15-104763Project Name: BLACK ANGUS RESTAURANT
Project Address: 2400 S 320TH ST
0 Electrical
Permit #: 15 -104763 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 092104 9276
Project Description: Remove existing light control panel and replace with circuit breaker panel and switches
Owner
ApIp ica In
Contractor
City of Federal Way
G G ELECTRIC INC
G G ELECTRIC INC
s
Community & Econ. Dev. Services
GGELEI*01283 (12/29/15)
AUBURN WA 98071
TACOMA WA 98408
33325 8th Ave S
FILE
TACOMA WA 98408
Federal Way, WA 98.003
Ph. (253) 835-2607 Fax: (253) 835-2609
Project Name: BLACK ANGUS RESTAURANT
Project Address: 2400 S 320TH ST
0 Electrical
Permit #: 15 -104763 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 092104 9276
Project Description: Remove existing light control panel and replace with circuit breaker panel and switches
Owner
ApIp ica In
Contractor
SHEON SHAM LLC
G G ELECTRIC INC
G G ELECTRIC INC
PO BOX 1941
4902 S SHERIDAN AVE AVE
GGELEI*01283 (12/29/15)
AUBURN WA 98071
TACOMA WA 98408
4902 S SHERIDAN AVE AVE
TACOMA WA 98408
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
Alt. Srvc / Feeder 0 to 200 amps (C 1
PERMIT EXPIRES Wednesday, March 16, 2016
Permit Issued on Friday, September 18, 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
and the City of Federal Way.
Owner or agent: Date: G c V ` ✓
rM In
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bass
CITY OF
Federal Way
THIS CARD IS TO RE ON-SITE
Construction Inspe ion Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 15 -104763 -00 -EL Address: 2400 S 320TH ST
Project: SHEON SHAM LLC FEDERAL WAY, WA 98003-5419
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.
Ei Final - Electrical (�
Approved
Date_
EJ
UFER Ground (4295)Ditch
cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
E]
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Ei Final - Electrical (�
Approved
Date_
EJ
Pool Bonding (4195)
❑
Temporary Power (4275)
E]
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
E]
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Ei Final - Electrical (�
Approved
Date_
EJ
Rough Electrical
Approved
❑
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF
Federal Way
PERMIT NUMBER ( 5
0 ELECTRICAL
PERMIT AFtP(:k1%TION
iO4 7&3_ o 0
SEP 18 2015
rmr n;: Pr-nr-Pni ww
SITE ADDRESS:—
SIM(PIT/SPACE #
PROJECT VALUATION
ASSESSOR'S TAR/PARC/EL #
CURRENT/PROPOSED USE
���7
G —
PROJECT NAME
(Tenant or Homeoumer Last Name)
PROJECT DESCRIPTION��
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
MAAIILI(NG ADDRESS y�
E-MAIL
CITY
STATE
ZIP
FAX
NAME
PRIMARY PHONE
(/
MAILING ADDRESS
Y}On-
E-MAIL
ik'aw'-, s.c�
ELECTRICAL
CITY
STATE
ZIP
FAX
CONTRACTOR
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
APPLICANT
MAI NG ADDRESS
)E-MAILgg
CITY
-IA Id-
STATE
IPA
ZIP
tf k�(
FAX
( ) -
PROJECT CONTACT
NAME
PRIMARY PHONE
( _
1 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:
PRINT NAME:
Bulletin #160 — January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application