15-106513 • 4 Electrical
City of Federal Way Ftt
'Community&Econ.Dev.Services Permit #: 15-106513-00-EL
33325 8th Ave S
Federal Way,WA 980034 ;, Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 P q
Project Name: AGIT CAFE
Project Address: 33310 PACIFIC HWY S Unit 404 Parcel Number: 797820 0025
Project Description: Add (5) circuits for hood.
Owner Applicant Contractor
I K KIM GREEN TECHNOLOGY INC GREEN TECHNOLOGY INC
PO BOX 3858 4325 S ALDER ST UNIT A GREENTI883C7(2/27/16)
•FEDERAL WAY WA 98063 TACOMA WA 984Q9 4325 S ALDER ST UNIT A
TACOMA WA 98409
Additional Permit Information
•
•
Electrical Work Valuation? 700 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 5
PERMIT EXPIRES Monday, June 20, 2016
Permit Issued on Wednesday, December 23, 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.
Date
Owner or agent: ..,. w.—.
444***4...: ' L THIS CARD IS TO REWN ON-SITE _
"ry OF Construction Insp ion Record "
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT#: 15-106513-00-EL Address: 33310 PACIFIC HWY S Unit 404
Project: I K KIM 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.
o UFER Ground (4295) ❑ Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
0 Pool Bonding(4195) ElTemporary Power(4275) .El Service(4235) ,
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) 's Rough Electrical (4225) Ceiling Cover(402
Approved Approved Approved
By Dater By Date By Date
�0 Final-Electrical(4055) + 0)
Approved
By tpa Date I'd of
IS—
Rough Electrical Final Electrical I
Right of Way '
Approved Approved Approved
Sy Date By Date By Date
A
1;41 LECTRICAL
CITY OF
Federal Way PERMIT APP TIDON
PERMIT NUMBER y _ o DEC
:13
201VE
CITY OF r WAY
SUITE//UNI C
SITE ADDRESS: -, -, Oy-S o � � -0-
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# _ O 0 ^ � CURRENT/PROPOSED USE
TRK/) G—
PROJEiCT NAME
(Tenant or Homeowner Last Name)
Hop pc v
PROJECT DESCRIPTION
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
�- ren T -hv\110� � - ( 3 ) ' -
MAILING ADDRESS E-MAIL
ELECTRICAL 43 2s S0. 4p-eV A
CONTRACTOR CITY STATE ZIP FAX
eaAAA G‘._ gyp,. cl�= { v t I ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME -s PRIMARY PHONE
APPLICANT MAIIxGADDRESS kow•a-5 5 �
oU� H � AAA
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
PROJECT CONTACT - -� gi �.ti,,, ( )
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: DATE (Z"-
PRINT NAME: X%/l c'1A--t.°`"
Q a
Bulletin#160-January 1,2013 Page 1 of 2 k:AHandouts\Electrical Permit Application