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 clai .rises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to e •ty as a part o is application. (/
SIGNATURE: DATE S r(Z
PRINT NAME: IA) \Il
Bulletin#160—January 1,2013 Page 1 of 2 k:AHandouts\Electrical Permit Application