19-104473 Electrical
City of Federal Way Permit #:19-104473-00-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: INTERNATIONAL HOUSE OF PRAYER NORTHWEST
Project Address: 2130 S 314TH ST Parcel Number: 092104 9053
Project Description: Installation of 28 new light and receptacles for new TI space.20A 120V circuits.
Owner Applicant Contractor
HILLSIDE PLAZA ASSOC LLC C T R ELECTRIC C T R ELECTRIC INC
PO BOX 5003 33228 206TH PL SE CTRELI*07700(9/22/21)
BELLEVUE WA 98009 AUBURN WA 98092 PO BOX 7475
KENT WA 98042-0043
Additional Permit Information
Is this an Online or O.T.C.application') Yes
3'k�' 1 <. H �. . �os. d. e€:hF..,,.fY-;'v
Circuits-Commercial 28
PERMIT EXPIRES Wednesday, 16 September,2020
Permit Issued on Tuesday,September 17,2019
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy and the use will be in accordance with the laws, rules and regulations of the State of
Washing and the City of Federal Way.
Owner or agent: 4,1 _ Date: /1-/3-/,'
FILE
THIS CARD IS TO REMAIN ON-SITE
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 19 104473 00 Address: 2130 S 314TH ST
Project: HILLSIDE PLAZA ASSOC LLC 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.
0 UFER Ground(4295) • 0 Ditch cover(4030) ' 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
El Pool Bonding(4195) 0 Temporary Power(4275) ® Service(4235)
Approved Approved Approved
By Date , By Date By Date
0 Feeders/Sub-panels(4045) El Rough Electrical(4225) ® Ceiling Cover(4020)
Approved ' Approved pproved
.By Date ��ByeK Date /( ' &1 By /�� Date/ 2
..3/4i
El Final-Electrical(4055)
By /tkpproved
Date g„"/-
0 Rough Electrical D Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
CITY OF 11.1111111\m/ RECEIVe p
ELECTRICAL
Federal Way SEP 1 , 2019 PERMIT APPLICATION
M UNITY D° ,F O , rRMiT NUMBER ( I - r o t/ 9 7 3 - r
,N].
SITE ADDRESS: r 3G, .31 SUITE/UNIT/SPACE 4
14"Li-
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ l cam n 1 2 / v Lf - .1 0 s 3 ( 4 / W
PROJCT NAME
(Tenant or Homeowner Last Name) I-NI-E NI-Et-NAT t mlam7-v
ot,N A.L- H otA e o F PQ p'�T/
e
6 �^o `
/ 544 . it4./ -6,r--#'
' c r--#' /�%�(24- 5
PROJECT DESCRIPTION e 2_,,,A�� (aC 141.7-- (oi/C)c-74-rilS
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER k-1 LLS i DC P L P Z p- L.t ( ) -
MAILING ADDRESS E-MAIL
Po box Ov.3
CITY STATE ZIP FAX
d�e�lC-AC ,,,o..._ c! k vis ( )
NAME PRIMARY PHONE
C'---7-,e 6e7 /C C0 (ZSi)'(5e - •y�6
MAILING ADDRES �/ E-MAIL
ELECTRICAL 7c. 4 7-17 75 C7j t—e 7��G�� '��/"-y��
CONTRACTOR CITY STATE ZIP FAX K'7
/( '-'./(/j 4 Y JrGc Z -/S__Y1
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
(7 filad ' 'Jo / .b
NAME
L��G PRIMARY PHONE
APPLICANT )) , / ( )
MAILI G ADDREAS E-MAIL
()-dam-1 '-./ —7-n
CITY_��/, �E �v T C ( ) FAX
NAME PRIMARY PHONE
PROJECT CONTACT ( )
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 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 re '-• ce of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part t • •plication.
SIGNATURE: 7 / -. DATE / l
7
PRINT NAME:
-7-7d—la
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application