14-102265 • • Electrical
City of Federal Way Permit Vila #: 14-102265-00-E L
Community&Econ.Dev.Services j ,�
33325 8th Ave S
Federal Way,ax (253)835-2609 A 53083 4
Ph:(253)835-2607 Fax Inspection Request Line: (253)835-3050
Project Name: VINCE'S ITALIAN RESTAURANT
Project Address: 32411 PACIFIC HWY S Parcel Number: 150050 0150
Project Description: Replace(4)existing thermostats and low voltage wiring for associated rooftop unit
replacements.
Owner Applicant Contractor
LARKSPUR CENTER LLC UNIVERSAL MECHANICAL SERVICE CO UNIVERSAL REFRIGERATION INC
PO BOX 1762 INC(GENERAL) (ELECTRICAL)
SAN RAMON CA 94583 PO BOX 2649 UNIVERI000B0(1/20/16)
REDMOND WA 98073-2649 PO BOX 614
AUBURN WA 98071-0614
•
Additional.Permit Information
Is this an Online or 0.T.C.application? Yes Is Use Educational or Institutional? No
Service greater than 999 Amps? No
Electrical Fixtures
Thermostat 4
PERMIT EXPIRES Tuesday, December 30, 2014
Permit Issued on Thursday, July 3, 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 e in accor•-•ee with the laws, rules and regulations of the State of Washington
aCity of Federal Way.
Owner or agent: Date: 73/14'
r
` THIS CARD IS TO IN ON-SITE 00-%' 0104
CITY OF
Federal WayConstruction In ection Record
INSPECTION REQU TS: (253)835-3050
PERMIT#: 14-102265-00-EL Address: 32411 PACIFIC HWY S
Project: LARKSPUR CENTER LLC FEDERAL WAY,WA 98003-8546
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) El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
El Pool Bonding(4195) 'El Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
.
El 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
By Qiik,` Date ' 1,
❑ Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
..rr . '
an OF ELECTRICAL
1.111
Federal Way PERMIT APPLICATION
RECEIVED
PEROUT NUMBER (4` ( 0 2 Z 6 5 c MAY 15 2014
n CITY O 1 AY
SITE ADDRESS: 3e.4.1' `7AC.i G..C. AWtS.. CDS
PROJECT VALUATION ASSESSOR'S TAX/PARCEL If CURRENT/PROPOSED USE
$ (..L Z. °O 1 -S 0 0 S o _ o ( 5 0 iZSMORkiA
PROJECT NAME y 1
(Tenant or Homeowner Last Name) Vi nJ(,k,S71_4-A ;Pim)J 7E5 ilk O Q A kS t i'
"-ReetAU. (4 LXISLew) it,®1AOStAk3 thi1C5 WtiNCR,
PROJECT DESCRIPTION k.v tJ J0 i i-A.e tJt2 c N�.
Detailed description of work to J
be included on this permit only
NAME
PRONE
PROPERTY OWNER 4........6.10. IL us_ �c N c..o.i. (Q25) ten
MAULING ADD
Cs-MAD.
0. * 11 to 2_ CA 1CC.o li 6 Ao 1.Gown,
CITY STATE ZIP FAX
Sas7A1MOCJ CA Q4Sg3 ( ) -
NAME/, . % • PRIMARY
MARY PR
ONE
CM/Pet/ (r !J CeffAil (Z5))074-170/of
MAILING ADDRESS
ELECTRICAL /D2— � t�ac� 2t/ �e..(2.
CONTRACTOR 44
STATE EQ TAX
fAW``1 Ct/4 f80d/ (Z 7)5-P(52-
WA STATE CONTRACTOR'S LICENSE A EXPIRATION DATE -Ir WAY 111711111111111 LICENSE it
ZiAtiV / 1,P0 / / ZO// /y-97-/O70.77-61{)- 4-
APPLICANTMAILING ADDRESSa,+41� as 4A)!r` (,z 9 PHONE
Q/
CITY STATE ZIP PAZ GO t4
NAME (255)7P,5..--PSONE�Z
PROJECT CONTACT ,I „ 11:„.„AloLL to (M)97?-5-5-at
I certify under penalty of perjury that I ant the property owner or authorised agent of the property owner.I cert 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
aU applicable City of Federal Way regulations pertaining to the work authorised 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.
/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 apart of this application.
C
SIGNATURE: a� DATE CAl - '�-i
PRINT NAME: L L.
4 5 //�Ia.9!^ //(
Bulletin#160-January 1,2013 Page 1 of 2 k:\liandouts\Electrical Permit Application