15-101009 t
Electrical
City &FederalWay Permit #: 15-101009-00-E L
CommunityEcon.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253) 83513050
Ph:(253)835-2607 Fax:(253)835-2609 p Q
Project Name: TOKYO-YA RAMEN HOUSE
Project Address: 31507 PACIFIC HWY S Parcel Number: 082104 9181
Project Description: Alteration to existing 200 amp panel,walk-in cooler wiring and adding circuit for kitchen
outlet and lighting install
Owner Applicant Contractor
KIMCO REALTY CORP GOLD ELECTRIC LLC GOLD ELECTRIC LLC
3333 NEW HYDE RD PO BOX 2156 GOLDEEL870JZ(4/9/15)
NEW HYDE PARK,NY 11042 AUBURN WA 98071 PO BOX 2156
AUBURN WA 98071
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 Circuits-Commercial 15
PERMIT EXPIRES Sunday, August 30, 2015
Permit Issued on Tuesday, March 3, 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 ty of ederal Way.
Owner or agent: �� Date: V3/—>(..7<S1---
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Federal WayConstruction In ection Record
INSPECTION REQUE TS: (253) 835-3050
•
PERMIT#: 15-101009-00-EL Address: 31507 PACIFIC HWY S
Project: KIMCO REALTY CORP 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 Ground (4295) ❑ Ditch cover(4030) '❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date B Date 3 -b_5"--
'0 Pool Bonding (4195) El Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
.
•
0 Feeders/Sub-panels(4045) '0 Rough Electrical(4225) •El Ceiling Cover(4020) '
Approved Approved Approved
By Dates Date 3_ l-k_ is 8y= Date L,— 2.-.3-
0 Final-Electrical(4055)
Approved
By Date (o'30 I i 5
4
111 Rough ElectricalEl Final Electrical CI Right of Way
Approved Approved Approved
By Date By Date By Date
•
-�'�. EL CTRICAL
CITY OF
Federal Way PERMIT APPLICATION
RECEIVED ,
PERMIT NUMBER ( _ ( o l O O o _ Dvf MAR 0 3 2015
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SITE ADDRESS: ,..„:_ /, z 7 7746 jC /01 CDS
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USEO °---) O � � �- � ( g-- I
PROJECT NAME ,n/�/�A'Yh
(Tenant or Homeowner Last Name) ..7A T5 - 4/ / /V /?457/9QR�7- (IOL<YO "(11)
/, /(T,k2-7 oy71,4e7' 1Z./1471/7j' «s4//
PROJECT DESCRIPTION Z-:(1 //C -' -
Detailed description of work to C/ �,J i c
be included on this permit only
��� f�n � ���
NAME PRIMARY PHONE
PROPERTY OWNER ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAAMEEy`-
PRIMARY PHONE
f._:7/.f._:7/.,0 � ` 7 ?/C +) r"�- ,C-7 ..,C-7 ..?
MAILING ADDRESS E-MAIL
ELECTRICAL ,/, ea,' 2/5--
CONTRACTOR CITY STATE ZIP FAX
/t-4 96'07/ ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
e)GeZ L 70.1 Z c/ T //C
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS ( ) E-MAIL
CITY STATE ZIP FAX
( )
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 Way as to any claim(including costs, expenses, and attorneys'fees incurred in
i 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: /c,_0- ---✓ _..4 . DATE 3/34°/-5'---
PRINT
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PRINT NAME: P9 . ,x -4
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Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application