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15-101805
Electrical Communi Cityty of&Econ.FederalDeWay v.Services Permit #: 15-101805-00-EL 33325 8th Ave S Federal way,WA 98003 Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax:(253)835-2609 p f l Project Name: CHEVRON Project Address: 31204 PACIFIC HWY S Parcel Number. 092104 9164 Project Description: LED cooler light retrofit. Owner Applicant Contractor KUBRA PROPERTIES INTEGRITY ELECTRIC AND LIGHTING INTEGRITY ELECTRIC AND LIGHTING 31202 PACIFIC HWY S GROUP GROUP FEDERAL WAY WA 98003 11410 NE 124TH ST SUITE 716 INTEGEG851CF(2/16/17) KIRKLAND WA 98034-4305 11410 NE 124TH ST SUITE 716 KIRKLAND WA 98034-4305 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 5 PERMIT EXPIRES Saturday, October 10, 2015 Permit Issued on Monday,April 13, 2015 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy an. he u - 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: �� 1 t)5 FINALED THIS CARD IS TO MAIN ON-SITE CITY OF 111.1 0 Construction In ection Record Federal Way INSPECTION REQU TS: (253)835-3050 - PERMIT#: 15-101805-00-EL Address: 31204 PACIFIC HWY S Project: KUBRA PROPERTIES 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. O UFER Ground (4295) El Ditch cover(4030) El Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date ❑ Pool Bonding(4195) El Temporary Power(4275) 0 Service(4235) Approved Approved Approved By Date By Date By Date O Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) 0 Ceiling Cover(4020) Approved Approved Approved By Date By Date By Date ' 0 Final-Electrical(4055) Approved Date_ ,c-- EI Rough ElectricalEl Final Electrical El Right of Way Approved Approved Approved By Date By Date By Date • RECEIVED A, APRT 3 2015 LCTA ,. clot CITY OF FEDERAL WAY EEi RI CAL Federal Way CDS PERMIT APPLICATION PERMIT NUMBER /S_ ( 0 J (! O5.: EL SUITE/UNIT/SPACE S SITE ADDRESS: 3 t 2nd c,�i�.c.*i.-c - K / S f goo 3 . PROJECT VALUATION ASSESSOR'S TAX/PARCEL 0 CURRENT/PROPOSED USE s q go _i()___q __,al OV - ? / (0 (7 PROJECT NAME (Tenant or Homeowner Last Name) C-11'P_V r o M. G g -I-:o in Lc) Coo (•.e r- L'‘ h 4 4-re•P,--t- PROJECT Fr -1PROJECT DESCRIPTION Detailed description of work to be included on this permit only NAME PRIMARY PRONE PROPERTY OWNER 'Sao%c a5 5:4 0- DAt t e SS ( ) - MAILING ADDRESS E-MAIL CITY STATE ZIPrr FAS 1 ) - NAME PRIMARY PHONE ' ..YT Ceslarry al-ec atc- (82.5)3141 -91$0 MAILING ADDRESS E-MAIL ELECTRICAL 1kt1It) 14 4. 12114 $'t *vt4 CONTRACTOR CITY STATE ZIP FAX Kir.k<tan a wI\ 93034 (II 25)166 - 6355 WA STATE CONTRACTOR'S LICENSE 0 EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE 0 .1.1J-re l�'£G b5 11.-'F 2f44 i iv to -i3-1.016411-oo-©L NAME PRIMARY PHONE APPLICANT Ettckc•cel COPt+rasccor. ( 1 - MAILING ADDRESS E-MAIL 50.5 t- 0$ COO*WIC CITY STATE [ ZIP FAX NAME PRIMARY PHONE PROJECT CONTACT o M+►s w B.y et, c ln,+ ( ft ) Pig -qtID- I D- 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.1 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 , -,;part of this application. ot SIGNATURE: fr- ,A11,-,1•••- DATE Q/41f r PRINT NAME: R 0.44'1 r3 0 lf yue-Ci/ Bulletin#160—January 1.2013 Page 1 of 2 k:lJIandauts\Elecaical Permit Application