13-101164City of Federal Way
Community &Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
0 Electrical
_ Permit #: 13 -101164 -00 -EL
Inspection Request Line: (253) 835-3050
.
Project Name: FEDERAL WAY DISCOUNT GUNS & INDOOR RANGE
Project Address: 1401 S 324TH ST
Project Description: Adding/altering (2) branch circuits for Phase III of project
Parcel Number: 150050 0140
Owner
ARPllcant
Contractor
KILLY II LLC
EMERALD ELECTRIC NW
EMERALD ELECTRIC NW
6901 WATER ST NE
9830 220TH PL SE
EMERAEN902DT(3/30/14)
FEDERAL WAY WA 98422
SNOHOMISH WA 98296
9830 220TH PL SE
SNOHOWSH WA 98296
Is Use Educational or Institutional?.......................No
Electrical Fixtures'
Circuits - Commercial. ................... 2
Service greater than 999 Amps? .............................No
PERMIT EXPIRES Monday, September 9, 2013
Permit Issued on Wednesday, March 13, 2013
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
Ile and the City of Federal Way.
Owner or agent: 4�, Date: / > �J
• THIS CARD IS TO MAIN ON-SITE r
crroF THIS
In ection-Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #:
Project:
13 -101164 -00 -EL
KILLY II LLC
Address: 1401 S 324TH ST
FEDERAL WAY, WA 98003-8443
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)
Power (4275)
Slab/Concrete Floor (4255)
Q
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
0
Pool Bonding (4195)Temporary
Power (4275)
Q
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
❑
0
Rough Electrical (4225)
Ceiling Cover (4020)
❑
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
By
Date
By o
Date
0
Final - Electrical (4055)
Approved
By -
Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF
Federal Way
PERMIT NUMBER t _ 10 l
ELECTRICAL
PERMIT ,hP&ATION
MAR 13 X013
/"TTV nC Q MCnAl U/Av
�(
SITE ADDRESS: � 1 " � C7J2`"�'� ��
FTE/UNIT/SPACE /
I.VJ
PROJECT VALUATION
$
ASSESSOR'S TAX/PARD i - O
CURRENT/PROPOSED USE
PROD NAME
or Homeowner Last Name)
-
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
O2 Yl
L `�
PROPERTY OWNER
NAME
PRIMARY PHONE
i )
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
/ FAX
t )
ELECTRICAL
CONTRACTOR
NAME
PRIMARY PHONE
MAILING ADDRESS
3L c h �
E-bIAII.
CITY
S 41
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE A EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE i
APPLICANT
NAME
PRIMARY PHONE
)
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
// FAX
1 )
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 a part of this application.
SIGNATURE: '�2�4 o�C DATES
PRINT NAME: �/ / I /—/q
Bulletin #160—January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application