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17-102834City of Federal Way Community Development Dept. 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax: (253) 835.2609 Project Name: MCDONALD'S Project Address: 27515 PACIFIC HWY S it Electrical Permit #:17 -102834 -00 -EL Inspection Request Line: (253) 835-3050 Parcel Number: 332204 9129 Project Description: Installing a new j -box and new underground line for new circuit for new freestanding sign. Owner Applicant Contractor MCDONALDS CORP (0460297) SOUTHGATE ELECTRIC INC SOUTHGATE ELECTRIC INC PO BOX 182571 23444 30TH AVE S SUITE 101 SOUTHEI366PI (8/30/17) COLUMBUS OH 43218 KENT WA 98032 23444 30TH AVE S SUITE 101 KENT WA 98032 AdditionalPermit Information Is this an Online or O.T.C. application? .................. Yes Circuits - Commercial 1 PERMIT EXPIRES Wednesday Permit Issued on I hereby certify that the above information is correct and and the occupancv,anddthe use will be in accordance Owner or agent:All, N��V4� % Id t*! ,1 V) 1 , 2018 �construction �Z017t above described property the laws, agulations of the State of of Federal Date: _ i�' ant , r . .,4 THIS CARD IS TO REMAIN ON-SITE Federal V1fa Construction Inspection Record INSPECTION REQUESTS: (253) 835-3050 PERMIT #: 17102834 00 Address: 27515 PACIFIC HWY S Project: MCDONALDSCORP (0460297) 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 passible (read left to right, top to bottom). Please schedule inspections as appropriate. Work must not be coveted 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. 1❑ UFER Ground (4295) Ditch cover (4030) ® Temporary Power (4275) Slab/Concrete Floor (4255) Service (4235) Approved Approved Approved IBY Approved to place concrete By Date Date L, — (�- Date By Date ® Pool Bonding (4195) ® ® Temporary Power (4275) © Service (4235) Approved Approved Approved IBY Approved 1By Approved By Date By Date Date By Date 071 Feeders/Sub-panels (4045) ® Rough Electrical (4225) Final Electrical Ceiling Cover (4020) E] Approved Approved J Approved By Date By Date By Date 10 Final - Electrical (4055) Approved By Date Rough Electrical Final Electrical E] Right of Way Approved J I Approved Approved By Date By Date By Date CIYY OF Federal Way RECEIVED ELECTRICAL JUN 1 3 2017 PERMIT APP(`LICATION jaOF "600W NUMBER -1 Is,- I J �`1 �' � �,� SITE ADDRESS: b L- A o j SUITE/UNIT/SPACE k PROJECT VALUATION V/ / To (f) ASSESSOR'S TAX ✓(® 11 91 2 % - CURRENT/PROPOSED USE PROJECT NAME (Tenant or Homeowner Last Name) C O PROJECT DESCRIPTION Detailed description of work to be included on this permit only r/ 1/ PROPERTY OWNER N C��n� PRIMARY PHONE ( ) - MAILING ADDRESS E-MAIL CITY STATE I ZIP FAX ( ) ELECTRICAL CONTRACTOR NAME 1 S 0 LkA'I/l Q t it li / C / h c . PRIMARY PHONE (ZOln) 3,,-2,,(,,, MAILINGADDRESS 'A 2 3 �% 1 30 Ave S. s fed 10! 1-. chri 5@-S01,1fh a-&1AC CITY KWt STATE WA ZIP( 98032 (lora) 89 - 8380 WA STATE CONTRACTOR'S LICENSE X EXPIRATION DATE SOU T H E -I 3 (D6 P1 p 30 12o1 FEDERAL WAY BUSINESS LICENSE k N.9.04.000ooY•oo • 81 - APPLICANT NAME PRIMARY PHONE ( ) MAILING ADDRESS E-MAIL CITY STATE ZIP FAX ( ) PROJECT CONTACT NAME PRIMARY PHONE (��) 9 Z0 I cert{fy under penalty of perjury that I am the property owner or authorized agent of the property owner. I cert{ly 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 "e e,ity a3ia parfpf this application. SIGNATURE: PRINT NAME: 6,- l `�>- 17 PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325 253-835-2607 + FAX 253-835-2609 + peririitcentez::..ci+vo iederaic av,.com Bulletin #160 — April 14, 2016 Page 1 of 1 k:�HandoutsTlectrical Permit Application CD k"