17-105814 •
Electrical
City of Federal Way Permit #:17-105814-00-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: MALLORY PAINT STORE
Project Address: 31853 PACIFIC HWY S Parcel Number:082104 9206
Project Description: Adding(7)circuits for outlets servicing paint shakers and adding low voltage wiring for voice
&data cabling
Owner Applicant Contractor
JEYO LLC D&E ELECTRIC INC D&E ELECTRIC INC
5545 173RD AVE SE 4220 166TH AVE E DEELEI*039D6(4/1/19)
BELLEVUE,WA 98006 SUMNER WA 98390
4220 166TH AVE E
SUMNER WA 98390
Additional Permit Information
Is this an Online or O.T.C.application' Yes
Circuits-Commercial 7 Low Voltage-Other(Commei 1
PERMIT EXPIRES Wednesday,5 December,2018
Permit Issued on Tuesday,December 5,2017
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: dif,.4 ( Date: 12 { 5/11
THIS CARD IS TO REMAIN ON-SITE -
Fetlera�Wa Construction Inspection Record
INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 105814 00 Address: 31853 PACIFIC HWY S
Project: JEYO LLC 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.
0 UFER Ground(4295) El Ditch cover(4030) 3❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date ; By Date
El Pool Bonding(4195) 0 Temporary Power(4275) •® Service(4235) '
Approved Approved Approved
'
By Date B• y Date By Date
•
D Feeders/Sub-panels(4045) ® Rough Electrical(4225) , ® Ceiling Cover(4020)
Approved Approved Approved
By Date By Date ; By Date
El • Final-Electrical(4055)
Approved
By C) % Date 1 _o . 1 ci
Rough Electrical ❑ Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
1111.. REeilYtiB ELECTRICAL
CITY OF
Federal Way PERMIT APPLICATION
CITY OF FEDERAL.WAY{�� ,
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`' MUN D t"'^Wir PERMIT NUMBER - `
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JY�fi�r
SUITE/UNIT/SPACE#
SITE ADDRESS: 3 i O s 3 p A c t cl C -1
PROJECT VALUATION -
ASSESSOR'S TAX PARCEL# ^ CURRENT/PROPOSED USE
$ 5,soo 0 3- ( 0r'( 2 O
PROJECT NAME
(Tenant or Homeowner Last Name) NI I I o r Pc 1 h k
NY) `1 cMs avwi Phtna co/ dact Q
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP ( FAX
( )
NAME PRIMARY PHONE
Flet,-Anc_ (253 ) $4 - y 99
MAILING ADDRESS E-MAIL
ELECTRICAL 2-20 v4kh AAVs € ��en n stcycom (rnct
CONTRACTOR CITY STATE ZIP FAX
LetKe "T 4w w 9 3a I ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
(�1.E1- 14 03'AD6 / 08-10YZ��--00- (3(....
NAME PRIMARY PHONE
APPLICANT SGMtk.5 kcAr C ( ) -
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: U/l 1 DATE 1Z S (i
PRINT NAME: Y3t CX & r 4'dQS L\
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application