13-104363 Electrical
City of Federal Way ((��((��
Community&Econ.Dev.Services Permit #: 13-104//��363-00-EL_
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: TICOR TITLE
Project Address: 33400 9TH AVE S Unit 102 Parcel Number: 926501 0060
Project Description: Relocate(3)T-stats as necessary for associated tenant improvement work
`
Owner Applicant Contractor
GOLDEN STONE PROPERTIES LLC UNIVERSAL REFRIGERATION INC UNIVERSAL REFRIGERATION INC
33400 9TH AVE S SUITE 114 (GENERAL) (ELECTRICAL)
FEDERAL WAY WA 98003 PO BOX 614 UNIVERI000BO(1/20/14)
AUBURN WA 98071-0614 PO BOX 614
AUBURN WA 98071-0614
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Service greater than 999 Amps? No
Electrical Fixtures
Thermostat 3
PERMIT EXPIRES Sunday, March 30, 2014
Permit Issued on Tuesday, October 1, 2013
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
an the . of Federal Way.
Owner or agent _ Date: / ?til
PIN
.44...___461 • THIS CARD IS TO MAIN ON-SITE ' '
CITY
TY°F '' Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 13-104363-00-EL Address: 33400 9TH AVE S Unit 102
Project: GOLDEN STONE PROPERTIES LL, 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.
El UFER Ground (4295) El Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
o Pool Bonding(4195) ❑ Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
▪ Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date By Date
S Date(Z _ (U _l
,
Final-Electrical(4055)
• Approved
Date 4, /6 / '
❑ Rough ElectricalID Final Electrical Right of Way
Approved Approved1:1 Approved
By Date By Date By Date
v'.. • •
ELECTRICAL
CITY OF
Federal Way PERMIT APPLICATION
�7 �j RECEIV
PERMIT NUMBER l ✓ -
— — - OCT 012013
SITE ADDRESS: y CITYSbii urAPR 6RIP'�
PROJECT VALUATION ASSESSOR'S TAX/PARCEL i CURRENT/PROPOSED USE
$ ' 1 - Z � 0L - 0 CD G Cc;ff��-
PROJECT NAME 77 Gor 7-e� 1- �����
(Tenant or Homeowner Last Name)
i1L/'C,cck e/ (5) i — 6 cyS l/1�CGzst5at7 `' ,et
PROJECT DESCRIPTION r �`'�'�`� 'F` ," pc.;-.,,,aa..„,.Detailed description of work to
be included on this permit only
PRIMARY PHONE
PROPERTY OWNER 01.
r^ 54 r-e-.5 C ( ) -
MAILING ADDRESS E-MAIL
3,(1004v, ,, —5‘411-e_ ((i(
CITY STATE ZIP FAX
F (k,,, 444 9&moo 3 ( ) -
NAMENE
C/i rein,t 1r r l f fin• (Z5-7) `fi?PRIMARY PROD(
MAILING ADDRESS MA7
ELECTRICAL WO 2- lQ � : its w
� � G 1�r2,r/
CONTRACTOR
*44
WA STATE CONTRACTOR'S LICENSE It EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE 0
Z/N/V '/ A=542, 00 / / zo// f /y-V7-/o7097- - ---
NAME PRI=MARY PRONE
APPLICANT
5-0144-1e__ q S a X o see.-- Rf f)731-SAO/
MAILING ADDRESS E_MAI,
pent" rs isy/ e-p7/K ✓' /Gj.
CITY STATE ZIP 4./ FAX JO
(255)75-- )z
\ PRIMARY*PHONE
PROJECT CONTACT
NAME ,7�. ck.� C rt(`v/kel (Z )939 - ---573l,
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.
4111
SIGNATURE: —�'s!�,,L. DATE / ,
PRINT NAME: '_- 7 L L. ISG..4/j Q�� ///
Bulletin#160—January 1,2013 Page 1 of 2 k:\HandoutsTlectrical Permit Application