14-103233Ef ectrical
CHof Federal Way Permit #: 14 -103233 -00 -EL
Community &Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835.2807 Fax: (253) 835-2809 FILE Inspection Request Line: (2
53) 835-3050
Project Name: 7 -ELEVEN
Project Address: 104 SW 312TH ST Parcel Number: 072104 9219
Project Description: Demo old 4 barrel for new 3 barrel. Replace outlet and disconnect on condensing uniton
roof.
Owne
Al2RIicant
Contractor
CHEK KWIK
POINTER ELECTRIC INC
POINTER ELECTRIC INC
C/O TAX DEPT 17463
13845 RECTOR RD
POINTEI148DE (5/31/15)
PO BOX 711
BOW WA 98232
13845 RECTOR RD
DALLAS TX 75221-0711
BOW WA 98232
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 Factures
Circuits - Commercial. ................... 2
PERMIT EXPIRES Monday, December 29, 2014
Permit Issued on Wednesday, July 2, 2014
1 hereby certify that the above info tion is correct and that the construction on the above described property and
the occupancy andthe use a in accordance with the laws, rules and regulations of the State of Washington
and till
Owner or agent: Date:
lox G�-
FINALED
C
CITY OF
Federal Way
TCARD IS TO MAIN ON' -SI
TE
40 Construction In ection Record
INSPECTION REQ TS: (253) 835-3050
PERMIT #: 14 -103233 -00 -EL Address: 104 SW 312TH ST
Project: CHEK KWIK FEDERAL WAY, WA 98023-4609
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.
LIFER Ground (4295)Ditch
cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
Temporary Power (4275)
Service (4235)
By
Approved
By
Approved
By
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
By
Date
Final - Electrical (4055)
Approved
By
Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF 'A
Federal Way
ELECTRICAL
PERMIT APPLU&WON
PERMIT NUMBER I 1 _ l () ✓ a 33 r—
JUL
02 2014
CITY OF FEDERAL WAY
SITE ADDRESS: ' L9, 1 S w ? la � T
SUITE/UNI E #
PROJECT VALUATION
d.p}
ASSESSOR'S TAX/PARCEL O ` — ^ � � �
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
- ( S T �' f C # (�
V
/
n
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
d % zs
PROPERTY OWNER
NAME
M�
/-11 S"f2 I7q% 3
PRIMARY PHONE
( a53) 9y ► - oay
MAILING ADDRESS
E-MAIL
CITY STATE ZIP
FAX
NAME
-1r-+q-r Tlec r C enc.
PRIMARY PHONE
(3�v) - i ar�
ELECTRICAL
MAILING ADDRESS /n�
[ 3 N 1�tc+or
E-MAIL
�/e�(P Le, A+,r E, rot,,
CITf
"j/
STATE
WA
ZIP
% Z
FAX
( 6a)2j-
CONTRACTOR
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
o�rA)T
FEDERAL WAY BUSINESS LICENSE #
ao-Oa -101q �-00-&-
NAME
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
6TATE
ZIP
FAX
( )
PROJECT CONTACT
NAME
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 oftych claim(, which may be made by any person, including the undersigned, and filed against the city,
but only where such claim a ; out of the. reliance of the city, including its officers and employees, upon the accuracy of the
n
Wor atiosupplied to the as apart of this application.
SIGNATURE:
PRINT NAME:
�--2
Bulletin #160 — January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application