13-101105 f
Electrical
CCommunity&E Dev..Way
i _ �� Permit #: 13-101105-00—EL
33325 8th Ave S t 2
Federal way,INA 98003
Ph:(253)835-2607 Fax(253)835-2609 Inspection Request Line: (253)835-3050
41
Project Name: SHELL SERVICE STATION p'�
Project Address: 32002 MILITARY RD S Parcel Number. 152104 9177
Project Description: Adding/altering(1)circuit to remove and replace vacuum machine
•
Owner Applicant Contractor
M&S OIL LLC AIR SERV AIR SERV
32002 MILITARY RI)S 5113 PACIFIC HWY S AIRSESG900DU(7/6/14)
FEDERAL WAY WA 98001 TACOMA WA 98424 5113 PACIFIC HWY S
TACOMA WA 98424
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
Circuits-Commercial 1
PERMIT EXPIRES Wednesday, September 4, 2013
Permit Issued on Friday, March 8, 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: C7 3 v813
3 tt43
• THIS CARD IS TO MAIN ON-SITE
CITY OF Construction Inlection ection Record "
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 13-101105-00-EL Address: 32002 MILITARY RD S
Project: M & S OIL LLC FEDERAL WAY, WA 98001-9632
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.
0 UFER Ground (4295) ❑ Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
El Pool Bonding(4195) ❑ Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) 0 Rough Electrical(4225) Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
'
Final-Electrical(4055)
Approved
By Date \1--l_3 .
El Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
CITY OF ELiCTRICAL
Federal Way PERMIT APPLICATION
RECEIVED
PERMIT NUMBER (� �/- f I o 5_ QC ltVj o 2013
LI I Y iiirrrOMERPILAWAY
SITE ADDRESS: 3 ZU°Z %, i ( r yl cS CDS
PROJECT VALUATION ASSESSOR'S TAX/P EL ItQ CURRENT/PROPOSED USE
$200 -
PROJECT NAME d '2-1,1/C t,��' )/�
(Tenant or Homeowner Last Name) & b c ��1 W `I w
c F Jfpr \/4-C_r
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER /0 c re -_t Ev -k-c,r xr.ki, , pri2e, .s ( ) -
MAILING ADDRESS E-MAIL
e2Z �clt � s r4Pl-bg2a5 .
CITY STATE ZIP FAX
.¢dev'a,e W c.1 tv)Q- ) `51`Lf2 ( ) -
NAME PRIMARY PHONE
IV a R in M.Y/le s ( ) -
MAILING ADDRESS E-MAIL
ELECTRICAL Po P3MG l3
CONTRACTOR (`/c�rrr FAX
'Y STATE ZIP 3 5 1I`
WA RA{ CCTTOR'S LICENSE M EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE f
/ / 12-1tI31S3
NAME \/ PRIMARY PHONE
£P S APPLICANT Atbkrn T (253) -t-77- i3.5-28
MAILING ADDRESS \ E-MAIL
10 373 .1CSIN 'C'l-9---e®yaICO_COth
CITY STATE ZIP FAX
- kAYe- 98335 ( )
PRIMARY PHONE
PROJECT CONTACT
6Rm m/E,'s ( ) -
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 cit1y as a part of this application.
SIGNATURE: r 1 ✓14,e -tc-•44 DATE 03vE3(.��
PRINT NAME: /V` -4/y) e yG#' S
Bulletin#160-January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application