16-106067 Electrical
City of Federal way Permit #:16-106067-00-EL
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: VOLT WORKFORCE SOLUTIONS
Project Address: 33301 9TH AVE S Parcel Number:926501 0130
Project Description: Installation of electrical for Generator
Owner Applicant Contractor
KIDDER MATHEWS CHRISTY MONTENEGROTHE JUICE THE JUICE COMPANY INC
1201 PACIFIC AVE S SUITE 1400 COMPANY INC JUICECI933BP(1/17/19)
TACOMA WA 98402 11407 SE 326TH PL
AUBURN WA 98092 11407 SE 326TH PL
AUBURN WA 98092
Additional Permit Information
Is this an Online or O.T.C.application? No
Circuits-Commercial 10
PERMIT EXPIRES Saturday, 10 March,2018
Permit Issued on Friday,March 10,2017
I hereby certify that the above information is correct and that the construction on the above described property
and the occupanc(-2y 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 `�%%/"/l/ %-w Date: ‘---- 1.0/ 611 7
.i
J
AA, THIS CARD IS TO REMAIN ON-SITE
Federal Way
INSPECTION REQUESTS:Inspection RecordQUESTS:(253)835-3050
PERMIT#: 16 106067 00 Address: 33301 9TH AVE S Unit 100
Project: KIDDER MATHEWS 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) "El Slab/Concrete Floor(4255) ,
Approved Approved
Approved to place concrete
By Date
,.By Date •.BY Date
® Pool Bonding(4195) 0 Temporary Power(4275) ® Service(4235) ,
Approved Approved Approved
By Date ,4 By Date By Date
® Feeders/Sub-panels(4045) ® Rough Electrical(4225) W Ceiling Cover(4020) ,
Approved Approved Approved
By Date By Date BY
• Date
El Final-Electrical(4055)
Approved
.<-1 .--1. Date A - t ) ,
Rough Electrical 0 Final Electrical Right of Way
Approved Approved gApproved
By Date By Date By Date
0 1VED E CTRICAL
CITY OF 1 1 A,
Federal Way 'c 2 3 r' , PERMI'T APPLICATION
t wait
OW PERMIT NUMBER / - / 6 6 ,'
SUITE/UNIT/SPACE#
SITE ADDRESS: 333em 1 Q�il., n , S
PROJECT VALUATION J ASSESSOR'S TAX/PARCEL' # i i CURRENT/PROPOSED USE
$ 85c &T -
PRO.)f ECT NAME \i Q '
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION E'1 ems- (61.1 i Y) i c J a_--f-) a-- -C-tv--- c c) rte. aI/-
Detailed description of work to
be included on this permit only
NAMEPRIMARY PHONE
PROPERTY OWNER V0 ( - ( ) -
3 E-MAIL
3 C I glen 6 V S.
CITY �ry STATE ZIP FAX
PRIMARY PHONE
ITMk 3w'e ' Comte h G (A55) -oe,l 5
MAILING ADDRESS y E-MAIL
ELECTRICAL 3 )C) 44.A. io u v vi VO4.4.1. iU . i },off J o i ce czr►nptcru,,C
CONTRACTOR C f STATE IP FAN[ ca,cts.i.h,c i-
17`lA\,)iAv'1n wA 9 'C (1Ci3 )737 - 40.11
WA STATE CONTRACTOR'S LICENSE i EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
- Jtrl ci33 P 01 / 1i /I1
NAME PRIMARY PHONE
APPLICANT -1--"\")
_`\-) \t&ICc-- CA)rv1.pAviik,i,--ti t.' ( 5 ) 333 --4,;13
MAILING ADDRESS E-MA L
Juice curnpge:wt-/
SSS? 1 0 A b tA.✓n livST YE 4"44:-)-1 Cy c a.c ire,f
I�tvtwtv►� MI `i Y'doFAX
(.9ls�)73-7 - 4c j
NAMO PRIMARY PHONE
PROJECT CONTACT A.v i a M 0-,4 ,„.,- --,ter) ( 53) Sit - c i'/3
I certify under penalty of perjury that I am the property owner or authorised 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 authorised 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 investigati .- • -- '` such claim), which may be made by any person,including the undersigned,and filed against the city,
but only wh such claim a - out of the reliance of the city, including its officers and employees, upon the accuracy of the
information pplie• to the city as of this application. q
SIGMAlre - - DATE �! l7
EILINNI7PRINT N �'/ -( al-
--
PERMIT CENTER+33325 80,Avenue South+Federal Way,WA 98003-6325
253-835-2607 +FAX 253-835-2609+permitcenter�,cityoffederalway.com
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application