14-100938 w
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• • Electrical
City of Federal Way /� (�
Community&Econ.Dev.Services Permit #: 14-100938-00-EL
33325 8th Ave Sr ILE
Federal Way,WA 98003 q
Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: JOHN L SCOTT
Project Address: 32225 PACIFIC HWY S Unit 204 Parcel Number: 150050 0100
Project Description: Installation of modular furniture(connect to existing wiring).
Owner Applicant Contractor
JOHN L SCOTT SESINC SESINC
32225 PACIFIC HWY S 1402 AUBURN WAY N PMB 371 SESIN**990RA(12/1/15)
FEDERAL WAY WA 98003 AUBURN WA 98002 1402 AUBURN WAY N PMB 371
AUBURN WA 98002
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, August 30, 2014
Permit Issued on Monday, March 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 be in accordance with the laws, rules and regulations of the State of Washington
and th City of Federal Way.
Owner or agent: � Date: -5/3//Y
JPINALED
•
` THIS CARD IS TO MAIN ON-SITE . .
CITY OF `< �
Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 14-100938-00-EL Address: 32225 PACIFIC HWY S Unit 204
Project: JOHN L SCOTT 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.
El UFER Ground (4295) El Ditch cover(4030) El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
❑ Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) . 0 Rough Electrical(4225) .0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
'
Final-Electrical(4055)
Approved
ly---A-4---- Date--. .....4_
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
IP
C
ENED
CITY OF -41,,,,,,‘,...... MAR o ELECTRICAL
2014
Federal Way PERMIT APPLICATION
CITY OF FEDERAL.WAY
CDS
PERMIT NUMBER / �i _ / 0 0 s r7 _ e
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✓✓✓ SUITE/UNIT/SPACE#
SITE ADDRESS: -6 z Z< ( / i r
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ z/CO __ _
PROJECT NAME
(Tenant or Homeowner Last Name) t:2 �1. L • {J -
PROJECT DESCRIPTION ‘.-47t-CitiIi 4t0(7Pi fa
�� t/i/o (Atic'r-69)kii ' / 0.4,7,$)Detailed description of work to ///
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
. ' 5- _...lit , (2-1)4,)7 I`l- 47 676
MAILING ADDRESS E-MAIL
ELECTRICAL /CD 2 4-14,hk N-4/ 'Y 4) 4'31 I 1wcycrL p 6; G kw e ed,hot
CONTRACTOR c r STATE ZIP FAX
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WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME - PRIMARY PHONE
APPLICANT 1 ' f /�(,V (2 )ylri - 8 C
MAILING APDRESS E-MAIL
,'/02 4eat J tja7 ,rt) 137/ 0 C.--Ceitt04-1kW!
ST, u itivki Cott E (itcz)Z
(A-3 )s2r� o 3C
NAME, �,�f� PRIMARY PHONE
PROJECT CONTACT L�L�r ' c ��'/�--K- ('ig') -A-yi - 031
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: ��sb��„u'�yAhe..---- DATE ‘g/.-
-V/C7
PRINT NAME: AvraaVy c . e?/• ,C-
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application