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13-103918 4111 Electr`ita4. Community D v Services Permit #: 13-103918-00-EL 33325 8th Ave S Federal Way,Fax 53)8 Inspection Request Line: Ph:(253)835-2607 Fax:(253)835-2609 p q (253)835-3050 Project Name: ARCO STATION#5243 Project Address: 31855 PACIFIC HWY S Parcel Number: 082104 9194 Project Description: Install(4)dispensers and wire from building through existing conduits Owner Applicant Contractor ATLANTIC RICHFIELD COMPANY S M E SOLUTIONS(GENERAL) S M E SOLUTIONS LLC(ELECTRICAL) PO BOX 512485 2302"A"ST SMESOSL931K1(5/21/15) LOS ANGELES CA 90051-0485 TACOMA WA 98402 2302"A"ST TACOMA WA 98402 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 4 PERMIT EXPIRES Tuesday, March 4, 2014 Permit Issued on Thursday, September 5, 2013 I hereby certify that the above information is rr- and that the construction on the above described property and the occupancy and th- • be in a • dan'e,.wit. the laws, rules and regulations of the State of Washington a •0- ity of Fedpral Way. Owner or agent jr Date:(?- —O ?j THIS CARD IS TO MAIN ON-SITE y ti •ciry OF • Construction In ection Record Federal Way INSPECTION REQUE TS: (253)835-3050 PERMIT#: 13-103918-00-EL Address: 31855 PACIFIC HWY S Project: ATLANTIC RICHFIELD COMPANY FEDERAL WAY, WA 98003-5409 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 chAe Date ci. 30 13 By Date ' • 0 Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235) Approved Approved Approved By Date By Date By Date *0 Feeders/Sub-panels(4045) ' •0 Rough Electrical(4225) 0 Ceiling Cover(4020) Approved Approved Approved By Date By Date By Date 0 Final-Electrical(4055) Approved By ' 3 Date 10[WI I I? ❑ Rough ElectricalEl Final Electrical El Right of Way Approved Approved Approved By Date By Date By Date N.. 0 ELECTRICAL Federal Way PERMIT APPREEigyDN PERMIT NUMBER _ , oi i _ v SEP 0 5 2013 CITY OF FEDERAL WAY (�j ,n SUITE/UNI9CE 4 SITE ADDRESS: 313 S 5 PaC_l,.`ci 1X u S PROJECT VALUATION '`J ASSESSOR'S TAX/PARCEL_ I # jll " CURRENT/PROPOSED USE $ t2)819IL U z ( e - 1 L 674_ PROJECT NAME (Tenant or Homeowner Last Name) PROJECT DESCRIPTION . �� 60/�`/ ' n c� / ? �`S ///���lJJ��� Detailed description of work toAry „ co 7� ` j CJ be included on this permit only Cet 'J - 7 NAME � �+� � / +J PRIMARY PHONE / PROPERTY OWNER �/co GV_ `// J` (L{25j)L - S2.c$ MAILING ADDRESS E-MAIL s - si, � C..) CITY STATE FAX r &,i,,..0 6,c1 WA Q NAME PRIMARY PHONE JAG S© 1J o LLC--LL (Z531572.-3E 2-2 , MAILING ADDRESS E-MAIL ELECTRICAL 2. 0 Z- 4 �' MARK' )6M6-50)04-1046. CONTRACTOR CITY ST E ZIP FAX �m � 9� `/OZ (2s3 ) 7Z- 9-78 WA STATE CONTRACTOR'S LICENSE N EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE M S t S©S�X13 I K( 'z( /( - NAME PRIMARY PHONE APPLICANT MAILING ADDRESS ( E-MAIL CITY STATE ZIP / FAX t - NAME PRIMARY PHONE PROJECT CONTACT ( 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 Y•y as to any claim(including costs,expenses,and attorneys'fees incurred in the investigation and defense of such claim), whi�• be made by any person, including the undersigned,and filed against the city, but only where such cl"ses out of th ance of the city, including its officers and employees, upon the accuracy of the information supplied the ci as a part , s application. / / �i � A SIGNATU rte`-/ DATE 9—s PRINT NAM : 1) l k 1 I K i Py Bulletin#160-January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application