16-105199 •
Electrical
City of Federal way Permit #:16-105199-00-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: FEDERAL WAY LICENSING SERVICES
Project Address: 1320 S 324TH ST Ow Parcel Number: 150050 0070
Project Description: Install new lights,outlets and data ports.
Owner Applicant Contractor
LICENSING SERVICES LTD DEBBY KROLLOLD TIME ELECTRIC INC OLD TIME ELECTRIC INC
FEDERAL WAY AUTO LICENSE AGENCY 5602 81ST ST E OLDTIEI021LB(6/2/18)
1750 S 327TH ST UNIT C4 PUYALLUP WA 98371 PO BOX 39745
FEDERAL WAY WA 98063-4957
LAKEWOOD WA 98498
Additional Permit Information
Is this an Online or O.T.C.application? Yes
1'1('11 •
Circuits-Commercial 6
PERMIT EXPIRES Friday,27 October,2017
Permit Issued on Thursday,October 27,2016
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 nth the City of Federal Way.
Owner or agent: �� v �� Date: I o - a - 1 �.
.R
IA' THIS CARD IS TO REMAIN ON-SITE
CITYConstruction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 16 105199 00 Address: 1320 S 324TH ST Unit A-02
Project: LICENSING SERVICES LTD 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) "Q ,
Ditch cover(4030) ® Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
.By Date �.By Date By Date
'
'® Pool Bonding(4195) „0 Temporary Power(4275) • ® Service(4235)
Approved Approved Approved
By Date By Date By Date
,
Q Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® ' Ceiling Cover(4020)
Approved Approved Approved
By Date B . Date1, ti � li Date( ze-
•
El Final-Electrical(4055)
Approved
By C Date 1 -, x s_iry
Rough Electrical 0 Final ElectricalElRight of Way
Approved Approved Approved
By Date By Date By Date
A. RECEIVED ELECTRICAL
CITY OF
Federal Way 0c1 27 2016 PERMIT APPLICATION
isTTY OF FEDERAL WAY
n i
-
PERirBT Nut =ER - E 1
SITE ADDRESS: i 3 a b S 3 -(14'1- (5T"
SUITE/UNIT/SPACE
1oa
PROJECT VALUATION ASSESSO ' TAR/PARCEL S _ CURRENT/PROPOSED USE
$ (,,007,14 1 0 0b Li - O c ( U 'Driversu
PROJECT NAME Ve®t,fa\ W��cev 'S',Yv Sorvt_,s
(Tenant or Homeowner Last Name) Q
Tev`cv,r,.?r \vwi c ONAA.-t
PROJECT DESCRIPTION N CL ) U S
Detailed description of work to New O1.�'t-IdrS
be included on this permit only f
OGAa• corkS
NAME PRIMARY PHONE
PROPERTY OWNER ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP ( FAX
) -
NAME PRIMARY PHONE
J) c "Ci w.,e. `...lec1m \ (053 ) %4' - A nc-
MAILING ADDRESS E-MAIL
ELECTRICAL P1) Y11 3ck-7 4 - de b&,A<cFAXd `ri 6",-akcs4I
CONTRACTOR CITY STATE ZIP C.04`^
Lc ).a c `gti 4 (0'53 ) s((t- 33/07S
WA STATE CONTRACTOR'S LICENSE S EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE S
BLOT= e:Ioas._LS3 of,' / oa //er c90-p(o-1000gg-oo_.RC-
NAME PRIMARY PHONE
APPLICANT
3c,,, N...vo.1L (as3 1 5.-v( B 3-1.s
MAILING ADDRESS E-MAIL
Po Q)c--A 4e:1/45 3
CITY STATE ZIP FAX
reberza. V'b.0 194\ 9'5(3103 (`&77 ) 6?K - `to►?
PROJECT CONTACT NAME PRIMARY PHONE
\a%-k. KN-E)11 (253) (o7? - 31
I certify under penalty of perjury that I am the property owner or authorised 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 authorised 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.
( :)SIGNATURE: . _Lc.--(2-0t_ DATE t o -c 7 - I(a
PRINT NAME: ,1 J
` C b\:3 'K v� \\
PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
253-835-2607+ FAX 253-835-2609+
Bulletin#160-April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application