15-102397t Electrical
c iyf & Ecw.Fedeal Dev.ay Permit #: 15 -102397 -00 -EL
Community &Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98o03 Inspection Request Line: 253 835-3050
Ph: (253) 835-2807 Fax: (253) 835-2609 p q
Project Name: EURO FOODS
Project Address: 28855 MILITARY RD S Parcel Number. 042104 9037
Project Description: Install sign circuit for new internally -illuminated wall mounted cabinet install
Owner
ARRfica Lt
Contractor
EXECUTIVE HOUSE INC
TOTAL SIGN SERVICE
TOTAL SIGN SERVICE
7517 GREENWOOD AVE
1035 S MACARTHUR ST
TOTALSS875RT (12/30/15)
SEATTLE WA 98103
TACOMA WA 98465
1035 S MACARTHUR ST
TACOMA WA 98465
Additional Permit Information
Is this an Online or O.T.C. application? ................. es Is Use Educational or Institutional?....................... No
Service greater than 999 Amps? .............................No
Electrical Fbdures
Sign................................................ 1
PERMIT EXPIRES Sunday, November 15, 2015
Permit Issued on Tuesday, May 19, 2015
1 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�/��-l�%� Date: — J
A
crn CW
Federal Way
THIS CARD IS TOf1T
MAIN ON-SITE A,Construction Inection Record
INSPECTION REQS: (253) 835-3050
PERMIT #: 15 -102397 -00 -EL Address: 28855 MILITARY RD S
Project: EXECUTIVE HOUSE INC FEDERAL WAY, WA 98003-7912
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)
0
Slab/Concrete Floor (4255)
1:1Approved
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
❑
Temporary Power (4275)
Final Electrical
1:1Approved
Service (4235)
By
Approved
Approved
Date
Approved
By
Date
By
Date
By
Date
Feeders/Sub-panels (4045)
❑
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
Date�-
Rough Electrical
Approved
1:1Approved
Final Electrical
1:1Approved
Right of Way
By
Date
By
Date
By
Date
CITY OF 'A
Federal Way
PERMIT NUMBER 15
ELECTRICAL.
PERMMmVPLICATION
AY 1�92015lo(4 �
CIN OF FEDERAL WAY
SITE ADDRESS: j j^'l l 7,9 Q Y (_0_
SUITE/UNIT/SPACE #
PROJECT VALUATION
$ 40®
ASSESSOR'S TAX/P CEL# O � _ D
Lei//- 2 �'
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
�U 07 0
tic5 _7-4 L L_ 3 P-",3 0 om 1L up To
�X ! tL—,t C v iT
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE -
PROPERTY OWNER
A L";w 57&Y -A l,,�U
3 S-4 - e
MAILING ADDRESS
Sob 5,t _ 8TH 0a-`01
E-MAIL
CITY
�NYcr�i
STATE//
WA
ZIP
80.�`
FAX
NAME
PRIMARY PHONE
7 C_ l v I Cf
(Z5-3) 961 - S? 7 7
MAILING ADDRESS
10 N- B C,0 (L -ryue 5-1'
E-MAIL
b I 15) n Ss•ry tea %
ELECTRICAL
CITY
7.Dc0 rye
STATE
W�(
ZIP
FAX
CONTRACTOR
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
0 76 C S ? 15 -T le130 S
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME
7 L� I Cf
PRIMARY PHONE
-
MAILING ADDRESS
.e
E-MAIL
CITY
STATE
ZIP
FAX
( )
PROJECT CONTACT
NAM v� /J
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 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 city as apart of this application. Q
SIGNATURE: ` ' DATE
PRINT NAME: W11,CLAM 4 JA IA -1
Bulletin # 160 –January 1, 2013 Page 1 of 2 k:\-Iandouts\Electrical Permit Application