15-100924_.. Electrical
City of Federal Way .* s '
Community & Econ. Dev. Services Permit #. 15 -100924 -00 -EL
33325 8th Ave S
Federal Way, WA 98003 FILE
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: CHI MEK SQUARE
Project Address: 1616 S 325TH ST
Parcel Number: 162104 X042
Project Description: Wiring for tenant improvements including kitchen equipment and dining room
lighting.***REVISED 3/24/15 TO ADD VOICE & DATA CABLING***
Owner
Al2RIicant
Contractor
CHTS INC
GOLD ELECTRIC LLC
GOLD ELECTRIC LLC
PO BOX 3677
PO BOX 2156
GOLDEEL870JZ (4/9/15)
FEDERAL WAY WA 98063
AUBURN WA 98071
PO BOX 2156
AUBURN WA 98071
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes
Service greater than 999 Amps? .............................No
Is Use Educational or Institutional? ....................... No
Electrical Fixtures
Alt. Srvc / Feeder 0 to 200 amps (C 2 Low Voltage - Other (Commercial 1
PERMIT EXPIRES Tuesday, August 25,2015
Permit Issued on Thursday, February 26, 2015
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
e Ci of Federal Way.
Owner or agent: Date:
&v'^ V'& 1> s' w -'.. t, C" -e ;1
Federal Way
PERMIT #: 15 -100924 -00 -EL
Project: CHTS INC
THIS CARD IS TO IN ON-SITE
Construction In ection Record '' 1
INSPECTION REQ TS: (253) 835-3050
Address: 1616 S 325TH ST
FEDERAL WAY, WA 98003-6009
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)
0 Ditch cover (4030)
Approved
Slab/Concrete Floor (4255)
Date
Approved
Approved
By
Approved to place concrete
By
Date
Date 3 _?
By
Date
Pool Bonding (4195)
Approved
By Date
Temporary Power (4275)
Approved
By Date
Final - Electrical (4055) W �' u -s 6►.1 t.•�
Approved
By Date
Service (4235)
Approved
By
Date
Final - Electrical (4055) W �' u -s 6►.1 t.•�
Approved
By Date
Feeders/Sub-panels (4045)Rough
Electrical (4225)
1:1Approved
Ceiling Cover (4020)
By
Approved
By
Approved
By
Approved
By
Date
By
j Date L+
IT
1 lS
By t.
Date
Final - Electrical (4055) W �' u -s 6►.1 t.•�
Approved
By Date
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date
CITY OF
Federal Way
0 RECEIVeD
FEB 2 6 2015
CITY OF FEDERAL WAY
CDS
PERMIT NUMBER —/ 9
E&CTRICAL
PERMIT APPLICATION
SITE ADDRESS: 7�4 97
/
SUITE/UNIT/SPACE#
PROJECT VALUATION
Pv
'9 S
ASSESSOR'S TAX/PARCEL #
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
P / `AI -1
q y, �!` - E u't
PROPERTY OWNER
NAME/
CV
PRIMARY PHONE
-
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
( )
ELECTRICAL
CONTRACTOR
NAM/E�� J,y/y` /^ ,
%PRRIMMAARY PHONE
MAILING ADDRESS/
/
,EMAIL
p%J//c P/ppwl
CITY/
br,Pr�
STATE
WA
ZIP
50�
FAX
( ) -
WA STATE CO RACTOR'S LICENSE # EXPIRATION DATE
L 70J Z
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME
PRIMARY PHONE
( )
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
( )
PROJECT CONTACT
NAME
PRIMARY PHONE
( )
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 apart of this application. ,
SIGNATURE:
PRINT NAME:
Bulletin # 160 —January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application
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