13-104838City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: KEY COMPOUNDING
Project Address: 530 S 336TH ST
Project Description: Adding/altering (1) circuit
0
Electrical,
Permit #: 13 -104838 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 926500 0385
Owner
ARRlican
Contractor
KEYPHARM LLC
SEA TAC ELECTRIC INC
SEA TAC ELECTRIC INC
KEYPHARM LLC
7056 S 220TH ST
SEATAEI077RW (12/17/13)
530 S 336TH ST
KENT WA 98032
7056 S 220TH ST
FEDERAL WAY WA 98003
KENT WA 98032
Additional Permit Information'
Is this an Online or O.T.C. application?.................Yes
Service greater than 999 Amps? .............................No
Electrical Fbitures
Circuits - Commercial .................... 1
Is Use Educational or Institutional?.......................No
PERMIT EXPIRES Monday, April 28, 2014
PernILi_t Issued on Wednesday, October 30, 2013
I hereby certify that the above infor
the occupancy and the use will be
is correct and that the construction on the above described property and
�rdance with the laws, rules and regulations of the State of Washington
City Fe er ay.
Owner or agent:A�andeDate: o /
FINALED
C,rrr" 4A��
Federal Way
PERMIT #:
Project:
THIS CARD IST MAIN ON-SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
13 -104838 -00 -EL Address: 530 S 336TH ST
KEYPHARM LLC FEDERAL WAY, WA 98003-6354
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 Pool Bonding (4195)
Approved
By Date
Feeders/Sub-panels (4045)
Approved
By Date
Final - Electrical (4055)
Approved
B Date 11 ( 3
0
UFER Ground (4295)
Ditch cover (4030)
By
Slab/Concrete Floor (4255)
Approved
0
Approved
Approved to place concrete
By
Date
By
Date
By
Date
0 Pool Bonding (4195)
Approved
By Date
Feeders/Sub-panels (4045)
Approved
By Date
Final - Electrical (4055)
Approved
B Date 11 ( 3
0
Temporary Power (4275)
Approved
By
Date
Right of Way
Approved
0
Rough Electrical (4225)
Approved
By
Date
Service (4235)
Approved
By
Date
Right of Way
Approved
0
Ceiling Cover (4020)
Approved
By
Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
ECTRICAL
CITY OF
Federal Way PERMIT AP
PpLLIICCATION
RECE�7ED
PERMIT NUMBER _ S � S _ l/ v
l,�" � 0 C T 3 0 2013
SITE ADDRESS: 1�3 C, J t
EUNIT SPACE N
PROJECT VALUATION
ASSESSOR'S TAX/PARCEL#
CURRENT/PROPOSED USE
/'(j&
PROJECT NAME
(Tenant or Homeowner Last Name)
� ?/ . �Av 4 i j
r i Z Z O'y A --f7 r' I C,v r r
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
(� ,,,,.,
-
MAILING ADDRESS
E-MAIL
CITY STATE ZIP
FAX
tj
NAME-- ----
PRIMARY PHONE
(2�3) `67z- SSSS
MAILING ADDRESS
E-MAIL
ELECTRICAL
%O
CITY
%NT
STATE
w
ZIP
FAX
CONTRACTOR
WA STATE CONTRACTOR'S LICENSE M EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE B
L 4-7-4 z 7 R /z / / /?UI
ZD -Cid l,%() 37(0- t /3c
NAME
PRIMARY PHONE
APPLICANT
'4-,
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 a part of this application.
SIGNATURE:
PRINT
® 3. Z2.
Z; -
Bulletin #160 January 1, 2013 Page 1 of 2 UHandoutsTilectrical Permit Application