15-102747City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
FILE
Project Name: BATTERIES + BULBS
Electrical
Permit #: 15 -102747 -00 -EL
Inspection Request Line: (253) 835-3050
Project Address: 31830 PACIFIC HWY S Unit A Parcel Number: 092104 9221
Project Description: Alter/Add (3) circuits and a new switch for new sign.
Owner
Applicant
Contractor
SEA -TAC CENTER ASSOCIATES
YURIY P KALABOVDA
JUICE ELECTRIC INTERNATIONAL
2101 4TH AVE UNIT 310
JUICE ELECTRIC INTERNATIONAL
JUICEEI868J9 (8/4/16)
SEATTLE WA 98121-2317
150 120TH AVE NE SUITE 120
150 120TH AVE NE SUITE 110
BELLEVUE WA 98005
BELLEVUE WA 98005
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
Electrical Fixtures
Circuits - CommerciaL................... 3
CONDITIONS:
Per 19.95.065(1)(b) Impact fee adjustment. The school impact fee assessed in the city center zone shall be
reduced by 50 percent.
PERMIT EXPIRES Wednesday, December 2, 2015
Permit Issued on Friday, June 5, 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 b nce with the laws, rules and regulations of the State of Washington
and he City of Federal Way.
Owner or agent: Date:
' THIS CARD IS TO REMAIN ON-SITE
CITY OF�MNol� •' , ,.
Construction Inspection Recard
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 15 -102747 -00 -EL Address: 31830 PACIFIC HWY S Unit A
Project: SEA -TAC CENTER ASSOCIATES 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
0
UFER Ground (4295)Ditch
cover (4030)
Final Electrical
Approved
Slab /Concrete Floor (4255)
1:1Approved
Approved
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
Rough Electrical
Approved
Temporary Power (4275)Service
Final Electrical
Approved
1:1Approved
(4235)
Approved
Date
Approved
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 L _
By Vw�
Date
Final - Electrical (4055)
Approved
By Date 7 -) .7 -1
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date
CITY OF 'A
Federal Way
MENM ELEC'T'RICAL
JUN 0 5 2015 PERMIT APPLICATION
TY OF FEDERAL WAY
Ica?PERMIT NUMBER _
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SITE ADDRESS: 31 V 3 0 C t H y L4-) S.
SUITE/UNIT/SPACE #
L
PROJECT VALUATION
ASSESSOR'S TAIL/PARCEL #
CURRENT/PROPOSED USE
_V o 7 `Z 1
PROJECT NAME
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME / l L
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�
PRIMARY PHONE
PROPERTY OWNER
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MAILING ADDRESS
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ZIP
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FAX
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NAME
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PRIMARY PHONE
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MAILING ADDRESS
15o 12 0P_ 4LI e- iJ t S j 1 O
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ELECTRICAL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
JU1CF_
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
1 `(7 - 03 7
APPLICANT
MAILING ADDRESS_
(�o Z� % Q_ Vt5a 't -e- (IU
E-MAIL I
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I ZIP
FAX
PROJECT CONTACT
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�-/'� a
PRIMARY PHONE
(Z�o)�'y7- 0377
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 ci as apart of this application. /
SIGNATURE: f b DATE 6 5 _ 2oi S-
PRINT NAME: &t /- - Va-`�D 9.
Bulletin # 160 —January 1, 2013 Page 1 of 2 UI IandoutsTlectrical Permit Application
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