17-100409 Electrical
- City of Federal Way Permit #:17-100409-00-EL
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)8352609
Project Name: 7-11 STORE#27284
Project Address: 32935 1ST AVE S Parcel Number: 182104 9037
Project Description: Install low voltage t-stats and temperature sensor.
Owner Applicant Contractor
C G L PACIFIC LLC DAVID MITCHELLSUNBELT CONTROLS SUNBELT CONTROLS INC
376 EL EDCANTO DR INC SUNBECI854P2(10/22/17)
PASADENA,CA 91107 6265 SAN FERNANDO RD 6265 SAN FERNANDO RD
GLENDALE CA 91201
GLENDALE CA 91201
Additional Permit Information
Is this an Online or O.T.C.application? Yes
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Low Voltage-Other(Residem 1
PERMIT EXPIRES Saturday,27 January,2018
Permit Issued on Friday,January 27,2017
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
Washingt and the City of Federal Way.
Owner or agent: ,/ Date: //47//7
THIS CARD IS TO REMAIN ON-SITE
Federal Way Construction Inspection Record
y INSPECTION REQUESTS: (253)835-3050
PERMIT#: 17 100409 00 Address: 32935 1ST AVE S
Project: C G L PACIFIC LLC FEDERAL WAY WA 98003-6304
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.
'El
LIFER Ground(4295) rn
Ditch cover(4030) Q 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 By Date By Date
El Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020)
Approved Approved Approved
•By Date By Date By Date
'
10 Final-Electrical(4055)
Approved
By (lei.. Date it4 Li,._/7
0 Rough Electrical E3 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
VCEIVED
CITY OF
, , ELECTRICAL
'AN
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Federal WayCIVY OP��DERAL PERMIT APPLICATION
WAY
PERMIT NUMBER 1 - 1 0 V "1 01 _ �j C
((( SUITE/UNIT/SPACE#
SITE ADDRESS:3 i C1 s 5 Qui 114 6 S i7 U-J'1-1
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
(.pOO (/ 0 3 7
PROJECT NAMEJ
(Tenant or Homeowner Last Name) -7 - /(
PROJECT DESCRIPTION Abillie J UtPwtEJT Amik tEMEncl 5y5T&
Detailed description of work to i� � gEvwsM
be included on this permit only
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NAMEr ( )PRIMARY PHONE
PROPERTY OWNER -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
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MAILING ADDRESS E-MAIL
ELECTRICAL 1006 S 3zit4 5t
CONTRACTOR CITY STATE ZIP FAX
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2ZSTATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
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NAME PRIMARY PHONE
APPLICANT
(0 At/I IA n .1't 0 (W(0) t't 2 - 611141
MAILING ADDRESS t E-MAIL
7.133 56 "2—
'1701 ctM ��„�� nl , s.
Z (. 0 5 CITY
ino pi v 4L �►��3 )STATE ZIP FAX
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NAME PRIMARY PHONE
PROJECT CONTACT A�+y (Z,53) 95 Z- o 9 Z
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 cl ' arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied t t city as a part of this application.
SIGNATURE: 711/DATE //7/)7
PRINT NAME: IPJ 10 1tit V�CIfi/
Bulletin#160-January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application