15-106168 •
electrical
City of Federal Way Permit #: 15-106168-00-EL
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line:
Ph:(253)•835-2607 Fax:(253)835-2609 P q (253)835-3050
Project Name: H-MART-WAFFLE COUNTER
Project Address: 31217 PACIFIC HWY S Parcel Number: 082104 9186
Project Description: Add 8-circuits for outlets and lights.
Owner Applicant Contractor
JOONG GAB KWON NW ELECTRICAL LLC NW ELECTRICAL LLC
HAN AH REUM MART INC DBA:H MART 8507 LUZADER LN SW NWELEEL886NP(8/26/16)
40-50 MONTGOMERY ST LAKEWOOD WA 98499 8507 LUZADER LN SW
HILLSIDE NJ 07205 LAKEWOOD WA 98499
Additional Permit Information
Electrical Work Valuation 3000 Is this an Online or O.T.C.application? Yes
Is Use Educational or Institutional? No Service greater than 999 Amps? No
Electrical Fixtures
Circuits-Commercial 8
PERMIT EXPIRES Saturday, June 4, 2016
Permit Issued on Monday, December 7, 2015
I hereby certify th above information is correct and that the construction on the above described property and
the occupancy and the 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:
a "
Lha i� l:5
DATE INSPECTC AREA AND TYPF :F INSPECTION
_1 -Spis
1 ' • THIS CARD IS TO REI.N ON-SITE ` .
CITY OF
Construction Inspection Record
'
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 15-106168-00-EL Address: 31217 PACIFIC HWY S
Project: JOONG GAB KWON 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.
CI UFER Ground(4295) ❑ Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date Date i _co_ k5.--
0
�0 Pool Bonding(4195) ❑ Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
O Feeders/Sub-panels(4045) '❑ Rough Electrical(4225) E Ceiling Cover(4020)
Approved Approved Approved
By Date By iN49 Date 11_( I q-'1S' By Date
•
O Final-Electrical(4055)
Approved
(---.j Date ,a 1 (s'
❑ -Rough Electrical -Q Final Electrical Right of Way
Approved
Date By Approved ApprovedL
By Date By Date
�___
0 RECEIVEDe _ .
I CITY OF rF DEC
o7 2015 ELECTRICAL
Federal Way OF FEDERAL PERMIT APPLICATION
CITY CDS
PERMIT NUMBER / 5--_ a /6 o c_
/ SUITE/UNIT/SPACE#
SITE ADDRESS: 9 lo oki. �1,ic 6/1-V7V
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ 9?001) - - - —
PROJECT NAME L1 j� t 0 (-e y ?
(Tenant or Homeowner Last Name) [47 I))i.A -L c(,? C&' 'u (�,,r-
i.,0.4
., • ' Gv'-r-C*
PROJECT DESCRIPTION II C%i,t. G‘. "1(k) li'pri t- .r7
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER Alla47
I ( ) -
MAILI ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE i
NW EC7Tt(? efi101Cc /QVC'. ( ) / 1/
MAILING ADDRESS '1�,� E-MAIL
ELECTRICAL X24/ -,rd I W-S 3' J
CONTRACTOR CI STATE ZIP > FAX
-ecce L 0"- - 1 gee )3 ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
N'l.1 CLEES Ci-�.5" (9L---
N PRIMARY PHONE
APPLICANT i7 � �`� ( )
MAILING ADDRESSE-MAIL
).)- V/ rc/
1 0 VG SIJ /1)14)C4r M C' -: ti t3rfikti1
CITYSTATE ZIP FAX ' -/
g Lo - LI)/ 9et)2) ( )
NAME ��/ PRIMARY PHONE
PROJECT CONTACT '%-t Vit
'kii. r /WI ( ) _
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 asap of this application.
SIGNATURE: �',. S.:— -
DATEp ---e 2_6,4_42 i
PRINT NAME: - --Cf/) -CJ ��( 11'/N
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application