13-105801 ‘ - It , .. .. . 4.
-- Electrical
City of Federal Way
Community&Econ.Dev.Services Permit #: 13-105801 -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: JOHN L SCOTT
Project Address: 32225 PACIFIC HWY S Unit 204 Parcel Number: 150050 0100
Project Description: Install(7)Honeywell thermostats and low voltage wiring for rooftop units
Owner Applicant Contractor
HARSCH INVESTMENT PROPERTIES UNIVERSAL REFRIGERATION INC UNIVERSAL REFRIGERATION INC
PO BOX 2708 (ELECTRICAL) (ELECTRICAL)
PORTLAND OR 97208 PO BOX 614 UNIVERI000BO(1/20/14)
AUBURN WA 98071-0614 PO BOX 614
AUBURN WA 98071-0614
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
Thermostat 7
PERMIT EXPIRES Wednesday, July 9, 2014
Permit Issued on Friday, January 10, 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 cderal Way.
/ /
Owner or agent: �,,ti^/ ' ' .eve �.�� Date: / -7,0 —�/K
• THIS CARD IS TO RFIN ON-SITE
CITY OF --'" Construction Inspection Record
Federal ay INSPECTION REQUESTS: (253)835-3050
PERMIT#: 13-105801-00-EL Address: 32225 PACIFIC HWY S Unit 204
Project: HARSCH INVESTMENT PROPERTI 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.
Cl UFER Ground (4295) 0 Ditch cover(4030) o Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By
Date By Date By Date
Pool Bonding(4195) El Temporary Power(4275) 0 Service(4235)
Approved
Approved Approved
By Date By Date By Date
El Feeders/Sub-panels(4045) 0 Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved
Approved Approved
Date By Date By C A Date \.___;;1 3_lit
By
0 Final-Electrical(4055)
Approved
By 04,1...\_ Date 2‘Z,—t
Rou h Electrical
Approved Final Electrical ❑ Right of Way
❑ g ❑ Approved Approved
By
Date 1 1 By Date I i By Date
9
ELECTRICAL
CITY OF „A
Federal Way PERMIT APPLICATION
RECEIVED
PERMIT NUMBER 1 _ 1 0 5 S O t - d� DEC 3 0 2013
I /I>R'riviWitRAL WAY
SITE ADDRESS: 32ZZs-^r a c, 1c. A�c,�. .�j�cro 1 e.2. 2 u,-t Zoo Zoo CDS
PROJECT VALUATION A ESSOR'8 T�/PARCEL f CURRENT/PROPOSED USE
$ IIgS.0 . °O 1 S o 0 5 c> - o ! 0 0 i Ct.
PROJECT NAMEA) • t' A I
(Tenant or Homeowner Last Name) �O L L.S(,o j�
"Z N S LAI` �(7) �oAC.t.Aus' ,taviAoSVA LS Ani (o1J VO(t•AC5.•
PROJECT DESCRIPTION
LS 14635
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER aARS1n-1aJe,S4,31- -eiz.o,Eat•tc-.5 (5o3 ) 242 -zgoo
MAILING ADDRESS E-MAIL
1121 '5 v o Sr.
CITY I STATE ZIP FAX
TOeV&NIS & 97205 ( ) -
NAMME . . . PRIMARY PHONE
CM/VG J (r ( C41ffCK (Z5))0714-270(0(
MAILING ADDRESS
ELECTRICAL WO Z � �ac� 1Lt/ fgeZ -iu''"
CONTRACTOR STATE ZIPFAX
#44414rTel �/�F ? OC ' (Z 7 -347•3 2-
WA STATE CONTRACTOR'S LICENSE f EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE S
4W/V '/ 4j0 / za W /y-?7.70 7-eX)-N---
NAMME PRIMARY PHONE
APPLICANT
.5-444.1e_ a s a��r� (2")93 fro/
MAILING ADDRESS
kt A /� yr
CITY STATE zZIPl:�PARil' �" .
NAME '
(Z55)7P PHONE Z
PROJECT CONTACT (�(�A HAWIlo1
(257)93,-—5-0r
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.
a;SIGNATURE:
� cDATE /2/2;713
PRINT NAME: 7 L L. / CSC //*ga l"
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application