13-102207 R
• Flec ncal
Cof Federal Way
Community&Econ.Dev.Services Permit #: 13-102207-00-EL
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: CHEVRON
Project Address: 34727 PACIFIC HWY S Parcel Number: 202104 9133
Project Description: Installation of lighted exit sign.
Owner Applicant Contractor
CHEVRON SERVICES CO S M E SOLUTIONS LLC S M E SOLUTIONS LLC
PO BOX 285 2302"A"ST SMESOSL931K1(5/21/13)
HOUSTON TX 77001-0285 TACOMA WA 98402 2302"A"ST
TACOMA WA 98402
•
Additional Permit information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Service greater than 999 Amps9 No
Electrical Fixtures
Circuits-Commercial 1
PERMIT EXPIRES Saturday, November 16, 2013
Permit Issued on Monday, May 20, 2013
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 i accordance with th-. -ws, 0 s and regulations of the State of Washington
-nd t r 'i Fe.,-all Way.
-
Owner orae / c /. Date: Zd Zdl J
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47,
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• THIS CARD IS TO ON-SITE ,
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 13-102207-00-EL Address: 34727 PACIFIC HWY S
Project: CHEVRON SERVICES CO 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) 0 Ditch cover(4030) Ei Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
O Pool Bonding(4195) Ei Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
O 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
B Date --"--2 f--(3
a"---(....
El Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
•
�rC 13•
CITY oio ELECTRICAL
MA� p
Federal W 0 F�.o ` \N PERMIT APPLICATION
c ' CD
PERMIT NUMBER / • 3 - 7 0
SUITE/UNIT/SPACE#
SITE ADDRESS: 3 `fes'727 G/ �L /��
PROJECT VALUATION ASSESSOR'S TAX/PARCEL i CURRENT/PROPOSED USE
$ /6-30 0 r - ± 3
PROJECT NAME �t
/
(Tenant or Homeowner Last Name) /1( )y 2 OC..•=6 2
Sir d i f'I cfv\ .s7`a-�(Ovt/..s
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME // PRIMARY PHONE
PROPERTY OWNER C G' Y tr?- (253)f52 52 -(p
MAILING ADDRESS E-MAIL
-72arc.- y
CITY,�'o / STATE ZIP
FAX
PSG` °e�Cc 1 ("3 Q w l� C!`� ( ) __
NAME PRIMARY PHONE
SME SOf/l(?L 0"-5 f7 . (2c3)672- 31422
MAILING ADDRESS E-MAIL
ELECTRICAL 2 7 D z 4
CONTRACTOR CITY STATE ZIP FAX
�8y"Z t ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE A
5rn5)L_.3 3 f ! C15 '? t / 15
NAME )) PRIMARY PHONE
APPLICANT � (zC3)s 72- 3822
MAILING ADDRESS E-MAIL
2 3 O 2- 4 -22
CITY STATE ZIP FAX
N PRIMARY PHONE
PROJECT CONTACT ia4,;Z V/r (7S-3 ) 26 -l *14'7
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,i •ding the undersigned,and filed against the city,
but only where such claim arises out of the reliance of the city, including o fficer/•nd employees, upon the accuracy of the
information supplied to the city as a part of • application.
SIGNATURE: DATE //6/Z6/5
PRINT NAME: 1 41 e<'`C>w I �/�✓
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application