19-102442 '; 'S
Electrical
City of Federal Way Permit #:19-102442-00-EL
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: PERFORMING ARTS&EVENT CENTER
Project Address: 31510 PETE VON REICHBAUER WAY S Parcel Number: 857500 0010
Project Description: Add(1)new 120-v,20-amp circuit and modify(2)existing circuits for signage.
Owner Applicant Contractor
CITY OF FEDERAL WAY CITY OF FEDERAL WAY J G M TECHNICAL SERVICES INC
33325 8TH AVE S 33325 8TH AVE S JGMTETS956KJ(5/15/21)
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 4742 42ND AVE SW SUITE 169
SEATTLE WA 98116
Additional Permit Information
Is this an Online or O.T.C.application9 Yes
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Circuits-Commercial 3
PERMIT EXPIRES Tuesday, 19 May,2020
Permit Issued on Monday,May 20,2019
I hereby certify that the above i or ,i:tion is correc and that the construction on the above described property
and the occupancy a . th:,fs- .e in acc.Dance with the laws, rules and regulations of the State of
I // J P' / t•`r• - City of Federal Way.
Owner or agent: Aft/ L �,'� Date:
1(14'o
THIS CARD IS TO REMAIN ON-SITE
c�� Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 102442 00 Address: 31510 PETE VON REICHBAUER WAY S
Project: CITY OF FEDERAL WAY FEDERAL WAY WA 98003-5457
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.
1❑ UFER Ground(4295) ID Ditch cover(4030) Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By / Date j By Date
® Pool Bonding(4195) El Temporary Power(4275) ® Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) ® Rough Electrical(4225) 1 ® Ceiling Cover(4020)
Approved Approved Approved
‘By Date By Date By Date
10 Final-Electrical(4055)
,� Approved
By �/'_/ Date �34%-949"s'/ /q
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
CITY OF ELECTRICAL
Federal Way �� 2019 PERMIT APPLICATION
;,.,I`,"C:=FEDERAL WAY
2DMMUNITY DEVELOPMENT
PERMIT NUMBER /e _ / 6 r,[ V (1 - E
SITE ADDRESS: 3 / 5 / 0 ,D f/ x, LiO (Ati
S SUITE/UNIT/SPACE
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
A1006 s 7 s a 0 - •0 0 / 0
PROJECT NAME
(Tenant or Homeowner Last Name) r f
PROJECT DESCRIPTION A44 / 1,E / 1,,,e.-6- 2' - ' r fr---
bet included
edescription oof work to �jn� 1.��+ "___C-l ' Tri I l
be included on this permit only � 1(S' [ `Lf'� S.
NAME _ PRIMARY PHONE
PROPERTY OWNER - of I eceKc '' L- ( ) -
MAILING ADD ESS E-MAIL
CITY STATE ZIP FAX
( )
NAMEPRIMARY PHONE
��'1 �` -tel ( ) -
MAILINGAAL ? E-MAIL
ELECTRICAL g21,4-J/ Elef
CONTRACTOR CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PRIMARY PHONE
APPLICANT 5>f--1MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
7 AO��
PROJECT CONTACT , pv ( ZGG) Z`FS-gSiBs..______
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 de ense of such claim),which may be made by any person,including the undersigned,and filed against the city,
but only where suchim 's-- out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied t• •art of this ap i cation.
V // / 01.1111411111 —
SIGNATURE: [/' /I DATE S 2' 0j
PRINT NAME: --,1/--- i/ C Q?4 9J , /
)
Bulletin#160–April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application