14-105989 Electrical
u
City &FederalWayS Permit #: 14-105989-00-EL
Community&Econ.Dev.Services
33325 8th Ave SF ILE
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
Project Name: PARTY CITY
Project Address: 31413 PACIFIC HWY S Parcel Number: 082104 9216
Project Description: Install(2)new and relocate(4)existing thermostats for associated tenant improvement
Owner Applicant Contractor
PAVILION CENTER ASSOCIATES C F M HEATING AND COOLING INC C F M HEATING AND COOLING INC
3333 NEW HYDE PK RD STE 100 (ELECTRICAL) (GENERAL)
NEW HYDE PARK,NY 11042 PO BOX 3205 CFMHEHC969CD(2/4/16)
KIRKLAND WA 98028 PO BOX 3205
KIRKLAND WA 98083
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
Thermostat 6
PERMIT EXPIRES Sunday, May 17, 2015
Permit Issued on Tuesday, November 18, 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
.77a the City of Federal Way. `/ / /[�
Owner or agent: G-6/764-' Date: `('�l��l L
t5
FINALED
0 THIS CARD IS TO IN ON-SITE
CITY OF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 14-105989-00-EL Address: 31413 PACIFIC HWY S
Project: PAVILION CENTER ASSOCIATES FEDERAL WAY, WA 98003-5403
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) ❑ Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
❑ Pool Bonding(4195) ❑ 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 Byes Date ) .—S—= I
'0 Final-Electrical(4055)
Approved
By WS Date 11.I$ i lit
El Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
•
CITY OFIr! :
EL CTRICAL
Federal Way PERMIT APPLICATION
RECEVED
PERMIT NUMBER ( _ 0 5 q V _ 00NOV1 $ 2014
CITYuPkiFi . WAY
SITE ADDRESS: 311(3 pact 'C Hit tl, r6. CDS
PROJECT VALUATION ASSESSOR'S T IAX//"PARCEL# CURRENT/PROPOSED USE
$ Loo o e 2 1 o - 9 .2_ 1 ,1 ge.-EGI'1
PROJECT NAME
(Tenant or Homeowner Last Name) Pof 4t/ Ct sty
PROJECT DESCRIPTION Tr16-CI ii 2 eiri,. `E./t ✓/165 f ci 3 Ord reiDOTe 11 0(i5+i0,5
Detailed description of work to lvt'QV- 4` f5
be included on this permit only `"
NAMEPRIMARY PHONE
PROPERTY OWNER Pa(.1'`r w,e-c 1 Coy, ( ) -
MAILING ADDRESS 1 E-MAIL
26 (ree11 P� jz
CITY STATE ZIP FAX
gCCkau)4 y Ally 0113 WL ( ) -
NAMEM Re�j PRIMARY PHONE
C
MAILING ADDRESS c and Coo ('I�5) OZj - f 7I3
E-MAIL
ELECTRICAL RD- LAK 3205
CONTRACTOR CITY STATE ZIP FAX
14'lr laar , to/1- 98045 (GIZS) 8 1 - /3q3
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
CFMN FMg53 ec' 1) / 3o //5
NAME PRIMARY PHONE
APPLICANT CFM flack?) C A (tfa5)(3Z( - (2/.3
MAILING ADDRESS �, E-MAIL
e. evi S JPcecr y @ CFM-IINC'_om
CITY,C(til"U`C!S �A STATE ZIPq� 3 (etz3—)601 ei FAX- /30
NAME PRIMARY PHONE
PROJECT CONTACT f exu Modltir (GIZ5)5-03 - Kf3D
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 as a part of this application.
SIGNATURE: (---1-(---1--61-t.' DATE 1(-- /v --/Y
PRINT NAME: jafellh / / (d[e -
Bulletin#160-January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application