12-103056 Electrical
City of Federal Way Permit #: 1 2-103056-00-EL
Community&Econ.on.Dev.Services [
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: ONURI PHARMACY
Project Address: 33507 9TH AVE S Unit B-2 Parcel Number: 132185 0020
Project Description: Installation of low-voltage thermostat.
Owner Applicant Contractor
BRIAN FILBERT J S ELECTRICAL LLC J S ELECTRICAL LLC
33507 9TH AVE S UNIT B1 18829 104TH PL SE JSELESE948C7(2/27/14)
FEDERAL WAY WA 98003 RENTON WA 98055 18829 104TH PL SE
RENTON WA 98055
Additional Permit Information
Is Use Educational or Institutional? No Service greater than 999 Amps? No
Electrical Fixtures
Thermostat 1
PERMIT EXPIRES Sunday, December 30, 2012
Permit Issued on Tuesday, July 3, 2012
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: /'//
rS/I3ft/twx
THIS CARD IS TO MAIN ON-SITE `
CITY OF ' Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 12-103056-00-EL Address: 33507 9TH AVE S Unit B-2
Project: BRIAN FILBERT 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) El Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
. . . .
❑ Pool Bonding(4195) d❑ Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
o Feeders/Sub-panels(4045) El Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By - Date 9_s._ 12 By Date
• , a
0 Final-Electrical(4055)
Approved
By c_‘s, . Date B _ 13- %
❑ Rough Electrical El Final ElectricalEl Right of Way
Approved Approved Approved
By Date By Date By Date
• _ O
2 0 -c---(0
CITY OF. ...4,
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F%tfttikitity ELECTRICAL
JUL 03 2012 PERMIT APPLICATION
ITY OF FED ostelectrical permits may be obtained on-line at www.cityoffederalway.com**
SITE ADDRESS: 27
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SUITE/UNIT/SPACE# ASSESSOR'S TAX/PARCEL# _ a/'� CURRENT/PROPOSED USE
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PROJECT NAME
(Tenant or Homeowner Last Name) C � ( k4' piAa e_ei
PROJECT DESCRIPTION add 'T.-- g . w
Detailed description of work to
be included on this permit only
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PRIM
ARY PHONE
PROPERTY OWNER NAM�oYI rlb � ( )
MAILING ADDRESS , . E-MAIL
CITY STATE ZIP FAX
NAME -7 . ___Q i
PRIMARY PHONE
MAILING ADDRESSE-MAIL
ELECTRICAL _ /
CONTRACTOR CITY 0 over T -09.'
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WA STATE CONTRACTOR'S LICEN'0 EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAMEj PRIMARY PHONE
APPLICANT � 'e•-'2L �
MAILING ADDRESS E-MAIL
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CITY STATE ZIP FAX
NAME CP4Ja^ PRIMARY PHONE
PROJECT CONTACT ( )
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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 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: ,0!)- DATE �/� /
, PRINT NAME: / 62 V—e-, Z,
33325 8'"Avenue South•Federal Way• WA♦98003-6325♦253-835-2607•fax 253-835-2609♦www.cityoffederalway.com
Bulletin#160—January 1,2011 Page 1 oft k:AHandouts\Electrical Permit Application
RESIDENTIAL COMMERCIAL ,
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet
(including attached garage): 1"Service/Feeder Additional Feeders
x,100"amp
FEES: First 1300 ft2-$122.00; 101- 200 amp "ar`$16400 : `x$103.50
Each additional 500 ft2-$39.00
201 44anrp x$307.00 er-
R- "..:: x$12i1:00
NEW MULTIFAMILY (3 units or more) 401- 600 amp x$358.00 x$143.50
1� Service/Feeder Additional Feeders p 'x$463.00 ' x196.00
- 1000 amp , X$565.00 x$236.50
�ti01. x $ 80.50 x$616.00 �' R 2,8:50
1OI..d. m ilii° e Wa" - s�:."• .v :C,'+ $i".1 :5O
6Q1-8€14 amp ° ;fit x$2 100 x. $153.5Q
0ver0:wolfs ui<rltarge x$103.50
ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL
1"Service/Feeder r 1 ,Service/Feeder Additional Feeders
4. PVY*,. 3a :ja$103.SO
;SCJ 1:0(7
�Ul 600=amp
x $I64.Q0 201