15-100703 -
Y
Electrical
City of Federal Way Permit #: 15-100703-00-EL
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: TUNISTA
Project Address: 33400 ACTH AVE S Unit 132 Parcel Number:-926501-0060---
Project Description: Install fighting and power connections/receptacles.Altering 5 circuits
`
Owner Applicant Contractor
GOLDEN STONE PROPERTIES LLC ERIC OLSEN OLSEN ELECTRIC INC
33400 9TH AVE S SUITE 114 OLSEN ELECTRIC OLSENEI93IPE(10/5/15)
FEDERAL WAY WA 98003 325 WASHINGTON AVE S SUITE 91 325 WASHINGTON AVE S SUITE 91
KENT WA 98032 KENT WA 98032
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 5
PERMIT EXPIRES Wednesday, August 12, 2015
Permit Issued on Friday, February 13, 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 'II be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date: �C 1 3/i c
THIS CARD IS TO IN ON-SITE
CITY OF * Construction In ection Record.
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 15-100703-00-EL Address: 33400 9TH AVE S Unit 132
Project: GOLDEN STONE PROPERTIES LL 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) El Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
O 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 B. --227 Date z_ 14,- i By Date
O Final-Electrical(4055)
Approved
By yA Date t{`3 0 (1r
* Pcvwu.if (4e+ 0H i-f-c_ A+ Tintt OC tWre-cit .
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
411
4111/4. RECEIVED ELECTRICAL
CITY OF
Federal Way FEB 13 2015 PERMIT APPLICATION
CITY OF FEDERAL WAY 1E12_PERMIT NUMBER _ / Q 0' O 3 _
SUITE/UNIT/SPACE#
SITE ADDRESS: 3 34.00 ye,{
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
T0
PROJECT NAME -
(Tenant or Homeowner Last Name) I Li fAS it
Ski \l �Tui h n n't\ t. POW e'r c orvne_t__A
PROJECT DESCRIPTION 41'4 x\ J C) .l C l<<v s rete P C(�S
Detailed description of work to J
be included on this permit only
NAME + PRIMARY PHONE
PROPERTY OWNER o t.&irl 5 k-osazPco,(2.e
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME
` PRIMARY PHONE
L/�dL•w'1 �\•( �G�C� (d53) �� l `(E`O c
MAILING ADDRESS E-MAIL
ELECTRICAL (30/s-- c- i h .I I'ti/l A vc_ & . "1 u s NA. vls e etRt 4t'i c CONTRACTOR CITY STATE ZIP " FAX (Z.z,y
( lNA_ ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
L OLA hA ) t.q3 t / 3 / 5
NAME PRIMARY PHONE
APPLICANT 4 0(St n s` ( ) -
MAILING ADDRESS E-MAIL
CITY - STATE ZIP FAX
( )
NAME PRIMARY PHONE
PROJECT CONTACT T S F or\ 6-7 rG n\v-e r
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 a I l 3/
PRINT NAM J S lY\ 6-t' ' t i2.•t'
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application