14-103732 •
•
• Electrical
City of Federal Way Y`
Community&Econ.Dev.Services k . :( -_ Permit #: 14-103732-00-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: ACCELERATION ACADEMY
Project Address: 2104 S 314TH ST Parcel Number: 092104 9053
Project Description: Adding(3)circuits to add 3 power poles and mount tv
•
Owner Applicant Contractor
HILLSIDE PLAZA ASSOCIATES B&G PROPERTY MAINTENANCE LLC B&G PROPERTY MAINTENANCE LLC
PO BOX 5003 533 A 6TH ST S BGPROGP906M8(7/28/16)
BELLEVUE WA 98009-5003 KIRKLAND WA 98033 533 A 6TH ST S
KIRKLAND WA 98033
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
Circuits-Commercial 3
PERMIT EXPIRES Wednesday, January 21, 2015
Permit Issued on Friday, July 25, 2014
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 ash. gton
and the City of Federal Way.
Owner or agent: Date: ? 2:.
FINALED
THIS CARD IS TO -:MAIN ON-SITE -
CIT OF • Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT #: 14-103732-00-EL Address: 2104 S 314TH ST
Project: HILLSIDE PLAZA ASSOCIATES 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 LIFER Ground (4295) 0 Ditch cover(4030) Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
�El Pool Bonding(4195) 0 Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
• Feeders/Sub-panels(4045) 0 Rough Electrical(4225) Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
❑ Final-Electrical(4055)
Approved
By (,. , Date 13115-1 I+,
0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
Alii. ELtCTRICAL
CITY OF
Federal Way PERMIT APplieWEATION
PERMIT NUMBER 1 4 - l 0 3? _ Co J U L 2 5 2014
CITY OF FEDERAL WAY
1 O ' ' S `1 Y Sr SU EiIT/SPACE#
SITE ADDRESS: Z- qj71--
PROJECT �
VALUATION� ASSESSOR'S _TAX/PARCEL# D �� CURRENT/PROPOSED USE
$ i-7/✓ 12 l z0 4- `(tel/�
PROJECT NAME % t , // e
(Tenantnt or or Homeowner Last Name) 7/(,� 4
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PROJECT DESCRIPTION M Ute+'\ --\---v
Detailed description of work to
be included on this permit only
N PRIMARY PHONE
T
PROPERTY OWNER Af\ JroL ( )--)do - (0--27,D
,S1 A ING ADDRESS E-MAIL
CITY 1 k STATE ZIP FAX
NAMH• PRIMARY PHONE
1--C--t. ...'_ �f/� L�t 1,1 v\ �L ( -I s1'O - 10-7,0
MAILING ADDRESS '\ E-MAIL
ELECTRICAL -7-7)-7-770c
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CONTRACTOR CITY STATE ZIP FAX
' `_/I I L ,AAA? ;7 ( )
WA STATE CONTRACT R'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
-4-7-T 41a() ` (- (1d 1 / /
N PRIMARY PHONE
71.41{A1. 11)r\APPLICANT {rS ( )
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
PROJECT CONTACTLfr--1,41,4 _,6,4
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: —0=1.... DATE Z ,_ `( i 1
PRINT NAME: . /U i/l C4---k_1
Bulletin#160-January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application