19-100617City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax (253) 835-2609
Project Name: ABSOLUTE CANA ACUPUNCTURE CLINIC
Project Address: 33515 10TH PL S
r Electrical
Permit #:19 -100617 -00 -EL
Inspection Request Line: (253)835-3050
Project Description: Electrical work to include adding (4) switches and lighting.
Parcel Number: 926925 0100
Owner
Applicant
Contractor
ABSOLUTE-CANA ACCUPUNCTURE CLINIC
EUNTAE KIMNW ELECTRIC SERVICES
NW ELECTRIC SERVICES INC
30806 PACIFIC HWY S SUITE A
INC
NWELEES925DL (3/30/20)
FEDERAL WAY WA 98003
32419 3RD AVE SW
32419 3RD AVE SW
FEDERALWAY WA 98023
FEDERAL WAY WA 98023
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
PERMIT EXPIRES Thursday, 6 February, 2020
Permit Issued on Wednesday, February 6, 2019
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy se will be in accordance with the laws, rules and regulations of the State of
Z��ashington and the City of Federal Way. ,(
Owner or agent: Date: 02 �v � ���
THIS CARD IS TO REMAIN ONSITE -
cm Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3950
PERMIT #: 1910061700 Address: 3351518TH PL S Bldg 10
Project: ABSOLUTE-CANA ACCUPUNCTUI3 FEDERAL WAY WA 98003-6322
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
(road left to right, top to bottom). Please schedule inspections as appropriate. Wait must not be covered until it is approved. Chedc with your inspector if
you aro unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card.
El
LIFER Ground (4295)
Q
Ditch cover (4030)
0
Slab/Concrete Floor (4255)
Approved
Approved
Approved
Approved
Approved
Approved to place concrete
Date
By
Date
By
Date
By
Date
Date
0
Pool Bonding (4195)
I
Temporary Power (4275)
®
Service (4235)
Approved
Approved
lBy
Approved
By
Date
By
Date
By
Date
❑
1u
Feeders/Sub-panels (4045)
®
Rough Electrical (4225)
Final Electrical
Ceiling Cover (4020)
Approved
Approved
JBy
Approved
By
Date
By
Date IX _ el
By
Date
Final - Electrical (4055)
Approved
BySAx
Date (�
El
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
CITY OF 'A
Federal Way
RECEIVED
ELECTRICAL
FEB 0 6 2019 PERMIT APPLICATION
CITY Ay
COMMUNITY DEVELOEDERALPMENT ( n
PERMIT NUMBER _ O 1
3 ✓ ! l o f p�� S, ' I' �/ t"� (/f I o� I r y, a SUITE / OPACE #
SITE ADDRESS: W Gi W ,
PROJECT VALUATION
ASSESSOR'S TAR/PARCEL f CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeoumer Last Name)
A b Sv ! L4}Q ' Co, n c% &Lkpwo C 4t4 vt 'C j in I' �
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
`t A
PROPERTY OWNER
NAME /` kPRffiARY
`S
PHONE
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MAD.mG ADDRESS (', ^,
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STATE
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ZIP
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ELECTRICAL
CONTRACTORcrrsr
NAMS
PRIMARY PHONE
ry ..rew
MAILING ADDRESS
3Z r ✓L— S +J
E-MAIL.
erg to,
STATE
W,q-
ZIP
FAR
WA STATE CONTRACTOR' ICENSE M EXPIRATION DATE
tic) &Lr 2 pL
FEDERAL WAY BUSINESS LICENSE M
APPLICANT
NAME
PRIMARY PRONE
MAILING ADDRESS
2 / ro1 i_`✓
E-MAIL /h
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STAT/E7
ZIP
FAR
PROJECT CONTACT
NAME
� e N
PRIMARY PHONE
I certVy under penalty of perjury that I am the property owner or authorised agent of the property owner. I cert(%y 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 authorised 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
igformation supplied to the city as%pwFRofjhts application.
SIGNATURE:
PRINT NAME:
PERMIT CENTER + 33325 81b Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenteracityoffederalway.com
1
Bulletin # 160 — April 14, 2016 Page 1 of 1 k:\Handouts\Electrical Permit Application
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