17-101234 •
Electrical
City of Federal way Permit #:17-101234-00-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: BLUE SKY
Project Address: 1400 S 312TH ST Parcel Number: 082104 9090
Project Description: Refrigeration& condenser w/front counter outlet.
Owner Applicant Contractor
GROVE STREET L L C JAMES HOTHE RUNNERS LLC THE RUNNERS LLC
1400 S 312TH ST 12819 SE 38TH ST SUITE 379 RUNNERL915RH(12/3/17)
FEDERAL WAY WA 98003 BELLEVUE WA 98006 12819 SE 38TH ST BOX 379
BELLEVUE WA 98006
Additional Permit Information
Is this an Online or O.T.C.application? Yes
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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
-shington and the City of Federal Way.
Date:
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Owner or agent �� r +
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THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 17 101234 00 Address: 1400 S 312TH ST Unit 1
Project: GROVE STREET L L C 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) • ® Ditch cover(4030) ® Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
El Pool Bonding(4195) ▪ ® Temporary Power(4275) Ill 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
'
111 Final-Electrical(4055)
Approved
By .. k.,_, 1 Date Li_ ic,.„ C`I
• e
Rough Electrical Final Electrical CI Right of Way
Approved Approved Approved
By Date By Date By Date
• RECEIVFn
A. E& TR
"�I=F ' MAR 15 2017 C ICAL
Federal Way17YOFrEDERALWA1r PERMIT APPLICATION
COMMUNITY DEVELOPMENT
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PERMIT NUMBER ! W _ f Li 1 Z 3 _ j/
SUITE/UNIT/SPACE#
SITE ADDRESS: WO 1 5/Z74= �-4 ' 54�j L( i
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
61 0 Cl 0
PROJECT NAME /U ¢'4
(Tenant or Homeowner Last Name) 9
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PROJECT DESCRIPTION - roievx ex1 '13.1,2 #9 tL-01,4 eol2ce.t.&( Ci "Gocrow)
Detailed description of work to emit f I toTN i.C'b70-vi 1-30_NsL
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER (5C/!V I5 -05-'j
MAILING ADDRESS EMAIL
CITY STATE ZIP FAX
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NAME PRIMARY PHONE
C(//V1 ne - LLL (2a4) 0/i- OOo1
MAILING ADDRESS EMAIL
ELECTRICAL l'7-8j61 5 6' 5_1 -t%erynnef4 /Ue,c
CONTRACTOR CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
IW'2J;( )- 7/ pi
NAME PRIMARY PHONE
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APPLICANT
MAILING ADDRESS E-MAIL
ITY
TATE
P
C°"" SW '1- � &O6 FAX
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NAME PRIMARY PHONE
PROJECT CONTACT le/144 HG (.766 leitf - ( Q7
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 ar(d fense of such claim), which may be made by any person, including the undersigned, and filed against the city,
but only where such c aim 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.
1
SIGNATURE: /�� DATE // /v-Y //
PRINT NAME: 0011/106 1 f .
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application