14-101418 • Electrical
City oaf Federal Way Permit #: 14-101418-00-EL
C:5Feudne31:12w5aca:',hnw.AAvev9s80035_2609
mrnCi &EDe .Services
F I LE Ins ection Re uest Line: 253 835-3050
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Project Name: MIN-N-OUT 3'7
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Project Address: 30810 PACIFIC HWY S Unit B Parcel Number: 785360 0240
Project Description: Installing one 20-amp,240-volt plug for one x-ray machine.
•
Owner Applicant Contractor
GOLDEN PROPERTY MANAGEMENT CHIN'S ELECTRIC LLC CHIN'S ELECTRIC LLC
37545 27TH PL S 34102 13TH PL SW CHINSEL908BD(1/6/16)
FEDERAL WAY,WA 98003 FEDERAL WAY WA 98023 34102 13TH PL 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 1
PERMIT EXPIRES Wednesday, September 24, 2014
Permit Issued on Friday, March 28, 2014
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: Date:
THIS CARD IS TO MAIN ON-SITE
CITY OF Construction Ins ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 14-101418-00-EL Address: 30810 PACIFIC HWY S Unit B
Project: GOLDEN PROPERTY MANAGEMEI FEDERAL WAY, WA 98003-4902
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 Rough Electrical (4225) El Ceiling Cover(4020) "❑ Final-Electrical(4055)
Approved Approved Approved
By Date By Date By lh%e., ,..1 Date ...,..*3 `.,
ILI Rough Electrical .-Ell Final ElectricalEl Right of Way
Approved Approved Approved
By Date By Date By Date
ELtCTRICAL
CITY OF MAR 2 8 2014
Federal Way PERMIT APPLICATION
CITYOF FEDERAL WAY
PERMIT NUMBER I 4 _ 0 /CD
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SUITE/U /SPACE#
SITE ADDRESS: 30 -/0 S. \ f -.,
PROJECT VALUATION ASSESSOR'S TAR/PARCEL# / CURRENT/PROPOSED USE
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PROJECT NAME n^ , ` , •
(Tenant or Homeowner Last Name) / v l jN "— !}/ lir ('.p....4...nv / r
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PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER 4/ (253 - D PSY'._
MAILING ADDRESS E-MAIL J
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CITY STATE ZIP FAX
( )
NAME / . ... PRIMARY PHONE
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MAILING ADDRESS E-MAIL
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CONTRACTOR CITY STATE ZIP FAX
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WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PRIMARY PHONE
APPLICANT �� s �� ( )
MAILING ADDRESS E-MAIL
014 MS f9'-t..
CITY STATE ZIP FAX
( ) -
NAME PRIMARY PHONE
PROJECT CONTACT 6
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.
47/
-_ ` /2 0SIGNATURE: DATE t
PRINT NAME: Mit) Su p ,< /
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application