19-101943 Electrical
City of Federal Way Permit #:19-101943-00-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: SOUND MEDICAL CENTER
Project Address: 31830 PACIFIC HWY S Parcel Number: 092104 9221
Project Description: Electrical to include disconnect C,D each per 2 ground rods and grounding conductor
connection.
Owner Applicant Contractor
SEA-TAC CENTER ASSOCIATES EUNTAE KIMNW ELECTRIC SERVICES NW ELECTRIC SERVICES INC
2101 4TH AVE UNIT 310 INC NWELEES925DL(3/30/20)
SEATTLE WA 98121-2317 32419 3RD AVE".
FEDERALWA 8023 32419 3RD AVE SW ,
FEDERAL WAY WA 98023
Addi iona4Z Info n
Is this an Online or O.T.C.applications Yes
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PERMI EXPIR T rs i ril,2020
P ' ssued one V fnesday 124,2019
I hereby certify that , - i• infor tion is correct and a 1�onstruction on the above described property
and the occupancy - 7 e us will be in accordan a laws, rules and regulations of the State of
Washington and the Ci f Federal Way.
0Y'---)/7Owner or ag Date:
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THIS CARD IS TO REMAIN ON-SITE
CITY OF
Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 19 101943 00 Address: 31830 PACIFIC HWY S Unit D
Project: SEA-TAC CENTER ASSOCIATES 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.
® UFER Ground(4295) 0 Ditch cover(4030) ® Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
•By Date • By Date By Date
El Pool Bonding(4195) ® Temporary Power(4275) El Service(4235)
Approved Approved Approved
BY Date By Date By Date
® Feeders/Sub-panels(4045) ® Rough Electrical(4225) Ceiling Cover(4020)
Approved Approved Approved
By Date ".24 ! 1 q By Date 1 By Date
10 Final-Electrical(4055)
Approved
B' 'ele Date-Sr
Aectvt Comedi an Ito £roolcti4.4- Mc c eSv A4k
0 Rough Electrical ❑ Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date ' By Date
alk RECEIVED ELECTRICAL
CITY OF
Federal Way APR 2 4 2019 PERMIT APPLICATION
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT' ( V _ / O / 9 (7 . _ o0
PERMIT NUMBER
SUITE/UNIT/SPACE#
SITE ADDRESS: 3/6_30 /! -30 AC(-/ C � S C.S'C!✓ -e,{ .4:‘ i)
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ �b°V
PROJECT NAME /'
(Tenant or Homeowner Last Name) Locf/2 / Pc/i Ca(c i iter
D.5/'OO 40K,et 0, D TC/ Per Z i-our)gr /c?oc-,/„
PROJECT DESCRIPTION 'r74', /2 Ce''/(/'C/or Co radi0/J
Detailed description of work to ter'?/04\.4 l8 e /7 1 mor C4
be included on this permit only �a `0P-P
NAME PRIMARY PHONE
PROPERTY OWNER ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMAR�s))
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c / Y7 /C serer/mss �41C (
MAILING ADDRESS / E-MAIL 6-~,../
ELECTRICAL zi 9 ;rat 105 �G✓ `Aitot/`)za 0 3`�q 6 a,'I/
CONTRACTOR CITY 1/ STATE ZIP FAX
era ,/co (04- yee,23 ( ) -
WA STATE CONTRACTOR'S ENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
HA2 E-/-E- 9�,s-A�
NAME PRIMARY PHONE
APPLICANT /,--/.4 'e /---1-, 4/1 ( )
MAILING ADDRESS E-MAIL
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CITY STATE ZIP FAX
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NAMEPRIMARY PHONE
PROJECT CONTACT -CF/,--ZA e /</44 i2n )__ _ /
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 reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
1186.41111 -SIGNATURE: ! DATE D,/� ail O/
PRINT NAME: af, /.,..__ If 4 IL?
A /y ZAf�eCir�11 C 'jam ��
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application