16-101839 s, •
• Electrical
City ofEcWay Permit #: 16-101830-00-EL
Community&Econ.
Dev.Services
33325 8th Ave S
Federal Way,WA 98003 ec
Ins tion Request Line: (253) 835-3050
Ph:(253)835-2607 Fax (253)835-2609 p 4
Project Name: GNC
Project Address: 1413 S 348TH ST Unit L-102 Parcel Number: 185295 0090
Project Description: Connection of electrical sign to existing J-box
`
Owner Applicant Contractor
GNC EASTSIDE ELECTRIC EASTSIDE ELECTRIC
1413 S 348TH ST 1712 TALBOT RD S EASTSE*962QR(11/19/16)
FEDERAL WAY WA 98003 RENTON WA 98055 1712 TALBOT RD S
RENTON WA 98055
Additional Permit Information
Electrical Work Valuation? 250.00 Is this an Online or O.T.C.application? Yes
Is Use Educational or Institutional? No Service greater than 999 Amps? No
Electrical Fixtures
Sign 1
PERMIT EXPIRES Friday, April 14, 2017
Permit Issued on Thursday, April 14, 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
id the City of Federal Way.
Owner or agent: /i ./. ,-
Date: � �
A
.4.1.,
THIS CARD IS TO MAIN ON-SITE e
CITY" •
FConstruction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 16-101839-00-EL Address: 1413 S 348TH ST Unit L-102
Project: GNC 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.
El UFER Ground (4295) 0 Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date
• By Date
,
El Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235)A
ovApproved Approved
By Date By Date
BY Date
0 Feeders/Supb-paanels(4045) 0 Rough Electrical(4225) 0 Ceiling Cover(4020)
AApproved Approved
By Date By Date
BY Date
0 Final-Electrical(4055)
Approved
By i4G Date 4(fI (L
Rough Electrical El
Electrical El Right of Way
Approved Approved Approved
By Date 1 By Date
By Date
•
` EL CTRICAL
CITY OF
Federal Way PERMIT APPLICATION
i {o ( 0 I g .3f_ CO RECEIVEDPERMIT NUMBER
— — APR 14 2016
SUITE/UNIT/SPACE#
SITE ADDRESS: t l I S .TS ..t Ci5 t-(- s CITY OF FEDERAL W 1 o .
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PROJECT VALUATION ASTES 'S TAr7# O CURRENT/PROPOSED USE
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PROJECT NAME
(Tenant or Homeowner Last Name)
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PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME /'"" PRIMARY PHONE
PROPERTY OWNER (2 " C' (q-DG ) 92-x4 - 0 c'ts'l
MAILING ADDRESS E-MAIL
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CITY STATE ZIP FAX
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NAME PRIMARY PHONE
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MAIL NG ADDRESS E-MAIL
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CONTRACTOR CITY STATE ZIP FAX Cp,
(224/1 1-"0 L' P1 cro S-c (t{'I.c)PY2Z - `t'22'-i
WA�TATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
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NAME /�-� PRIMARY PHONE
APPLICANT j A 1,--1 `'' 0`c (KZS)1114 Li - 7 3 ic
MAILING ADDRESS E-MAIL
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CI STATE ZIP FAX
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NAMEPRIMARY PHONE
PROJECT CONTACT , 42 ( (2D6) ,,,(_ os-cel
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 aim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplie to he city as a part of this application.
SIGNATURE: DATE ` /1 ` / i v _
PRINT NAME: i k U. —S "9- C4 i. "I-S
Bulletin#160—January 1,2013 Page 1 of 2 k:AHandouts\Electrical Permit Application