18-100603 Electrical
City of Federal Way Permit #:18-100603-00-EL
Community Development Dei.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax(253)835-2609
Project Name: HILLSIDE PLAZA ASSOCIATES LLC
Project Address: 2144 S 314TH ST Parcel Number:092104 9053
Project Description: Replace lighting with new LED strips.Add LED lamps to 2x4 troffers •.
Owner Applicant Contractor
HILLSIDE PLAZA ASSOCIATES LLC GARRETT DAVISB&G PROPERTY B&G PROPERTY MAINTENANCE LLC
PO BOX 5003 MAINTENANCE BGPROGP906M8(7/28/18)
BELLEVUE,WA 98009 533 S 6TH ST UNIT A
KIRLAND WA 98033 533 A 6TH ST S
KIRKLAND WA 98033
Additional Permit Information
Is this an Online or O.T.C.application Yes
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PERMIT EXPIRES Thursday,7 February, ,2019
Permit Issued on Wednesday,February 7,2018
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
-s ing on an• 1 - • -•eral Way.
Owner or agen . Date: 2-/-)
FINALED
` THIS CARD IS TO REMAIN ON-SITE `
Feral Wa Construction Inspection Record
INSPECTION REQUESTS:(253)835-3050
PERMIT#: 18 100603 00 Address: 2144 S 314TH ST
Project: HILLSIDE PLAZA ASSOCIATES 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.
I❑ UFER Ground(4295) '/❑ Ditch cover4030
( ) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date `By Date
I •
® Pool Bonding(4195) „❑ Temporary Power(4275) ,,0 Service(4235)
Approved Approved Approved
By Date By Date By Date
7❑ Feeders/Sub-panels(4045) •® Rough422 Electrical V 9 ,
( 5) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
.
El Final-Electrical(4055)
Approved
Date-"e'( I 8 ,
❑ Rough Electrical ❑ Final Electrical ❑ Right of Way
Approved Approved Approved
By Date By Date
By Date
4..... RECEIVED ELECTRICAL
CITY OF
Federal Way FEB 0 7 2018 PERMIT APPLICATION
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT ( ' — 0 O 6 0 3 _ ,� L-
PERMIT NUMBER i
SUITE/UNIT/SPACE#
Z
SITE ADDRESS: (,lC1/2 3)4-- -- ry
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPO'ED USE
$ 4? a, co 0 g 2- / o i-I. - 9 0 5 3 Vot c " fvrvt, c 14`.
PROJECT NAME '
(Tenant or Homeowner Last Name) -l tAk{
PROJECT DESCRIPTION 1.-NMO Wavl p C., ov...L
Detailed description of work to ;'„ ��`D ps �� 3)14' .4.---0+0,4-
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER )Q JA
(/� giouct_va Ian (NZ51 VA --2,--r)(
MAILING ADDRESS E-MAIL
06/- ' .075
[2 (,Q CITY STATE ZIP �j� FAX
-6 SAA (6`A/ t2 �Q,Vt ky��y SAA 'I Vop—, ( ) _
` NAME PRIMARY PHONE
t� s- ry r (661)1 9 -L(9"[ IG�
MAILING ADDRESS r E-MAIL V� 4. 3 � t�L -M `L
___.(,, usyvt
CONTRACTOR iITY ` STATE ZIP FAX
\ (1.(, (Al- `l r0D`yb ( ) _
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
"VCorit ../ / ...
NAME PRIMARY PHONE
l( ( ) _
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME
,� / � �,,I PRIMARY PHOrN_Ec
PROJECT CONTACT �:��C""" tid I '�` ( C IZ5)16W- q Ul`l1
I certify under penalty of perjury that I am the property owner 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 arty 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 lo
PRINT NAME: C--)14iltri /1
Bulletin#160—April 14,2016 Page 1 of 1 kf Handouts\Electrical Permit Application