15-105765 Electrical
CityFWay Permit #: 15-105765-00-E L
- Community&oEcon.on.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
Project Name: THE HARBOR BUILDING
Project Address: 28815 PACIFIC HWY S Parcel Number: 042104 9024
Project Description: Adding/altering(1)circuit to change out exterior lighting to LED
Owner Applicant Contractor
HARBOR BUILDING INV LLC GOLD ELECTRIC LLC GOLD ELECTRIC LLC
9768 MARINE VIEW DR PO BOX 2156 GOLDEEL870JZ(4/9/15)
MUKILTEO,WA 98275 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
Circuits-Commercial 1
PERMIT EXPIRES Tuesday, May 10, 2016
Permit Issued on Thursday, November 12, 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
71;Zy of Federal Way.
////2-//L5---•
Owner or agent: / i Date:
O
• f‘114°‘‘.. .
-4- • THIS CARD IS TO REN NON-SITE
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" OFF 06 C®nstructi
Federal W on Inspeion Record
ay INSPECTION REQUESTS: (253)835-3050
PERMIT#: 15-105765-00-EL Address: 28815 PACIFIC HWY S
Project: HARBOR BUILDING INV LLC FEDERAL WAY, WA 98003-3906
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.
❑ UFER Ground (4295) "0 Ditch cover(4030) " ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
. .
Pool Bonding(4195) TemporaryPower 4275) ❑ Service(4235)
❑ Approved ❑ (
Approved Approved
By Date By Date By Date
❑ Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
❑ Final-Electrical(4055)
Approved
By 0.46 Date (24;0( Iv"-
-
Rough Electrical Final Electrical
`-' Approved Approved CI Right of Way
pp Approved
By Date
By Date By Date
4.,
LECTRI CAL
CITY OF
Federal Way PERMIT APPLICATION
REC .. VED
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- -7-62
PERMIT NUMBER -� 1 0 _ 0 `� NOV 12 2015
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SITE ADDRESS: ...> / ,4C// 'G //ay7 S'
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
S _ U o -c '� ( 0 4 - 0 24
PROJECT NAME TM WA- 700-
�('�l� 1 Gd(T '�Co
(Tenant or Homeowner Last Name) / i��/r 1 L "'Y�/- / !�J
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PROJECT DESCRIPTION /
Detailed description of work to / G'lam-Cu<f
be included on this permit only
NAME A14 �, l'� PRIMARY PHONE
PROPERTY OWNER Ali
if `1 ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
��Z./7 C7'c ( Z-) (10- .(-72 Z
MAILING ADDRESS E-MAIL
ELECTRICAL d. 5o X , ../_ ----, '
CONTRACTOR CITY /- STATE ZIPFAX
/46.1 bui-J? Gtc�'A l 8 7/ ( )
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
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
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: G � 4i, _ DATE lr�Z/l�
PRINT NAME: C/ :e2/'�}///y ��1�/�
Bulletin#160—January 1,2013 Page 1 of 2 k*Handouts\Electrical Permit Application