17-104381 i 4
• •
Electrical
City of Federal Way Permit #:17-104381-00-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: PHO FUSION &GRILL
Project Address: 2310 SW 336TH ST Parcel Number: 132103 9097
Project Description: Adding/altering(11)circuits in kitchen area for associated tenant improvement
Owner Applicant Contractor
TWIN LAKES MALL LLC CHAU ELECTRIC CHAU ELECTRIC
2300 SW 336TH ST 5028 HIGHLAND DR CHAUEEL844JF(4/6/18)
FEDERAL WAY WA 98023 AUBURN WA 98402 5028 HIGHLAND DR
AUBURN WA 98402
Additional Permit Information
Is this an Online or O.T.C.application? Yes
Electrical Fixtures
Circuits-Residential 11
PERMIT EXPIRES Wednesday, 12 September,2018
Permit Issued on Tuesday, September 12,2017
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: J Date: /— ( Z"' I
•
THIS CARD IS TO REMAIN ON-SITE
CITY OF4 Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 17 104381 00 Address: 2310 SW 336TH ST
Project: TWIN LAKES MALL LLC FEDERAL WAY WA 98023
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) ❑2 Ditch cover(4030) ® Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
0 Pool Bonding(4195) ® Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) El Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By OtjkV..sv Date C ,ca-)1 By Date «l I («
El Final-Electrical(4055)
Approved
Byc.4 Date ‘i�u.o_i-i
Rough Electrical El Final Electrical IIIRight of Way
Approved Approved Approved
By Date By Date By Date
CITY OF „,_,_ _-.44,,,,.... RECEIVED ELECTRICAL
Federal WaySEP 2 2017 PERMIT APPLICATION
CITY OF FEDERAL WAY 17—- ' 0 1 I - 00
COMMUNITY DEVELOPMEISI PERMIT NUMBER
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SUITE/UNIT/SPACE#
SITE ADDRESS:
23 la SL ) 33`-th Qst-. 1 �.cnAJ\ L.A. c1/4,t 9$OZ3
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ y)000. 00 132- ( 0 3 _ 9O9 --T
PROJECT NAME
(Tenant or Homeowner Last Name) ?\,-kO CR,‘S i Jam- tg' G-y-t U
PROJECT DESCRIPTION 'TT wo y jelk 6Y-c„:#-S 4v K A.-e k o,... ' f - --
Detailed description of work to I IG 1 KCt�(TS
be included on this permit only /
NAME PRIMARY PHONE
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PROPERTY OWNER74911e* ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME C PRIMARY PHONE
Cke\e.k.. GY4-c-hrZc.j LLC ( 246 )30 ( - z7 2_8
MAILING ADDRESS
`` E-MAIL
ELECTRICAL ¶a L43 kk. .6.v,., f`C• Clno.,u.a.o✓v�M (d e__� op
CONTRACTOR CITY STATE ZIP FAk
Avbv.YA,. WA- 1S( 92- ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
Ctr\0,v.EEL V,Lk JE 3 //$ //ti?
NAME PRIMARY PHONE
APPLICANT ( )
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
PROJECT CONTACT 1 Arv,v‘.v C\. (ZOb ) 3oc/ - 2-?2_1
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: DATE l G
—( Z— I -
PRINT NAME: —1-)0.1.,.M ti CA'\CA- A-
Bulletin#160—April 14,2016 Page 1 of 1 k:AHandouts\Electrical Permit Application