18-104331City of Federal Way
FILmh
C-ty Development Dept.
API/PINCHON VIII LC
33325 8th Ave S
W ELECTRIC
Federal Way, WA 98003
115"0" ST NE
Ph: (253) 8352607 Fax (253) 8352609
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Project Name: FIRST AMERICAN TITLE INSURANCE CO
Project Address: 33600 6TH AVE S
Electrical
Permit #:18 -104331 -00 -EL
Inspection Request Line: (253) 835-3050
Project Description: Electrical work to include connection of new office furniture.
Parcel Number: 926480 0205
Owner
Applicant
Contractor
API/PINCHON VIII LC
W ELECTRIC
W ELECTRIC
PO BOX 3110
115"0" ST NE
WELECE" 831JQ (4/18/19)
\
AUBURN WA 98002
115"0" ST NE
HONOLULU 11196802
USA
AUBURN WA 98002
USA
Additional Permit Information
Is is an Online or O.T.C. application? .................. Ye
th
PERMIT EXPIRES Tuesday, 17 September, 2019
Permit Issued on Monday, September 17, 2018
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 acco ce with the laws, rules and regulations of the State of
Washingto the i f Federal Way.
Owner or agent: Date:
FINALED
c
op 4A�-
Feeral Way
PERAM #: 1810433100
THIS CARD IS TO REMAIN ON-SITE r
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
Address: 33600 6TH AVE S Unit 105
Project: AMPINCHON VIII LC FEDERAL WAY WA 98003
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)2❑
Q
Ditch cover (4030)
®
Slab/Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
®
Pool Bonding (4195)
Q
Temporary Power (4275)
®
Service (4235)
Approved
Approved
Approved
By
Date
By
Date
By
Date
®
Feeders/Sub-panels (4045)
®
Rough Electrical (4225)
n
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
10 Final - Electrical (4055)
Approved 67
Date
F1
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Illy
Approved
By
Date
I
By
Date
.
Date
41k
CITY OF
Federal Way
RECEIVED
SEP 17 2018
CO�M
CITYUNITY p
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®F FE4 WAY
AdEM°
ELECTRICAL
PERMIT APPLICATION
PERMIT NUMBER 1 g_ 10 41 3 3 l_T__/
SITE ADDRESS: 3c/�O Lir _ Q 0 (V � C
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SUITE/UNIT/SPACE @
PROJECT VALUATION
ASSESSOR'S TAR/PARCEL#
SSU_
_UZ
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CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
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PROPERTY OWNER
NAME
PRIMARY PHONE
-
MAILING ADDRESS
-MAH,
CITY
STATE
ZIP
FAX
ELECTRICAL
CONTRACTOR
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NAMT P
PRIMARY PHONE
MAILING ADDRESS
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E-MAIL
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CITY
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STATEzIP
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FAX
WA STATE CONTRACTOR'S LICENSE N EXPIRATION DATE
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FEDERAL WAY BUSINESS LICENSE N
APPLICANT
NAME
PRIMARY PHONE
-
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAM
12lu� ��cZ
PRIMARY PHONE
(�4') �29J .2r,;�5
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 tha-chef as a part of is applica o
SIGNATURE: �J �o DATEy /2,
PRINT NAME: Z Z
Bulletin #160 —April 14, 2016 Page 1 of I k:Wandou&s Electrical Permit Application