15-106209 r
Electrical
` Communi &Ci ry32of 5 8th FederalDev.AveSSeWay rvices F 1 LE Permit #: 15-106209-00-EL
Econ.
33
Federal Way,WA s8003 Inspection Request Line: '(253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p Q
Project Name: PNC ACUPUNCTURE CLINIC
Project Address: 31830 PACIFIC HWY S Unit B Parcel Number: 092104 9221
Project Description: Adding/altering(2)circuits for new lighting for associated tenant improvement
Owner Applicant Contractor
SEA-TAC CENTER ASSOCIATES JUST CALL KIM ELECTRIC JUST CALL KIM ELECTRIC
2101 4TH AVE UNIT 310 6106 S AINSWORTH AVE JUSTCCK927CE(2/13/16)
SEATTLE WA 98121-2317 TACOMA WA 98408 6106 S AINSWORTH AVE
TACOMA WA 98408
•
Additional Permit Information
Electrical Work Valuation 2000.00 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 2
PERMIT EXPIRES Sunday, June 5, 2016
Permit Issued on Tuesday, December 8, 2015
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 i Date: / o 8/7-(1---;
.."P... ..1..ry- .4:1S....)./
7
THIS CARD IS TO RE IN ON-SITE c.
CITY tip -' ',/,--'..411...10,
Federal Wa Construction Ins ion Record
y INSPECTION REQUESTS: (253)835-3050 '
PERMIT#: 15-106209-00-EL Address: 31830 PACIFIC HWY S Unit B
Project: SEA-TAC CENTER ASSOCIATES FEDERAL WAY, WA 98003
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 Approved
Ground (4295) 0 Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved to place concrete
By Date By Date
• � By Date
ID Pool Bonding(4195) ❑ Temporary Power(4275) jio Service(4235)
Approved Approved Approved
By Date By Date
[By Date
Feeders/Sub-panels(4045) Rough Electrical 4225
❑ 0 g ( ) ❑ Ceiling Cover(4020)
Approved Approved
Approved
By Date By a Date [2.11-7 II s-- By Date 1z1 t-, I I
!s
❑ Final-Electrical(4055)
Approved
By(--) u0.,.1 Date t ___.2..o�►>ti
Ill Rough Electrical D
Approved Final Electrical 1E1
Right of Way
Approved Approved
By Date 1 1 By Date
• [By Date
7 r
1111
.11
ELECTRICAL
CITY OF mz/
Federal Way PERMIT APPLICATION
RECEIVED
PERMIT NUMBER ( � _ [ 0 G Z o cl _
— — oo
— — DEC 08 2015
C
SITE ADDRESS: /8 /DA,/p76 f/i J yS �l-oR,9L 119 #B v� CDS WAY
PROJECT VALUATION EASSESSOR'S S TAX/PARro4
EL# CURRENT/PROPOSED USE
$ 'O `�0 O D . 0 _ 1, 2 Z • (
PROJECT NAME t �-+ /� GuR)N�+p), /7
(Tenant or Homeowner Last Name) �`h l� f�'C �l V �-'�
4/1A) ,
•
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME „_ PRIMARY PHONE
GI i— Ccc f are cLi'i G P-53)
MAILING ADDRESS E-MAIL
ELECTRICAL 6106 S /Q 1 ,n S t)b)-* j
CONTRACTOR CITY STATE ZIPFAX
a Laid k 1,tIA 9ec/ 08 ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
()5TCC K 9?-1 G i6
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS ( ) E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
PROJECT CONTACT HD Rill 55
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: DATE �� b
PRINT NAME: HO k//"l
Bulletin#160—January 1,2013 Page 1 of 2 k:\3andouts\Electrical Permit Application