13-100223• ' •
City of Federal Way
x ComNiunity & Econ. Dev. Services ,
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609 4 .
Project Name: MCDONALD'S
Project Address: 2302 S 320TH ST
Project Description: Add (3) outside lights.
0 f Electrical
Permit #: 13 -100223 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 092104 9272
Owner
An il�
Contractor
WILLIAM CHO
DEBBIE PSACHOS
SOUTHGATE ELECTRIC INC
33236 139TH TERRACE SE
SOUTHGATE ELECTRIC INC
SOUTHEI366PI (8/30/13)
AUBURN WA 98092-9260
23444 30TH AVE S SUITE 101
23444 30TH AVE S SUITE 101
KENT WA 98032
KENT WA 98032
Additional Permit lnfOnnaticin
Is this an Online or O.T.C. application?.................Yes
Service greater than 999 Amps? .............................No
Electrical Fixtures'
Circuits - Commercial .................... 2
Is Use Educational or Institutional?.......................No
PERMIT EXPIRES Sunday, July 14, 2013
Permit Issued on Tuesday, January 15, 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 ill be in accordance with the laws, rules and regulations of the State of Washington
%` the City of Federal Way.
Owner or agent: Date: %3
NEW
FIN"�A U '3
THIS CARD IS TOMAIN ON-SITE
CIOF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 13 -100223 -00 -EL Address: 2302 S 320TH ST
Project: WILLIAM CHO FEDERAL WAY, WA 98003-5418
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)
Ditch cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
0
Pool Bonding (4195)
Temporary Power (4275)
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
Date'�
❑
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF ` RECEIVED EL CTRICL
Federal Way :�,ni 15 2013 PERMIT APPLICATION
^t t` ' °,- �F FEDERAL WAY
PERMIT NUMBER _ o ,1 3 _
SITE ADDRESS: �� 0 Z S 3 ZUT �+ S T
SUITE/UNIT/SPACE #
PROJECT VALUATION
$ sooG'
ASSESSOR'S TAR/PARCEL #
-
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
► t L d IL-3 !2v—
2L-PROJECT
PROJECTDESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
PRIMARY PHONE
( ) -
MAILING ADDRESS
E -MAH. -
CITY
STATE
ZIP
FAX
ELECTRICAL
CONTRACTOR
NAME
'Sou -rH KCT-
PRIMARY PHONE
(206) Z " Z8Co(,
MAILING ADDRESS
Z 3 L/ 5 v/
E-MAIL
P4i S 0 L 7,T k 6 4TL , Cc.,)
CITY
<
STATE
I -L"41
I ZIP
10 0 *3
FAX
(Zow 7 v ?_� 3so
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME
PRIMARY PHONE
(
MAILING ADDRESS
E -MAH.
CITY
STATE
ZIP
FAX
1
PROJECT CONTACT
NAME
`..
PRIMARY PHONE
{ Zv6) 2 V 8 9 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 suppliec!^ the city as part of this application.
SIGNATURE:
PRINT NAME:
Bulletin # 160 —January 1, 2013 Page 1 of 2 k:1llandoutsTlectrical Permit Application