15-101880 CITY of
• EL CTRI CAL
Federal Way PERMIT APATION
PERMIT NUMBER s _ I, 0 7� S 0 _ GO APR 16 2015
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SIIITE�S
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SITE ADDRESS: 3c4 A A 9'a 3
PROJECT VALUATION ASSESSOR'S TAX PAR # CURRENT/PROPOSED USE
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PROJECT NAME L
(Tenant or Homeowner Last Name) �ll 11 t (�S ,Q� (AbLL--��E'"(1J 1 1�pr /y 'R.Az-� 3���
IVCW S) G' ,Yc,[n,'�' TVCAN Pa o 1 !\ C-la 4-4-1 7- 4c) SC`.>vCt'k
PROJECT DESCRIPTION ex4c r
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER Si� i Ggl(ecre5 (z5-3) -Sqrj�
MAILING ADDRESS E-MAIL
1 aC S 3V/11'
CITY STATE ZIP FAX
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NAME PRIMARY PHONE
J }-u(LW POvo,1102- BU.`GLY'S $ eC('Y' ae1;,(S ?c3) 2Z`6 —V-70
MAILING ADDRESS E-MAIL
ELECTRICAL 0805U."V t rad
CONTRACTOR CITY STATE ZIP FAX
9F37/ ( zS3).)qS -87g91
WA STATE
CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
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NAME PRIMARY PHONE
APPLICANT :.syvLL "`� r�"` "`^c, Y i A ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
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NAME PRIMARY PHONE
PROJECT CONTACT - - F-LA tk .v
(253 )zZB _8`%70
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.uch 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: _ yam DATE �l
PRINT NAME: J 5 Y-N/L ✓
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application
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• Electrical
City of Federal Way
Community&Econ.Dev.Services °=•' Permit #: 1 5-1 01 880-00-E L
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 P q
Project Name: DENTISTRY FOR CHILDREN
Project Address: 926 S 348TH ST Bldg C Parcel Number: 114040 0030
Project Description: New sign circuit from panel to south soffit
Applicant
Owner Contractor
GALLEGOS ENTERPRISES LLC ADVANCE BUILDERS AND TECHNOLOGIES ADVANCE BUILDERS AND
926 S 348TH ST LLC TECHNOLOGIES LLC
FEDERAL WAY WA 6805 STEWART AVE E ADVAN**951PO(10/20/15)
98003 PUYALLUP WA 98371 6805 STEWART AVE E
PUYALLUP WA 98371
i
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional9 No
Service greater than 999 Amps? No
Electrical Fixtures
Sign 1
PERMIT EXPIRES Tuesday, October 13, 2015
Permit Issued on Thursday, April 16, 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 agen V Date: W/-12D I S
•
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1 • THIS CARD IS TO AIN ON-SITE
carr of � � -
Construction Inspection Record
Federal Way
INSPECTION REQUESTS: (253)835-3050
PERMIT#: 15-101880-00-EL Address: 926 S 348TH ST Bldg C
Project: GALLEGOS ENTERPRISES LLC
FEDERAL WAY, WA 98003-7051
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.
❑ UFER Ground (4295) 4030 cover Ditch
Approved ❑ ( ) 0 Slab/Concrete Floor(4255)
Approved Approved to place concrete
By Date By Date
By Date
❑ Pool Bonding(4195) ❑ Temporary Power(4275)
Approved Approved El Service(4235)
Approved
By Date By Date
By Date
❑ Feeders/Sub-panels(4045)
Approved ❑ Rough Electrical (4225) CICeiling Cover(4020)
Approved Approved
By Date By Date
By Date
❑ Final-Electrical(4055)
Approved
By Date 4:)_... tz
•
0 Rough Electrical ❑
Approved Final Electrical Right of Way---,
Approved Approved
By Date By Date
BY Date