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16-104802 � 4 .s 1 Electrical City of Federal way Permit #:16-104802-00-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: ANGEL PHARMACY Project Address: 31217 PACIFIC HWY S Parcel Number:082104 9186 Project Description: Adding/altering up to(4)circuits for associated tenant improvement work. Owner Applicant Contractor PAVILION CENTER ASSOCIATES N W ELECTRIC SERVICES INC N W ELECTRIC SERVICES INC C/O KIMCO REALTY CORPORATION 32419 3RD AVE SW NWELEES925DL(3/30/18) 3535 FACTORIA BLVD SE SUITE 520 FEDERAL WAY WA 98023 32419 3RD AVE SW BELLEVUE WA 98006 FEDERAL WAY WA 98023 Additional Permit Information Is this an Online or O.T.C.application? Yes Circuits-Commercial 4 PERMIT EXPIRES Thursday,28 September,2017 Permit Issued on Wednesday,September 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 Washington and the City of Federal Way. Owner or agent: 010111r -r+ Date: 69 /d THIS CARD IS TO REMAIN ON-SITE "�� 0414Construction Inspection Record FeCler"aI Way INSPECTION REQUESTS:(253)835-3050 PERMIT#: 16104802 00 Address: 31217 PACIFIC HWY S Unit A-101 Project: PAVILION CENTER ASSOCIATES 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. t❑ UFER Ground(4295) In Ditch cover(4030) In Slab/Concrete Floor(4255) UFER Ground(4295) Ditch cover(4030) Slab/Concrete Floor(4255) By Date By Date By Date ® Pool Bonding(4195) El Temporary Power(4275) ® Service(4235) Pool Bonding(4195) Temporary Power(4275) Service(4235) By Date By Date By Date •® Feeders/Sub-panels(4045) ,•0 Rough Electrical(4225) „® Ceiling Cover(4020) Feeders/Sub-panels(4045) Rough Electrical(4225) Ceiling Cover(4020) By Date By (P%I Date a 124 1(V By Date • D Final-Electrical(4055) Final-Electrical(4055) By NI Date (o 1(2 1 (y 0 Rough Electrical 0 Final Electrical 0 Right of Way Approved Approved Approved By Date By Date By Date CITY of ELECTRICAL Federal Way PERMIT APP CATION CEIVE � e dcoPERMIT NMBERl _ > Z _ SEP 282016 1l CSUI OUNIII I WAY SITE ADDRESS: 3 12/f) p G�-€.-[ 1 c\C -w art i 6 4- — (o/ PROJECT VALUATION AS- CS 'S TAR/PARCEL# CURRENT/PROPOSED USE $ 5—VZ7 l o � - l � 6.2) PROJECT NAME �� // (Tenant or Homeowner Last Name) `e�V 1/[x ,, 11 a r,2a cc Yl otA.F PROJECT DESCRIPTION Detailed description of work to be included on this permit only ME PROPERTY OWNER N /J a V i,I C'O/1/CQi71-'et ,. 6 Id.re ) PRIMARY PHONE MAILING ADDRESS _L E-MAIL iotc,6CY/` } /31.-V te 5� �� CITY STATE ZIP FAX tae//ev coA. 72cv ( ) - NA 1N AME s'3 _Y PHONE P1 C�Tf Ic 5'640s /n) r `( ) s"61- MAILING ADDRESS E-MAIL ELECTRICAL 2 Lf'/1 3rd/a U E 5 4L) 4 toes'. 42 CO 4107"/141/ CONTRACTOR CI STATE ZIP FAX ©C u ecero( 9�'O2 ) ( ) - l WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# NAME PRIMARY PHONE APPLICANT &(✓7 L a K ( ) MAILING ADDRESS E-MAIL 3rc '6 /CSJ CITYeptASTATE ZIP FAX e � (VCVCtai- pee a ) NAME PRIMARY PHONE PROJECT CONTACT / T ) - /' 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 th iance of the city, including its officers and employees, upon the accuracy of the information supplied to the city as a p of this a plication. SIGNATURE' +�I DATE e27.--- 0 '0/`'' PRINT NAME: 1-0 - Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application