15-105895 1 4
v Electrical
City of Federal Way Permit #: 15-105895-00-E L
Community&Econ.Dev.Services
33325 8th Ave S F ILE
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: JAZZERCISE
Project Add2016 S 320TH ST Unit CID Parcel Number: 092104 9297
Project Description:ress: Installation of switches and receptacles for tenant improvements. Some demo.
-,Owner Applicant Contractor
NWCC CENTER PLAZA LLC SUNNY ELECTRIC&REFRIGERATION SUNNY ELECTRIC&REFRIGERATION
1402 E PIKE ST (ELECTRICAL) (ELECTRICAL)
SEATTLE WA 98122 29617 58TH PL S SUNNYER903BM(1/11/16)
AUBURN WA 98001 29617 58TH PL S
AUBURN WA 98001
Additional Permit Information
Electrical Work Valuation? 2000 Is this an Online or O.T.C.application? Yes
Is Use Educational or Institutional? No Service greater than 999 Amps? No
Electrical Fixtures
Circuits-Commercial 3
PERMIT EXPIRES Tuesday, May 17, 2016
Permit Issued on Thursday, November 19, 2015
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancrand the use will be in accordance with the laws, rules and regulations of the State of Washington
lad the City of Federal Way.
Owner or agent: 1 --4,7
r Date: ///r9/
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THIS CARD IS TO RE ON-SITE.. Jr
CITY OF Construction Insp�on Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 15-105895-00-EL Address: 2016 S 320TH ST Unit C/D
Project: NWCC CENTER PLAZA LLC 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.
0 UFER Ground (4295) 0 Ditch cover(4030) -❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
. . . .
0 Pool Bonding(4195) 0 Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
`
❑ Feeders/Sub-panels(4045) El Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date By i47 Date II 114-1 B Date `2__Q S
.0 Final-Electrical(4055)
Approved
C, Date vi, i/ / .�
A
E__ Rough Electrical CI Final ElectricalCI Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
• •LECTRICAL
CITY OF
111.111 0
NOV 19 2015
Federal Way PERMIT APPLICATION
CITY OF FEDERAL WAY
CDS
PERMIT NUMBER /5 - / 0 g 7 - F
SUITE NIT/SPACE#
SITE ADDRESS: ' .1.0 ti) 6 3.)-0 4 y C/D
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$..X7OpV L) (9- / 0 V - 9- c T7
PROJECT NAME
(Tenant or Homeowner Last Name) %TSA 53.24`C Ise
r+1�e De�na / mow. t1 eece i*.d* G4"`f SN3:~� Gin
PROJECT DESCRIPTION TPSb'5 421(5i IC(�e fiL k c
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER MOtt• MC_db it (.. -06),,91 - - -34
MAILING ADDRESS E-MAIL
- /4 E -¢ sT 40 04.
CITY STATE ZIP FAX
L A- L -- t/0A cV1 a "_ ( ) _
NAME np �� L PRIMARY PHONE
Stu n rt y k Cb c ret-tN,�er c\ ovi (a0 6) .4 VI- o ku4-
MAILING ADDRESS/ E-MAIL
ELECTRICAL
CONTRACTOR CITY-›-912i7 rrk p L STATE ZIP C`'"l-�(` _ah,e'e d-,A
FAX
77 /1114)11r h, WA-- IS o 01 ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
(./1,11.1`f ER q > 8M ( / t( /.2.01t10---.1-1--(0,,f ro -oo--BL.,
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS ( ) E-MAIL
CITY STATE ZIP FAX
( ) -
NAME PRIMARY PHONE
PROJECT CONTACT KC ( -04) --)-g1 0-Pe-/-
I
. rI 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 city as a part of this application.
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SIGNATURE: DATE ` 'O
PRINT NAME: AlWa�
ir
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application