13-103834City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
4 Electrical
Permit #: 13 -103834 -00 -EL
Inspection Request Line: (253) 835-3050
Project Name: VALLEY HARVEST MARKET
Project Address: 28855 MILITARY RD S Parcel Number: 042104 9037
Project Description: Provide power for type 1 hood system. Power for tortilla machine. Power for equipment in
deli.
Owner
ARRIIcant
Contractor
EXECUTIVE HOUSE INC
JAMES LEE
BEST ELECTRIC CORP
7517 GREENWOOD AVE
BEST ELECTRIC CORP
BESTEEC919J 1 (4/21/15)
SEATTLE WA 98103
5015 208 ST SW SUITE 2B
5015 208TH ST SW
LYNNWOOD WA 98036
LYNNWOOD WA 98036
AdditionakPennit 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 .................... 12
PERMIT EXPIRES Wednesday, February 26, 2014
Permit Issued on Friday, August 30, 2013
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
ZandtCity of Federal Way.
Owner or agent: Date: S 34
CIT''OF .
Federal Way
PERMIT #:
Project:
THIS CARD IS TO'fit ON-SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
13 -103834 -00 -EL Address: 28855 MILITARY RD S
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.
❑ Final - Electrical (4055)
Approved
By C Date , _ 9 `
El Rough Electrical Final Electrical ❑Right of Way
Approved Approved Approved
By Date By Date By Date
LIFER Ground (4295)Ditch
cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
❑ Final - Electrical (4055)
Approved
By C Date , _ 9 `
El Rough Electrical Final Electrical ❑Right of Way
Approved Approved Approved
By Date By Date By Date
Pool Bonding (4195)
Temporary Power (4275)
Service (4235)
Approved
Approved
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
By
Date
❑ Final - Electrical (4055)
Approved
By C Date , _ 9 `
El Rough Electrical Final Electrical ❑Right of Way
Approved Approved Approved
By Date By Date By Date
CITY OF
Federal Way
RECEAD ELECTRICAL
AUG s o ems PERMIT APPLICATION
CITY OF FEDERAL WAY
PERMIT NUMBER 1 3 _ / Cff 19 Y— 6 V
SITE ADDRESS:9 $ '"_ ��
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SUITE/UNIT/SPACE s
PROJECT VALUATION
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ASSESSOR'S TAR/PARCEL f
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CURRENT/PROPOSED USE
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PROJECT NAME
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(Tenant or Homeowner Last Name)
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PROJECT DESCRIPTION
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Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONIC
PROPERTY OWNER
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MAILING ADDRESS
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STATE
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FAX
NAME
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PRIMARY PHONE
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STATE
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FAX
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CONTRACTOR
WA sTAYE CONTRACTOR'S LICENSE X -- RATION DATE
FEDERAL WAY BUSINESS LICENSE 8
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NAMEJO(
PRIMARY PHONE
APPLICANT
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MAILING ADDRESS
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E-MAIL
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ZIP
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PROJECT CONTACT
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PRIMARY PHONE
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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 1 of 2 k:\I-iandouts\Electrical Permit Application