17-103565City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: EAST INDIA GRILL
Project Address: 31845 GATEWAY CTR BLVD S
Project Description: Install (2) Amp circuits for Soup Buffet Tables.
Electrical
Permit #:17 -103565 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 092104 9137
Owner
Applicant
Contractor
ANS LLC
SCOTT MANNINGSKYLINE ELECTRIC
SKYLINE ELECTRIC SERVICES LLC
PO BOX 1941
SERVICES LLC
SKYLIES872136 (3/27/19)
AUBURN WA 98071-1941
PO BOX 7357
627 S HAWTHORNE ST
TACOMA WA 98417
TACOMA WA 98465
Additional Permit Information
Is this an Online or O.T.C. applications ................ Yes
Circuits - Commercial 10 0
PERMIT EXPIRES Wednesday, uly, 201%
Permit Issued on T9es�w y 25, 201
I hereby certify that the above information is cat the constr n the above described property
and the occupancyapd the use wil ce with the la s and regulations of the State of
Walete City of Federa
Owner or agent:
t
Mal
Date:
THIS CARD IS TO REMAIN ON-SITE F
cm w �&Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 17103565 00 Address: 31845 GATEWAY CTR BLVD S
Project: ANS LLC 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.
El
UFER Ground (4295) .
Ditch cover (4030)
6
Slab/Concrete Floor (4255)
Approved
rBy
Approved
Approved to place concrete
By
Date
By
Date
By
Date
®
Pool Bonding (4195)
Temporary Power (4275)
6
Service (4235)
Approved
rBy
Approved
Approved
By
Date
Date
By
Date
® Final - Electrical (4055)
Approved
By Date
Feeders/Sub-panels (4045)
Rough Electrical (4225)
0
Ceiling Cover (4020)
Approved
rBy
Approved
Approved
By
Date
Date
By
Date
® Final - Electrical (4055)
Approved
By Date
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
- *
49�A�L Federal Way
Building DivEsion
33325 Eighth Avenue South
Federal Way, WA 98003-6325
Phone 253-835-2607 Fax 253-835-2609
CORRECTION NOTICE
ADDRESS: ST'Tr �aa+ewAq C"+�, Ptvd.S• PERMIT#: 17-100-tii_
11
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IF YOU HAVE QUESTIONS CALL Ne_* (253) 835- 7-L-2-3
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS.
ATE INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
CITY OF 'A
Federal Way
PERMIT NUMBER —11
RECEIVED ELECTRICAL
JUL 2 5 2017 PERMIT APPLICATION
CITY OF FEDERAL WAY
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CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
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PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
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PROPERTY OWNER
NAME
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PRIMARY PHONE
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MAILING ADDRESS
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E-MAIL
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CONTRACTOR
NAME
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WA STAT ONT CTOR'S LICENSE # EXPIRATION DATE
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FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME
PRIMARY PHONE
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MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
/ FAX
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PROJECT CONTACT
NAME
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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 1 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 thiAcity as apart of this application.
SIGNATURE:
PRINT NAME:
Bulletin # 160 — January 1, 2013 Page 1 of 2 k:\flandouts\Electrical Permit Application
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