15-103876..
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AR,RIlcanS
City of Federal way
WEST PRINCIPLES INVESTMENT
COMMOEcon. Dev. Services
33125 8th Ave S
INTEGRITY ELECTRIC AND LIGHTING
Federal way, WA 98003
FILE
Ph: (283) 835-2807 Fax (253) 835-2809
KENT WA 98056
Project Name: HONG KONG MARKET
Project Address: 35415 21ST AVE SW
h1octrieal
P
Permit #: 15 -10387$=00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number. 252103 9002
Project Description: Lighting retrofit for associated tenant improvement. Addinglaltering up to (10)
circuits***REVISED 8/13 TO ADD TO DESCRIPTION WIRING FOR BATHROOM
AND OFFICES -16 OUTLETS ON SAME 10 CIRCUITS***
Owner
AR,RIlcanS
Contractor
WEST PRINCIPLES INVESTMENT
INTEGRITY ELECTRIC AND LIGHTING
INTEGRITY ELECTRIC AND LIGHTING
320 E MEEKER ST SUITE 102
GROUP
GROUP
KENT WA 98056
11410 NE 124TH ST SUITE 716
INTEGEG851CF (2/16/17)
KIRJU AND WA 98034-4305
11410 NE 124TH ST SUITE 716
KIRJU AND WA 98034-4305
Additionat 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
Circuits - Commercial. ................... 16
CONDITIONS:
Electric service & Electrical permits by PSE
PERMIT EXPIRES Wednesday, February 10, 2016
Permit Issued on Tuesday, August 4, 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: AAC Date:
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po'�#4 �
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city of Federal cWay ommuhltyOt Econ. Dev. Services Permit #: 15 -103876 -00 -.EL
33325 8th Ave S
Federal Way, WA 98003 FILE
Inspection Request Line:
Ph: (253) 835-2807 Fax: (253) 835-2809 �ti253 835-3050 q (
Project Name: HONG KONG MARKET
Project Address: 35415 21ST AVE SW Parcel Number: 252103 9002
Project Description: Lighting retrofit for associated tenant improvement. Adding/altering up to (10) circuits
Owner
ARR11Rant
Contractor
WEST PRINCIPLES INVESTMENT
INTEGRITY ELECTRIC AND LIGHTING
INTEGRITY ELECTRIC AND LIGHTING
320 E MEEKER ST SUITE 102
GROUP
GROUP
KENT WA 98056
11410 NE 124TH ST SUITE 716
INTEGEG851CF (2/16/17)
KUtKLAND WA 98034-4305
11410 NE 124TH ST SUITE 716
KIRIU AND WA 98034-4305
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
:.Elecical Fixtures
Circuits - Commercial. ................... 10
CONDITIONS:
Electric service & Electrical permits by PSE
PERMIT EXPIRES Sunday, January 312016
eabis
d on Tuesday, August 4, 2015
1 hereby certify that the aboverrect and that the construction on the above described property and
the occupancy and the use ce with the laws, rules and regulations of the State of Washington
the City of Federal Way. ,9—
Owner or agent Date: Y �—�
I`
CITY OF
Federal Way
PERMIT #:
15 -103876 -00 -EL
THIS CARD IS TOREQ ON-SITE
Construction InspeL'tion Record
INSPECTION REQUESTS: (253) 835-3050
Address: 35415 21ST AVE SW
Project: WEST PRINCIPLES INVESTMENT 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)
Ditch cover (4030)
Temporary Power (4275)
Slab/Concrete Floor ( 5
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
Temporary Power (4275)
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
0
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date Q 11 11-'
By
Date
Final - Electrical (4055)
Approved
By
Date l -Z
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF A
Federal Way
ELECTRICAL
PERMIT APPLICATION
RECEIVED
PERMIT NUMBER ` _ I v _ CC) v)
AUG 0,4 2015
SITE ADDRESS:1 { 1 15 21:5' 5T
WAY
CDS
OJECALUATIO
ASSESSOR'S M _
OO
CURRENT/PROPOSED USE�
PROJECT NAME
(Tenant or Homeowner Last Name)
/ ` /
h 9 ('� Q / i 'c T
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
k) C w D • ,C n
PROPERTY OWNER
NAME
C .IGN Ln
(Z06PRI MA
) $/RY PHONE
6'- 51 W
MAILING ADDRESS
E-MAIL.
CITY
STATE
I ZIP
FAX
ELECTRICAL
CONTRACTOR
APPLICANT
NAME { g� a •�y CC4 r . yo t o
( ) PRIMARY PHONE
MAILING ADDRESS -�
I! 4 10 A.) t 1 11--L
E-MAIL
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE S EXPIRATION DATE
INT F,6 F6 951CF Zi,6
NAME
FEDERAL WAY BUSINESS LICENSE X
PRIMARY PHONE
( )
MAILING ADDRESS
E-MAIL
CITY
STATE
I ZIP
FAX
PROJECT CONTACT
NAME
�e cl A" 4 /c Lt ti
PRIMARY PHONE
C.
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), whic y be made by any person, including the undersigned, and filed against the city,
but only where such claim arises out of the i - of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part application.
SIGNATURE:
PRINT NAME:
u
Bulletin # 160 — January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application