15-106523 -�.• ELECTRICAL
CITY OF
Federal Way PERMIT APPLICATION
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ECEIVE[
PERMIT NUMBER 1 0 �l/j� S �'"/�/j3 00
_ _ - - - DEC242015
CITY OF FE r rW/FACE#
SITE ADDRESS: , tt4 7 3 P4c p i f
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PROJECT VALUATION ASSESSOR'S TAX/PARCEL# ' CURRENT/PROPOSED USE
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PROJECT NAME ��ii Q /�y�l
(Tenant or Homeowner Last Name) '✓ J (l 11v
PROJECT DESCRIPTION
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Detailed description of work to O fft- ,. 17-#0 RQO• i 0(44 /be included on this permit only ""���"'y
15 ei i�t 1 ' i Dec',o_og I/
NAME /�. 1,,' � PRIMARY PHONE
PROPERTY OWNER �C'C A V 1 C,t'7 d a ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
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NAMEPRIMARY PHONE
0/4 C F6.E C( (c_. o :C) 777 rf c ire
MAILING ADDRESS E-MAIL
ELECTRICAL , —
2-q6 4' 06 4o` r
CONTRACTOR CITYSTATE ZIP FAX
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WA STAE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
6 E E .t- $3� M'F / /
NAME _ PRIMARY PHONE
(A-CDtLiq� s37,y t
APPLICANT / 7
MAILING ADDRESS E-MAIL
3 i3�( 5`" G'z S
CITY STATE ZIP FAX
ulbuRA) i'4- 9eaO1 ( ) -
NAME PRIMARY PHONE
PROJECT CONTACT j -(2.-
c.5 ; y F 7-46
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(t e city a part of this pplication.
SIGNATURE: lk....) M^/' I DATE 1Z/274- / s
PRINT NAME:
Bulletin#160—January 1,2013 Page 1 of 2 k:AHandoutsTlectrical Permit Application
Oir
•
Electrical
Ci &Federal D Way Permit #: 15-106523-00-EL
Community&Econ.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: ALEXIS SPA SKIN CARE
Project Address: 34428 PACIFIC HWY S Unit A Parcel Number: 889700 0010
Project Description: Adding/altering up to(4)circuits for associated tenant improvement
Owner Applicant Contractor
ESTHER G QUINT OMEGA ELECTRIC OMEGA ELECTRIC
189 142ND PL NE UNIT K54 29643 126TH AVE SE OMEGAE*855MF(7/6/17)
BELLEVUE WA 98007-6929 AUBURN WA 98092 29643 126TH AVE SE
AUBURN WA 98092
Additional Permit Information
Electrical Work Valuation? 3850.00 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 4
PERMIT EXPIRES Tuesday, June 21, 2016
Permit Issued on Thursday, December 24, 2015
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and tJ( ( A
eill be in accordance with the laws, rules and regulations of the State of Washington
a d the City of Federal Way.
Owner or agent: -3_ Date: z/t�
/s
LEU
FINA
THIS CARD IS TO MAIN ON-SITE _ ,.
CITY
Way 0 Construction In ection Record
INSPECTION REQU TS: (253)835-3050
PERMIT#: 15-106523-00-EL Address: 34428 PACIFIC HWY S Unit A
Project: ESTHER G QUINT 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) 0 Ditch cover(4030) E Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
® Pool Bonding(4195) ❑ Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
El Feeders/Sub-panels(4045) .El Rough Electrical(4225) Q Ceiling Cover(4020)
Approved Approved Approved
`By Date By Date I `g r f b By Date V"--%rt
❑ Final-Electrical(4055)
Approved
By VAS Date 1 f 24,I l (fo,
0 Rough Electrical 0Final Electrical •❑ Right of Way
Approved Approved Approved
By Date By Date By Date