14-101815 r• w
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Community&
City of FederalEconDev.WayServicesF .
Permit #: 14-101815-00-EL
33325 8th Ave S
Federal way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: STARBUCKS MODULAR
Project Address: 28722 PACIFIC HWY S Parcel Number: 332204 9119
Project Description: Replace mechanical time clock with(1)smart time clock
Owner Applicant Contractor
POLL FEDERAL WAY LLC IDEAL SERVICES INC IDEAL SERVICES INC
8915 SE 44TH ST 5113 PACIFIC HWY E UNIT 13 IDEALSI011J2(4/22/15)
MERCER ISLAND WA 98040 FIFE WA 98424 5113 PACIFIC HWY E UNIT 13
FIFE WA 98424
° 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 Saturday, October 18, 2014
Permit Issued on Monday, April 21, 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: 41 c)-( f t
` THIS CARD IS TO MAIN ON-SITE •
CITY OF 1.11 Federal Wa a • Construction In ection Record
y INSPECTION REQU TS: (253)835-3050
PERMIT#: 14-101815-00-EL Address: 28722 PACIFIC HWY S
Project: POLL FEDERAL WAY LLC FEDERAL WAY, WA 98003-3224
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.
El UFER Ground (4295) - El Ditch cover(4030) 13 Slab/Concrete Floor_(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
o Pool Bonding(4195) 13 Temporary Power(4275) CIService(4235)
Approved Approved Approved
By Date By Date By Date
13 Feeders/Sub-panels(4045) El Rough Electrical(4225) Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
o Final-Electrical(4055)
Approved
Bysz..§to....„ Date -P --11- )`1
0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
.
1166
E&CTRICAL
CITY OFA
Federal Way PERMITRL,ICATION
PERMIT NUMBER (4- _ I t 1 c _ 00 APR 21 2014
CITY OF FEDERAL WAY
CDS SUITE/UNIT/SPACE#
SITE ADDRESS: a ,¢G �� ��0,;(
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
PROJECT NAME _
(Tenant or Homeowner Last Name) S( A fZ Bli C/C.<
(2 L Irv6- ,L,f(HA/pit-41 1. tT tA, L G Lc,c
PROJECT DESCRIPTION CO/ `- 5A 1/fi RT'7 7c i r CLoc_/
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER 5 M 'IL I3(t GCS S ( ) -
MAILING ADDRESS E-MAIL
t 7P tc— ,1 14,r s .
CITY STATE ZIP FAX
DJ4
E-( 41 W4y 1 ' ?4 608 ( ) -
NAME PRIMARY PHONE
-�- S5LAV lc-Ls ( ) -
MAILING ADDRESS /� E-MAIL
ELECTRICAL ��113 12,1 C(E l C [( `''`/ f j Ll A/ ( f (3
CONTRACTOR CITY
STATE ZIP FAX
t F Szia c/ ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
cFP1-III s/ar( a / 0\a-,//s- cl 5'-los Te.
PRIMARY PHONE
APPLICANT gl/Ur < (as-31 _Coq- o.c 3
MAILING ADDRESS E- L
/13 et-c(Ffc 1-04J`/ 4 sr-
CITY STATE ZIP FAX
14/4 f/)--C/ ( ) -
NAME PRIMARY PHONE
PROJECT CONTACT J.1rvt. (3/9&B£ (as-3) Scoc}
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: ,,,g67e „, DATE ( .` / £/
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