17-101233 p a w
Electrical
Comm itytyDevdebpm Permit #:17-101233-00-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: BECU-ATM MACHINE
Project Address: 31411 PACIFIC HWY S Parcel Number:082104 9216
Project Description: Install low voltage wiring for power&data for new ATM kiosk
•
Owner Applicant Contractor
KIMCO REALTY CORP RESTORATION POWER LLC RESTORATION POWER LLC
3333 NEW HYDE RD 5205 MONTICELLO DR RESTOPL845NR(8/22/18)
NEW HYDE PARK NY 11042 EDMONDS WA 98026 5205 MONTICELLO DR
EDMONDS WA 98026
Additional Permit Information
Is this an Online or O.T.C.application? Yes
Low Voltage-Other(Commei 1
PERMIT EXPIRES Thursday, 15 March,2018
Permit Issued on Wednesday,March 15,2017
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: i/1 Date: 3//tri1r7-
r
i
THIS CARD IS TO REMAIN ON-SITE
��►� Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 101233 00 Address: 31411 PACIFIC HWY S
Project: KIMCO REALTY CORP 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.
,Q UFER Ground(4295) 1,El Ditch cover(4030) •• ,
0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
,® Pool Bonding(4195) '/El Temporary Power(4275) ® Service(4235)
Approved Approved Approved
%By Date By Date By Date
•
0 Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020)
Approved Approved Approved
By Date ��By Date „By Date
•El Final-Electrical(4055)
Approved
By Q,i ,,.i Date w ••••-1 et- tl
0 Rough Electrical 0 Final Electrical ❑ Right of Way
Approved Approved Approved
By Date By Date �By Date
CITY OF `` ELECTRICAL
Federal Way PERMITAPPLICATION
ATION
EC
PERMIT NUMBER 1 — - MAR 15 2017
CITY COMMUNITY DIEL
CIl1yZT/SPACE#
SITE ADDRESS: l/ I) ?�`(1L O wy. Sou-1-(4 �C�I1yj�1
PROJECT VALUATION "t I ASSESSOR' TA% PARC L# ef CURRENT/PROPOSED USE
PROJECT NAME 0N� ,4'T`
(Tenant or Homeowner Last Name) •
PROJECT DESCRIPTION 1` / p/51)J&T-- 4- N-t 4 /v e4„)
Detailed description of work to ,4'rAA 1,11 OS
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER � ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAMEPRIMARY PHONE
1(Les- 4;� Pawe- L.iJ __ (206 )zoo -Zisei
MAILING ADDRESS E-MAIL
ELECTRICAL s-2,05-s-2,05- rn0,,44 iL e//o Pr Qey}oro,-(4-ar.rower
CONTRACTOR CITY STATE ZIP FAX
dhurmelS ( J q$az, ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
12 TOPL S4 SN /2Z12aif
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS ( )
E-MAIL
CITY STATE ZIP FAX
( )
PROJECT CONTACT NAME PRIMARY PHONE
(206 )aikZiel-
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: c2DATE 3/i c/
V i
PRINT NAME: w` 4 e,-- l
Bulletin#160-January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application