17-101732 i
•
Electrical
City of Federal Way '
Community Development Dept. r �
338th S
Federal Way325 ,WA
Ave 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax.(253)835-2609
Project Name: GRAVITY COFFEE
Project Address: 33510 PACIFIC HWY S Parcel Number:797820 0050
Project Description: Electrical connection for coffee shop,wiring and hooking up equipment and lighting,phone
and data,underground from transformer to meter.
Owner Applicant Contractor
GLEE DRAPER ED JENSEND&E ELECTRIC,INC. - D&E ELECTRIC INC
11243 MARINE VIEW DR SW 4220 166TH AVE E DEELEI*039D6(4/1/19)
SEATTLE WA 98146 LAKE TAPPS WA 98390
4220 166TH AVE E
SUMNER WA 98390
Additional Permit Information
Is this an Online or O.T.C.application? Yes
New Service:0- 100 amps(Ct I
PERMIT EXPIRES Tuesday, 17 April,2018
Permit Issued on Monday,April 17,2017
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
Washington and the City of Federal Way.
Owner or agent: Date: 11"
11'1
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io12,1 Iii n44, inkevrce br fish 1,411A4101,/ ok •
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THIS CARD IS TO REMAIN ON-SITE
w114
CITY OP Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 101732 00 Address: 33510 PACIFIC HWY S
Project: GLEE DRAPER FEDERAL WAY WA 98003-6890
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) ° 3❑ Slab/Concrete Floor(4255)
- Approved / Approved Approved to place concrete
BY IlW(( Date Li 7111)7 ..By C I,dAA Date j .j 9..1 17 By Date
® Pool Bonding(4195) ® Temporary Power(4275) ® Service(4235)
Approved Approved Pe Approved
By Date By Date By Date
ID Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020)
Approved Approved Approved
By Date By Q,��►� Date 10 4.- C d 1t`1 � By Date
o Final-Electrical(4055)
Approved
By Iv4 Date lo I24 1 ri
•
El Rough Electrical Ei Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
WY OF A APR 17 2017 ELECTRICAL
Federal Way CITY OFFEDEF�ALWAY
PERMIT APPLICATION
COMMUNITY DEVELOPMENT q
PERMIT NUMBER _ °r 1 3 2 _ ,,
Pott r SUITE/UNIT/SPACE e
SITE ADDRESS: 335/
a� c IC tow S . Pcdera, wot QM
.76:7-Co
PROJECT VALUATION ASSESSOR'S TAX/PARCEL CURRENT/PROPOSED USE
$ a'?Oi0C)0 7ct 7q 20 - 050
PROJECT NAME . Cc c c ere
(Tenant or Homeowner Last Name) �('��u 1-1--u3
-AC icatcc,l- siloGray p
PROJECT DESCRIPTION W( r‘(1 4 vlr Ii'Iv k�n 9 vi ' e� i p n'le f'I a rte./ Q
Detailed description of work to Li ak$Tn Pian e a c lei , L.nd-f.r r('it iv1 A
be included on this permit only J 1 g �'
-4 CG n't 'T-C q n S ccs r',lei- -S-0 I`Yt e=e.(`
NAME ��yy PRIMARY PHONE
PROPERTY OWNER sc'
seg- (arkeCa,.Gt'e 1 C e-Nei x) I 14 4ri1e,+t )
MAILING ADDRESS E-MAIL
41156-0 eta 44 e.
CITY STATE ZIP FAX
-74-SSqpail wA- 9639/ ( ) -
N b Ll ec4c r ; 1-ii c c.2s3) r/PRIMARY '7iy�
MAILING ADDRESS / _(_ dee- led-rich
E-MAIL
ELECTRICAL ,20 /66 AveA - Et s 1 de ed-ricb7Ci'2e6:,mca54,
CONTRACTOR CITY STATE ZIP FAX n e_-1-
Laccra �'a col- ?8-39/ (a53) a26 - 4 6f
WA STATE CONT OR'8 LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
D ,LEI4- 037 11/ I rig-
NAME d^� PRIMARY PHONE
APPLICANT - ` �n,S e (253) ( -CZ 7 7
MAILING ADDRESS
Baa a /b6-f" /1 Eet s4 eoe 58-@
' ATS J cc�m «��{.,
La e T 3 W Z� 9 i FAX �l 1
NAME _/ +�--- PRIMARY PHONE
PROJECT CONTACT EC l J ems (253) 6o6--az-7-7
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 •ut of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the c •part of this application.
SIGNATURE: y� 1-/-/5 DATE -17
PRINT NAME: / pi
i 0 e4 i, .-eir1
PERMIT CENTER+33325 8th 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