17-104858 •
Electrical
City of Federal Way Permit #:17-104858-00-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: MOA HAIR STUDIO
Project Address: 31515 PETE VON REICHBAUER WAY S Parcel Number: 092104 9302
Project Description: Adding up to(12)circuits for 12 hair styling chairs,lighting,washer,dryer and electrical water
heater tank
Owner Applicant Contractor
YOUNG JAE KIMBROADWAY-32ND STREET DANNY TAYLORGOLD ELECTRIC LLC GOLD ELECTRIC LLC
REALTY 1308 V ST NW GOLDEEL870JZ(4/14/19)
1610 BOUNDARY BLVD AUBURN WA 98071
AUBURN WA 98087 PO BOX 2156
AUBURN WA 98071
Additional Permit Information
Is this an Online or O.T.C.application? Yes
'4 ✓moo' �s
it Electrical Fixtures
Circuits-Commercial 12
PERMIT EXPIRES Wednesday, 10 October,2018
Permit Issued on Tuesday,October 10,2017
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.agd the City of Federal Way.
Owner or a gent:
g ( �� ,r �,% �2- Date: `n //457
1°1tit t? - S'kikGav"G t"riw► NccotcA t.te &-m1 (AgtrG knsiralle-A, nawwl 0+4 -5 f4-t,
/
SAM Wilt Tao Cavc. OP' l+. Ct1ede- Ai- NA 644- lnsP cc44u/I - V
ATE INSPECTOR AREA AND TYPE OF INSPECTION
o 12d 11 IA, Pc�v-1,'4 tle (t- 0.eeo� i 5e-e-73) S w iarr.C, Ls c�j e.l
11 ((�� 11 J
3 W('rG W Tin 1•1.44,4'Va
THIS CARD IS TO REMAIN ON-SITE s
�
CITY OF � °
Construction USo 8Re Record
INSPECTION REQUESTS:
PERMIT#: 17 104858 00 Address: 31515 PETE VON REICHBAUER WAY S I
Project: YOUNG JAE KIM 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.
O UFER Ground(4295) ® Ditch cover(4030) Q Slab/Concrete Floor(4255)
Approved Approved . Approved to place concrete
By Date By Date
By Date
0 Pool Bonding(4195) 0 Temporary Power(4275) ® Service(4235)
Approved Approved Approved
By Date By Date
By Date
O Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020)
Approved _ Approved (b 1 l to 1 ii
!!!! Approved
By Date By OW Date By Date
El Final-Electrical(4055)
Approved
By C ems Date t\—2T1-1`1
iii Rough Electrical D Final ElectricalElRight of Way
Approved Approved Approved
By Date By Date
By Date
RECEIVED ELECTRICAL
CITY OF ,
Federal Way OCT 10 2017 PERMIT APPLICATION
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT , ) 0 v ��
PERMIT NUMBER _ 4 v _
�� I i'G l r `
SUITE/UNIT/SPACE#
SITE ADDRESS: jyJ•
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
n
$ � 7 9 o c Z ( csq.
- .c
PROJECT NAME
(Tenant or Homeowner Last Name) -
,A ,c1/" d4Z 72
PROJECT DESCRIPTION /f' �� / -- - kI I l�
Detailed description of work to Z.)4 47Zj yy /42/ Zi./ 1;'..,--- �xj•71�
be included on this permit only /7 �� i ,— /-) a.,e,,,-..
( j CAS,
NAME � � PRIMARY PHONE
PROPERTY OWNER /,�� ICI& ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAMEPRIMARY PHONE
Cz�_'/a/ v Z: ' .--/‘;') ( ?t6) (Z- .(4-7.z Z
MAILING ADDRESS E-MAIL
ELECTRICAL o ,g.eJC Z/4-
CONTRACTOR CITY STATE ZIP FAX
7 -C4 I//7'J_7 tv/ o? / ( ) -
WA STATE
STATE CONTRACTOR'SR'-!j /A/LICENSENS # EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
L'(-U C z (7 / et'? //c)
NAMEPRIMARY PHONE
APPLICANT Iki . ( )
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
PROJECT CONTACT ( ) -
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: ,__/ ii......4.......1 AG, ``t DATE / / /
of
PRINT NAME: �)2
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application