16-103518City of Federal Way
Applicant
Community & Econ. Dev. Services
SHAWN KUO
33325 8th Ave S
GOLD ELECTRIC LLC
Federal Way, WA 98003
FILE
Ph: (253) 835-2607 Fax: (253) 835-2609
27400 PACIFIC HWY S
1308 V ST NW
Project Name: 99 CAFE
Project Address: 27400 PACIFIC HWY S Suite A
Project Description: Add (2) circuits for the hood suppression system.
Electrical
Permit #: 16 -103518 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 872992 0010
wn r
Applicant
Contractor
SHAWN KUO
DANNY TAYLOR
GOLD ELECTRIC LLC
99 CAFE
GOLD ELECTRIC LLC
GOLDEEL870JZ (4/9/17)
27400 PACIFIC HWY S
1308 V ST NW
PO BOX 2156
FEDERAL WAY WA 98003
AUBURN WA 98071
AUBURN WA 98071
Additional Permit Information
Electrical Work Valuation?....................................1000
Is Use Educational or Institutional?.......................No
Electrical Fixtures
Circuits - Commercial .................... 2
Is this an Online or O.T.C. application?.................Yes
Service greater than 999 Amps? .............................No
PERMIT EXPIRES Friday, July 21, 2017
Permit Issued on Thursday, July 21, 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: tom(' n-�e ( Date: `-1 1 /
CITY OF
Federal Way
PERMIT #:
Project:
THIS CARD IS TO REMAIN ON-SITE
Construction Inection Record
INSPECTION REQ TS: (253) 835-3050
16 -103518 -00 -EL Address: 27400 PACIFIC HWY S Suite A
SHAWN KUO FEDERAL WAY, WA 98003
Scheduled inspections may be failed if this card isnot 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.
Rough Electrical Final Electrical1:1Right of Way
❑ ApprOVed ❑ Approved Approved
By Date By Date By Date
R Ground (4
❑
Ditch cover ( 0)
By
Slab/Concrete Floor (4 255)
Approved
❑
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Rough Electrical Final Electrical1:1Right of Way
❑ ApprOVed ❑ Approved Approved
By Date By Date By Date
Pool Bonding (4195)
Approved
By
Date
❑
Feeders/Sub-panels (4045)
Approved
By
Date
Final - Electrical (4055)
Approved
Date '7 7?—
Rough Electrical Final Electrical1:1Right of Way
❑ ApprOVed ❑ Approved Approved
By Date By Date By Date
Temporary Power (4275)
Approved
By
Date
Rough Electrical (4225)
Approved
By
Date
Rough Electrical Final Electrical1:1Right of Way
❑ ApprOVed ❑ Approved Approved
By Date By Date By Date
Service (4235)
Approved
By
Date
Ceiling Cover (4020)
Approved
By
Date
Rough Electrical Final Electrical1:1Right of Way
❑ ApprOVed ❑ Approved Approved
By Date By Date By Date
40k
CITY OF
Federal Way
ELEC'T'RICAL
PERMIT APPLICATION
PERMIT NUMBER 1 (0 _ / 0 --� —5— ) & _ g, L,
SITE ADDRESS: -1-7P/0-6 ?6C1..Ci
SUITE/UNIT/SPACE#
PROJECT VALUATION
to .. �
ASSESSOR'S TAX/`PARCEL #
-7 Z �/ 9 2-I f�
%T�
�/ / a _
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
99 G�
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
W
PROPERTY OWNER
NAME
i 01 C t
PRIMARY PHONE
( ) -
MAILING ADDRESS
2 -7 L1 00 PC., L 4w 5
E-MAIL
CITY
--fAm- co
STATE
ZIP
Wo
FAX
( )
ELECTRICAL
CONTRACTOR
NAME
PRIMARY PHONE
MAILING ADDRESS
V0Z.
E-MAIL
CITY
Nb a1I,,,-1,a
STATE
ZIP
)
FAX
( ) -
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME
PRIMARY PHONE
( )
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
( )
PROJECT CONTACT
NAME
OLD f
r
PRIMARY PHONE
(� ) _ ,'L2 -
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I cert(& 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.
SIGNATURE:
PRINT NAME:
01
Bulletin # 160 — April 14, 2016 Page I of I k:\Handouts\Electrical Permit Application