14-100373 Electrical
City of FederalWay Permit #: 14-100373-00-E L
Si Econ Dev.Services
Community
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph (253)835-2607 Fax (253)835-2609 u
Project Name: PHO TAI
Project Address: 31513 PACIFIC HWY S Parcel Number: 082104 9181
Project Description: Add/alter up to 21 circuits in existing 200-amp panel.
Owner Applicant Contractor
PAVILION CENTER ASSOCIATES NW ELECTRIC SERVICES INC NW ELECTRIC SERVICES INC
3650 131ST AVE SE UNIT 205 32419 3RD AVE SW NWELEES925DL (3/27/14)
BELLEVUE,WA 98006-1334 FEDERAL WAY WA 98023 32419 3RD AVE SW
FEDERAL WAY WA 98023
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 21
PERMIT EXPIRES Tuesday, July 22, 2014
Permit Issued on Thursday,January 23, 2014
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the us- will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or ag=•' '�►�—'` Date: 023 —aP/ L
FINALED
0 THIS CARD IS TO MAIN ON-SITE ,
41... Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 14-100373-00-EL Address: 31513 PACIFIC HWY S
Project: PAVILION 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.
CI LIFER Ground (4295) 0 Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
. •
El Pool Bonding(4195) 0 Temporary Power(4275) ElService(4235)
Approved Approved Approved
By Date By Date By Date
El Feeders/Sub-panels(4045) El Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
o Final-Electrical(4055)
Approved
By LAA4 Date 3 ( 2 to( I14
El Rough Electrical •LI Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
A RE ELEC'T'RICAL
CITY OF
Federal Way \, 2 3 2014 PERMIT APPLICATION
' r— e Q (.91:
J F FEDERAL WAY - `i
PERMIT NUMBER / Li V 7 3
I I` 65:1F
SUITE/UNIT/SPACE#
SITE ADDRESS: 3/5/3 Pa c IP,-C /./c.oy 6
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
' 10t„ -
PROJECT NAME ` .
(Tenant or Homeowner Last Name) 60 `�a
ROO> r r Cc_ --( 4ctXi
PROJECT DESCRIPTION wLA--0 L —f t ..(,_...(;1.-Detailed description of work to
be included on this permit only
NAMEPRIMARY PHONE
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PROPERTY OWNER TD Sn Z( f ( ) -
MAILING E-MAIL
CITY STATE ZIP FAX
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NAME PRIMARYHONE
,W l�L C Tg/C SCi wV 1 C�-- //V C- (:2t3 ) - 1 -P
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MAILING ADDRESS E-MAIL �-
ELECTRICAL 32-#/f 3 tc WE SA ) 1,106 .S /4)(0 i 41 b-7
CONTRACTOR CITYII/1'o.Q STATE ZIP FAX m4/I Cp®i
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WA STATE CONTRACTOR'S CENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
Nw FLE-ES ?2 PI-- D / 2? j,
NAME PRIIMARY PHONE
APPLICANT MAIL� ��� CC I',( 1/� (243 ) . 6/- 6/
. / r G ADDRESS of /)0 r— s E-MAIL -.
CITY/ JJ, "' �p STATS ?°126'2,
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NAMECtrA4 C°
_-C 1, PRIMARY PHONE
PROJECT CONTACT �u f l --L 0-e. (C ` `I ( L /-11--6 -J�.4 1
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 ty, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
SIGNATUREAMIll! -- ... DATE 0/ - 2 .— \ Lf
PRINT NAME: "l 6..."e- (C l 1
Bulletin#160—January 1,2013 Page 1 of 2 k:\Flandouts\Electrical Permit Application