15-101012 • •
Electrical
City &FederalWay ' ' Permit #: 15-101012-00-E L
CommunityEcon.on.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: SECOMA VILLAGE
Project Address: 33324 PACIFIC HWY S Unit 201 Parcel Number: 797820 0025
Project Description: Adding/altering(8)new branch circuits for associated tenant improvement work
Owner Applicant Contractor
ARTHUR&SHIRLEY INC HERTZ ELECTRIC HERTZ ELECTRIC
5636 E MERCER WAY 757 116TH ST S HERTZE*903K1(5/22/16)
MERCER ISLAND WA 98040 TACOMA WA 98444 757 116TH ST S
TACOMA WA 98444
Additional Permit Information
Is this an Online or O.T.C.application9 Yes Is Use Educational or Institutional? No
Service greater than 999 Amps No
Electrical Fixtures
Circuits-Commercial 8
PERMIT EXPIRES Sunday, August 30, 2015
Permit Issued on Tuesday, March 3, 2015
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:
N ar
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® • THIS CARD IS TO ' AIN ON-SITE
CITY
OF Construction Ins ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 15-101012-00-EL Address: 33324 PACIFIC HWY S Unit 201
Project: ARTHUR & SHIRLEY INC 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.
❑ UFER Ground (4295) - El Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
El Pool Bonding(4195) ❑ Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
❑ Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) '
Approved Approved Approved
By Date Bytsc Date 's3 -.c 15 By Date
El Final-Electrical (4055)
Approved
��� Date — 3_ .,,s----
0 Rough Electrical ❑ Final Electrical ❑ Right of Way
Approved Approved Approved
By Date By Date By Date
N
CITY OF E CTRICAL
Federal Way PERMIT APPLICATION
RECEIVE.
PERMIT NUMBER- 10°11 MAR 03
2015
��yy MAR t7 1 T t AP
C,ys-uITE/UNIT/PARC
SITE ADDRESS: 27 '2.--7)--/1" Pik. -1-f-''.(., 1,1 W� `� ( '• 7�' L
PROJECT VALUATION ASOB'S TAX/PARCEL# CURRENT/PROPOSED USE
PROJECT NAME � M ^ ` ,I
(Tenant or Homeowner Last Name) L b Y( LLA
k C5 ) ' vim- 1 CWC ,'“
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER '2) 16\CL Z--C 1 , ( s'C ) Y `} .10--#,,,
MAILING ADDRESS E-MAIL
TE
CITY7pp -) Vik( W°'''jS '\ ZIP FAX
( )
NAME PRIMARY PHONE
treZ e - 1 ( -3) y�! - 0 )-00
MAILING ADDRESS E-MAIL
ELECTRICAL
17(cI (t 641 c 1
CONTRACTOR CITY STATE- ZIP FAX
�-61\-G° M,G'\ .0 6\ '7 h yvy- ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
friie. C( b )i IL) / /
NAME PRIMARY PHONE
C-1,'(d i (C1 1CZ /4 ( 6) f 7- -7p
APPLICANT
MAILING ADDRESS E-MAIL
9 - ) 116i
CITY TATE ZIP FAX
.16.e0 RA W of 9 L1 ( ) -
NAME PRIMARY PHONE
PROJECT CONTACT O'IJCI ( �6)v,�,y b- -M
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
ail 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.
f 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. 7,3
SIGNATURE: . —..or- DATE G.2 / / )/
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