16-105627 Electrical
City of Federal Way Permit #:16-105627-00-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: H TOWN PLAZA
Project Address: 31515 PETE VON REICHBAUER WAY S Parcel Number:092104 9302
Project Description: Install low voltage wiring for voice and data cabling and POS
Owner Applicant Contractor
YOUNG JAE KIMBROADWAY-32ND STREET YOUNG JAE KIMBROADWAY-32ND OWNER IS CONTRACTOR
REALTY STREET REALTY
1610 BOUNDARY BLVD 1610 BOUNDARY BLVD
AUBURN WA 98087 AUBURN WA 98087
Additional Permit Information
Is this an Online or O.T.C.application? Yes
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Low Voltage-Other(Commei 1
PERMIT EXPIRES Tuesday,28 November,2017
Permit Issued on Monday,November 28,2016
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
Wa gton and the City of Federal Way.
Owner or agent: Date: (r _ L�_f"
r
THIS CARD IS TO REMAIN ON-SITE
CITY of y
Construction Inspection Record
Federal Wa
y INSPECTION REQUESTS: (253)835-3050
PERMIT#: 16 105627 00 Address: 31515 PETE VON REICHBAUER WAY S
Project: YOUNG JAE KIM FEDERAL WAY WA 98003-5458
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) ® Ditch cover(4030) ® Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
..ID Pool Bonding(4195) ® Temporary Power(4275) ® Service(4235)
Approved Approved Approved
By Date By Date By Date
® Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
,
Final-Electrical(4055)
Approved
By Q.s Date „-`
El Rough Electrical El Final Electrical1=1Right of Way
Approved Approved Approved
By Date By Date By Date
CITY OF ELECTRICAL
Federal Way PERMIT APPLICATION
NOV 2 8 2016 C�
CITY OF FEDERAL WAY PERMIT NUMBER l T _ t .0 3 C 27
CDS
SITE ADDRESS: SUITE/UNIT/SPACE#
' -j, Pete 1/.0 kle ctibe. ie - W4
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name) (LL
/ P 1 q,Z&
TA 51ullitk-D l o f �j(�eUlo e/, �h ,� (Arne PCIS
PROJECT DESCRIPTION /
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER ISVactii inlay 3)-4 67+ (Ze447
(pYrp, ( Z �y� .- t:
MAILING ADDRESS ,J E-MAIL
1610 /(in drt�/ R1 v
CITY / STATE ZIP FAX
�c4btAvn wA 9 'o / ( ) -
NAME PRIMARY PHONE
( )
MAILING ADDRESS E-MAIL
ELECTRICAL
CONTRACTOR CITY STATE ZIP FAX
( )
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME
ctivi)341 ��r� PRIMARY PHONE
APPLICANT �, ( 36d ) Ido - I
MAILIING ADDRESS h / h E-MAIL
j.,� /
l b/0 •goAnda� /✓1✓�11 CITY STATE ZIP Sl pn rl i/e ifrh-tA,5�(7LOOr-6074
Ail&tr.() 14A- '12 , l ( ) -
NAME PRIMARY PHONE
PROJECT CONTACT ( )
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 ci-f as a part of this application.
SIGNATU . DATE
PRINT NAME: I8 A t ( OPV k
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application