13-101207 •• •
r City of Federal Electrical
111
Community&Econ. ,.S n Permit #: 13-101207-00-EL
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: OBSESSION MOTORCYCLES
Project Address: 30315 PACIFIC HWY S Suite E Parcel Number. 042104 9237
Project Description: Service inspection to activate power for new tenant in suite E
•
Owner Applicant Contractor
JOHN FIORINI JOHN FIORINI OWNER IS CONTRACTOR
4316 S 299TH ST 4316 S 299TH ST
AUBURN WA 98001 AUBURN WA 98001
•
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
Alt.Srvc/Feeder 0 to 200 amps(C 1
PERMIT EXPIRES Wednesday, September 11, 2013
Permit Issued on Friday, March 15, 2013
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 City of Federal Way.
Owner or agent: Date: 3 i.5- 13
• THIS CARD IS TO ON-SITE r ' ,
CITY OF 4A Construction Ins ection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 13-101207-00-EL Address: 30315 PACIFIC HWY S Suite E
Project: JOHN FIORINI FEDERAL WAY, WA 98003-4124
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) 0 Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
O Pool Bonding(4195) Ei Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
J Feeders/Sub-panels(4045) ' 0 Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved / Approved Approved
B _,7 Dates (/ 1-0—.14.1 Date By Date
Final-Electrical(4055)
Approved
B Date-- (ei
(---.
'
0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
i
ELCTRICAL
CITY OF
Federal Way PERMIT APPLICATION
RECEIVED
PERMIT NUMBER _ 1 0 I Z 0 7 CO MAR 1 5 2013
S J 1 ML WAY
SITE ADDRESS: 3 Q 5 S p (-° C k �h R`( s -�- A �45�� CD
PROJECT VALUATION ASSESSOR'STAX/PARCEL# 4 _ 61 � � � CURRENT/PROPOSED USE
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PROJECT NAME
(Tenant or Homeowner Last Name) V - v N 1\4
t u /p /
yc
PROJECT
DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER L, ,t/Mik-e- yati.QlJv p £ L C, ( 266) 3 SL{ 'q/3
MAILING ADDRESS E-MAIL
c)3 ( % 1.65±1` Wv Se.
CITY STATE ZIP FAX
-
NAME PRIMARY PHONE
1--A r ry s e-/�G-{T'tc_ ( 2Ch ) 2.2.7- 3z37
MAILING ADDRESS E-MAIL
ELECTRICAL I '3 c2-'-t 4-11 s=± Aire 5,- 11"
CONTRACTOR CITY STATE ZIP FAX
To w t I R ciS(643 ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE S
60
NAME Y PRIMARY PHONE .)
APPLICANT o �sN ( .CJ ) 200 _ I0$-2
MAILING ADDRESS E-MAIL
9-5( 6 Se 9 R sf rn r j al.nes--@ 6 400,C.r>rvV,
CISTATE ZIP FAX
CITY
cd 09- g f (23) R- 9-2:77
NAME PRIMARY PHONE
PROJECT CONTACT sTc;i) F 6 r/N rt ( 206) 200- 7OS
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: tN DATE )-15-" (3
PRINT NAME: a;k N F1 b T.'1 N �l
Bulletin#160-January 1,2013 Page 1 of 2 k:'I-Iandouts\Electrical Permit Application