15-106509FILE- EIecfrical
mm y & E� WPermit #: 15 -106509 -00 -EL
33325 8th Ave S
Federal way, WA 98003
Ph: (253) 835-2607 Fax: (263) 835-2609 Inspection Request Line: (253) 835,3050
Project Name: HONG KONG MARKET
Project Address: 35415 21ST AVE SW Parcel Number: 252103 9002
Project Description: Low -voltage wiring for fire alarm system.
Owner
LEN SIN
ARRIlca
GOLD ELECTRIC LLC
Contractor
GOLD ELECTRIC LLC
HONG KONG MARKET IN FEDERAL WAY
PO BOX 2156
GOLDEEL870JZ (4/9!17)
LLC
AUBURN WA 98071
PO BOX 2156
320 E MEEKER ST SUITE #102
AUBURN WA 98071
KENT WA 98030
Additional Permit information
Electrical Work Valuation?....................................500 Is this an Online or O.T.C. application?................ Yes
Is Use Educational or Institutional? ....................... No Service greater than 999 Amps? ............................. No
Electrical Fbdures
Low Voltage - Fire Alarm (Comms 1
PERMIT EXPIRES Monday, June 20, 2016
Permit Issued on Wednesday, December 23, 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 7,7d
with the laws, rules and regulations of the State of Washington
e City Federal Way.
Owner or agentDate: 11
r
CITY CWV;&_
Federal Way
PERMIT #:
THIS CARD IS TO RE ON-SITE �
1 Construction Insp ion Record
INSPECTION REQUESTS: (253) 835-3050
15 -106509 -00 -EL
Address: 35415 21ST AVE SW
Project: LEN SIN FEDERAL WAY, WA 98023
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)
0
Ditch cover (40 30)
Final Electrical
Approved
lab Concrete Floor (4255)
Service (4235)
Approved
Approved
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
®
Pool Bonding (4195)
E]
Temporary Power (4275)
Final Electrical
Approved
Service (4235)
Right of Way —^
Approved
Approved
Date
Approved
By
Date
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
Final - Electrical (4055)
Approved
Date t 2 -tea/ _ �—
®
Rough Electrical
Approved
❑
Final Electrical
Approved
1
Right of Way —^
Approved
By
Date
By
Date
By
Date
• C1" of A
0 RECEIVED
Federal Way DEC 2 3 2015
i
ELECTRICAL
PERMIT APPLICATION
CITY OF FEDERAL WAY
/� / CDS
PERMIT NUMBER -15 _ � / J / 5
SITE ADDRESS: -/�-- Sf �
�`-
SUITE/UNIT/SPACE #
PROJECT VALUATION
ASSESSOR'S TAR/PARCEL i
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
N ln, K e
PROJECT DESCRIPTION
Y
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
PRIMARY PHONE
( _
NAILING ADDkESS
E-MAIL
Crry
STATE
ZIP
/ FAX
NAME > /-
PRIMARY PHONE
ELECTRICAL
MAILING ADDRESS
A
E-MAIL
CONTRACTOR
CrrY
STATE
ZIP
%2
FAX
WA STATE CONTRACTOR'S LICENSE Y
C0L & Z_
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE !
APPLICANT
NAME
'45
1 A V
PRIMARY PRONE
( _
MAQdNG ADDRESS
E-MAIL
CITY
STATE
ZD?
FAX
(
PROJECT CONTACT
NAME
�.1w A e ;
AJ e) ve
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 taws 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 I of 2 k:\Handouts\Electrical Permit Application