16-100691Elec ikil
City ofFederalWay
Community & Econ. Dev. Services Permit #: 16 -10069140 -Eta
33325 8th Ave S
Federal Way, WA 98003FILE
Inspection Re
Ph: (253) 835-2607 Fax: (253) 835-2609 Ins pe Request Line: (253) 835-3050
Project Name: 7-11 STORE #2728
Project Address: 32935 1ST AVE S
Project Description: Installation of a new 200 AMP panel
Parcel Number: 182104 9037
Owner
ARRlican
Contractor
C G L PACIFIC LLC
STEVE RANDOLPH
LIBERTY PLACE VENTURER LLC
376 EL EDCANTO DR
LIBERTY PLACE VENTURER LLC
LIBERPV967R7 (12/27/16)
PASADENA, CA 91107
4057 RIDGE CT •
4057 RIDGE CT
WEST LINN, OR 97068
WEST LINN OR 97068
Additional Permit information
Electrical Work Valuation?...................................2000 Is this an Online or O.T.C. application? ................. Yes
Is Use Educational or Institutional? ....................... No' Service greater than 999 Amps? ............................. No
Electrical Fixtures
Alt. Srvc /Feeder 0 to 200 amps (C 1 � '� j
PERMIT EXPIRES Saturday, �j ary 4, 201
Permit Issu o riday, Fe ary 5, 2016
I hereby certify that the at9ve in rmation i rrect and t construction ve described property and
the occupancy and the u will a in ac dance aw , rules and r ns of the State of Washington
A!J o Fe eral
Owner or agent: Date:661—
oil
Cl" OF
Federal Way
PERMIT #:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record '
INSPECTION REQUESTS: (253) 835-3050
16 -100691 -00 -EL Address: 32935 1ST AVE S
Project: C G L PACIFIC LLC FEDERAL WAY, WA 98003-6304
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.
❑
UFER 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 h-4
Date y
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
* Chwk f;V Cow"A-vel R,cts fit- l ItA � kWS f '-n -
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
`C1W OF
Federal Way
Building Division
33325 Eighth Avenue South
Federal Way, WA 98003-6325
Phone 253-835-2607 Fax 253-835-2609
CORRECTION NOTICE
ADDRESS: '311-145- 1 Sr A. w- - S . PERMIT#: Ib- I °o [-,1 - oo- tEL-
N1g�_, I i o. z¢ (sk) - Scvvi oc v t,,+ k o}kty. -rVmm Dwe_l I i 4A f -s
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3.7 Net- 15-o• taco 6r # Z At- $okd W iVe, '5k4li gc, R-wK Tb �tJG�-Gv
Pave.
-' i7� To G�wr� i 2 c P0.Kt1 1� f�i H F3r�a b-ev Is Sizco� F� 'CInL AIG P-�t�-i �� .
IF YOU HAVE QUESTIONS CALL V\,kA-" -am& (253) 835- 2V 1-3
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.
2 ZS1b
D TE
INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
CITY OF V;&�
Federal Way
PERMIT NUMBER l 0 _ ( 0
RECEIVED ELEC'T'RICAL
FEB 05 2016 PERMIT APPLICATION
FrD%SErL WAt) V
SITE ADDRESS: ?�Q ST 4vr S
C� 1
SUITE/UNIT/SPACE #
PROJECT VALUATION
i�
ASSESSOR'S TAX/PARCEL #
i� t O 1/- -9 0 3
CURRENT/PROPOSED USE
$
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PROJECT NAME
(Tenant or Homeowner Last Name)
/� ^7
(— � ( `off (A 1V crt—
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
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PRIMARY PHONE
(2M �, -2 V) q;�
MA1LINNGG ADDRESS /'
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CIT
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FAX
NAIM�M
PRIMARY PHONE
C�d�c��C[A-�
MAILING ADDRESS
E-MAIL
ELECTRICAL
6for7 ct
15P.
CONTRACTOR
CITY
STATE
2
ZIP
070b8'
FAX
I
( ) -
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
(�� ) 30 - Li 1) b
APPLICANT
MAILING ADDRESS
D IZ
E-MAIL
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CITY
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STATE
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ZIP
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PROJECT CONTACT
NAME
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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 laws regulating
construction or environmental laws.
I further agree to hold harmless the Ci of Federal Way as t any claim (including costs, expenses, and attorneys' fees incurred in
the investigation and defense of suc claim), hich may be a e by any person, including the undersigned, and filed against the city,
but only where such cl arises ut of the eliance t e city, including its officers and employees, upon the accuracy of the
information supplied to ty as p of th applic on i
SIGNATURE: _ 1 DATE I
PRINT NAME:U0
Bulletin # 160 —January 1, 2013 Page i of 2 k:\-Ilandouts\Electrical Permit Application
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