19-100597 ,
�~�73 Electrical
Communityof
Fopment Permit #:19-100597-00-EL
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax.(253)835-2609
Project Name: SEATTLE PAIN RELIEF
Project Address: 35002 PACIFIC HWY S Parcel Number: 185295 0050
Project Description: Move(1)existing TSTAT and install(4)new TSTAT with wire.
Owner Applicant Contractor
FEDERAL WAY CROSSINGS PATRICK CONVERSEALL STAR HEATING ALL STAR HEATING&A/C INC
10655 NE 4TH ST SUITE 700 &A/C INC (ELECTRICAL)
BELLEVUE WA 98004 PO BOX 70 ALLSTSH933JB(8/3/19)
FALL CITY WA 98024 PO BOX 70
FALL CITY WA 98024
Additional Permit Information
Is this an Online or O.T.C.application? Yes
•
Thermostat 4
PERMIT EXPIRES Wednesday,5 February,2020
Permit Issued on Tuesday,February 5,2019
I hereby certify that the abo formatio 's correct and that the construction on the above described property
and the occupancy an t Use will be accordance with the laws, rules and regulations of the State of
Was . gton and the City of Federal Way.
Owner or agent f V Date: S / '7
:Alb, THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
Federalvvay
INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 100597 00 Address: 35002 PACIFIC HWY S Unit A-105
Project: FEDERAL WAY CROSSINGS 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 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.
El UFER Ground(4295) s❑ Ditch cover(4030) ID Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
D Pool Bonding(4195) ® Temporary Power(4275) Q Service(4235)
Approved Approved Approved
By Date By Date By Date
• •
El Feeders/Sub-panek(4045) ® Rough Electrical(4225) Q Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
al-Electrical(4055)
Approved
By Date f+274
0 Rough Electrical 0 Final ElectricalEl Right of Way
ApprovedApproved Approved
By Date By Date By Date
RECEIVED ELECTRICAL
CITY i:Ni A
Federal Way FEB U 5 2019 PERMIT APPLICATION
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT Q� -7
PERMIT NUMBER ( 1 - ( 0 0 5 I I _ c L-
SITE ADDRESS: 5 0 110 a SUITE/UNIT/SPACE#
Pia(.1(1 ri i 5hvoly 5 -41.1 A i j s
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
0 47
$ SSS I a s a 9 S - 0 0 S 0 /?.,J CeiJtec
PROJECT NAME ^ri i Re
L)Of
(Tenant or Homeowner Last Name) S e Qv�1,.
- e '•1
lhoj I EX 15iATS7 nj
PROJECT DESCRIPTION Tni5f1 VI 1 Nab TS Ta-i- W 1'\i\ I/4 I rte
Detailed description of work to
be included on this permit only
NAMEQi PRIMARY PHONE
PROPERTY OWNER SeRtitL PA i,) Ret,,e L, ( ) -
MAILING ADDRESS E-MAIL
3 S c) ,D prac‘cir Ili5lIcsily s.
CITY SATE ZIP FAX
ti1/4) - ( ) -
NAME sTAie, fl(9r�T► ►*) (i),5 ) ?aa-PRIMARY 76 c)
ING ADDRESS E-MAIL
ELECTRICAL 0 R}O)( 1 O
CONTRACTOR CITYSTATE ZIP FAX
rid) CitLL,' to 1 w A 1 c‘0, 1 ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
kLISTS H 9 33 38 3 I 7 )3-0--)031q7 -00-13 L
NAME PRIMARY PHONE
APPLICANT PIOV(CR CC-1\1\16'0Z ( ) -
MAILING ADDRESS E-MAIL
CIh 11 C ) ��STATE ZIP FAX
/'
/J 9 C ( )
NAM PRIMARY PHONE
PROJECT CONTACT f13Z'171c k Cam 055 (.1)1 ) 76i- f I !
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 harmless the City of Federal Way as to any claim(including costs,expenses, and attorneys'fees incurred in
the investigation an de o such claim), which may be made by any person,including the undersigned,and filed against the city,
but only where su cl arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information suppl d to e city as a part of this application.
SIGNATURE: / `
DATE (� (�'�
PRINT NAME: 'ISTI?aC e COI'U r j e
PERMIT CENTER+33325 8th Avenue South + Federal Way,WA 98003-6325
253-835-2607+ FAX 253-835-2609 + permitcenter(rrcityoffederalway.com
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application