18-100544 Electrical
City of Federal Way Permit #:18-100544-00-EL
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fac(253)835-2609
Project Name: FUNERAL ALTERNATIVE OF WASHINGTON-FEDERAL WAY
Project Address: 31919 6TH AVE S Parcel Number:082104 9233
Project Description: Electrical work in portable bldg.#2 to include adding(3)circuits for cooler,fan and air
conditioners unit.
Owner Applicant Contractor
FEDERAL WAY PROFESSIONAL PLAZA VICTOR FIELDNORTH PACIFIC NORTH PACIFIC ELECTRIC INC
31916 6TH AVE S SUITE A-100 ELECTRIC INC NORTHPE957JA(4/4/19)
FEDERAL WAY WA 98003 5746 BOSTON HARBOR RD NE
OLYMPIA WA 98506 5746 BOSTON HARBOR RD NE
OLYMPIA WA 98506
•
Additional Permit Information
Is this an Online or O.T.C.application Yes
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Circuits-Commercial 3
PERMIT EXPIRES Tuesday,5 February,2019
Permit Issued on Monday,February 5,2018
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
Washingt and th City of Federal Way.
Owner or agent: Date: 5 S (8
_ 1
W . ,
40n14 THIS CARD IS TO REMAIN ON-SITE
cnvo a�Way Construction Inspection Record
y INSPECTION REQUESTS:(253)835-3050
PERMIT#: 18 100544 00 Address: 31919 6TH AVE S Suite 200
Project: FEDERAL WAY PROFESSIONAL PI FEDERAL WAY WA 98003-5210
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 LIFER Ground(4295) � El Ditch cover(4030) I El Slab/Concrete Floor(4255)
Approved I Approved I Approved to place concrete
By Date ! By Date 1 By Date
0 Pool Bonding(4195) 0 Temporary Power(4275) �® Service(4235) ,
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) ' ® Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
El Final-Electrical(4055)
Approved
By C! -x.N Date ,.y.._
0 Rough Electrical 0 Final Electrical0 Right of Way
Approved Approved Approved
By Date By Date By Date
REcE.NED
,1111. 2018 ELECTRICAL
CITY OF FEB 4 5
Federal Way coFFvv o�MEsj PERMIT APPLICATION
COMMLItCf
PERMIT NUMBER / S _ / 0 i ✓
SUITE/UNIT/SPACE#
SITE ADDRESS: 3/? ? 6.,i7f
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ COO 99– 0 Sg I a 1 _ 9 7- 3 3
PROJECT NAME
(Tenant or Homeowner Last Name) re,),
2f ' i 1,, Q I2.2I9
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only –—'
P00.77 6406Z c1r✓l3L.cK'r -4'N! �ep�vS
NAME PRIMARY PHONE
PROPERTY OWNER ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX •
( )
NAME PRIMARY PHONE
ititATft P/fc iFic_- &t:er/( //oc•
(3&c, ) 9.9.3- (0 0 C U
MAILING ADDRESS
�l! E-MAIL
5'
ELECTRICAL 5'. b 6esre�7 t'2 Q) ,,3-6‘ cer ,
CONTRACTOR CITY STATE ZIP FAX
6l y47,4 C f 9g , (360 ),y3 s
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
VATffPe 767 ZT%
NAME PRIMARY PHONE
APPLICANT Vit C) F/ L-/) S&O )7 0( - /p
MAILING ADDRESS E-MAIL
57 0 Alf ),u1 /4100C 14Z(-) C zsiP6 0-eV@ y' /foo. c.0.,e
CITY STATE ZIP FAX
PROJECT CONTACT yf PRIMARY PHONE r,
NAME
(360/� ) 70/ -/a J?' Y
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 app 'cation.
SIGNATURE: + C9- DATE
" S
PRINT NAME: V r c-
Bulletin#160–April 14,2016 Page 1 of 1 k:AHandouts\Electrical Permit Application