16-101774 `` • ill 5acctrical
Community City &Econ.Deof Federalv.aServices Permit #: 16-101774-00-EL
33325 8th Ave S
Federal way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
Project Name: WILD WILLY'S WORKWEAR
Project Address: 31430 PACIFIC HWY S Parcel Number: 092104 9256
Project Description: Low-voltage wiring for fire alarm system.
,
Owner Applicant Contractor
JOHN JOHNSON SECURE PACIFIC INC SECURE PACIFIC INC
WILD WILLY'S WORKWEAR 8220 N INTERSTATE AVE SECURPC863MS(7/10/16)
31430 PACIFIC HWY S PORTLAND OR 97217 8220 N INTERSTATE AVE
FEDERAL WAY WA 98003 PORTLAND OR 97217
Additional Permit Information
Electrical Work Valuation? 500 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( I
PERMIT EXPIRES Tuesday, April 11, 2017
Permit Issued on Monday, April 11, 2016
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
nd the City of Federal Way.
Owner or agent: ,t.// Date: y 1- ZDl‘
i
•
t
• THIS CARD IS TO IN ON-SITE
CITY OF -�` �- ' Construction Ins ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 16-101774-00-EL Address: 31430 PACIFIC HWY S
Project: JOHN JOHNSON FEDERAL WAY, WA 98003-5404
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) Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
•
Pool Bonding(4195) 0 Temporary Power(4275) Service(4235)
Approved Approved Approved
By Date By Date By Date
#0 Feeders/Sub-panels(4045) Rough Electrical(4225) Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
Final-Electrical(4055)
Approved
By Date S..1
r
Rough Electrical El Final ElectricalEl Right of Way
Approved Approved Approved
By Date By Date By Date
III
RECEIVED • .
ELECTRICAL
`m OF A APR 11 2016
Federal Way PERMIT APPLICATION
CITY OF FEDERAL WAY
CDS
PERMIT NUMBER( - / 6 L17 - L
SUITE/UNIT/SPACE#
SITE ADDRESS:
3t'-10 Pcic. 'c (- h cru., Souk-1,1
PROJECT VALUATION ASSESSOR'S T ARCEL e 1 CURRENT/PROPOSED USE
$ 421460
- COC' (7 9 al. / O y - ?o-- J6
PROJECT NAME )4c Llys U 'c l �er.R
(Tenant or Homeowner Last Name) L31 C d
Lou" t/dIk«1_ e t--1 Re Pliapvvl Co►c`trllum)1.1ca-li,z
PROJECT DESCRIPTION TAah.t.l/
Detailed description of work to
be included on this permit only
NAME 1 PRIMARY PHONE
PROPERTY OWNER (,i; [J, (AYI I c (.tr11,le k [4.)
ecC a— ((1Z5 ) 23z.- gr/
MAILING ADDRESS E-MAIL
OTT I LI 3n TAC i C r
c iilL 6r SoLC_T lel ,rn� u-�rleW;1L.ildysl✓°,e.� g
FAX •
i%r/e7iJ e.t kJ1 _ 9(T16 ( ) -
PRIMARY PRONE
Sew.e& ?? -Ci',e__ (MS)g,43 - .96/
MAILING ADDRESS
ELECTRICAL 5a1I Oe.c.k 41kci S- e (,J
SPrlfr l ,C` a co
CONTRACTOR cri7r STATE ZIP FAX
Tisco nig I A g5'/ 7 (z53 )4/75 - L1G5 Z
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE
.S56UNI'e.. VZ ri2S 07//D /ZO/L ZD-/Y-2/0;6 i( 4L
NAME PRIMARY PRONE
APPLICANT MAILINQAR �'�— (�3 ) �3f7 - �Ht
/ESS EMAIL
.SR!/ /l tchAtri�S r � It
CITY STATE ZIP FAR
711co.kite trh 9sta•7 (z53 ) yr,? - tiCc
NAME PRIMARY PRONE
PROJECT CONTACT IAi it d t,i Ii (,Jo421 ase/-4- (`115 ) Z.i Z- gig/
I certlJt under penalty of perjury that I am the property owner or authorised agent of the property owner.I cert(fy 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 authorised 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,
information supplied to the city as a part of this lication upon the accuracy of the
SIGNATURE: _L \ .r.Lld DATE C/— /C,
PRINT NAE: &lir T
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