14-101729City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609 FILE,
Project Name: ARCO AM/PM
Project Address: 27202 PACIFIC HWY S
Project Description: LIGHTING RETROFIT
Electrical
Permit #: 14 -101729 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 332204 9076
Owner
Applicant
Contractor
WEN & MING KUO
SOUND SPECIALIZED SERVICES INC
SOUND SPECIALIZED SERVICES INC
27202 PACIFIC HWY S
12433 N RUGGS LAKE RD
SOUNDSS876J9 (4/29/15)
FEDERAL WAY WA 98003
EVERETT WA 98208
12433 N RUGGS LAKE RD
EVERETT WA 98208
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes Is Use Educational or Institutional?....................... No
Service greater than 999 Amps? .............................No
Electrical Fixtures
Circuits - Commercial... ................ . 4
PERMIT EXPIRES Monday, October 13, 2014
Permit Issued on Wednesday, April 16, 2014
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 ac d e with the laws, rules and regulations of the State of Washington
the City of Federal Way.
Owner or agent: Date: If
A�'THIS CARD IS TO ';MAIN ON-SITE
CIrV*F �' Construction Ins ection Record
Federal Way INSPECTION REQUESTS: (253) 835.3050
PERMIT #: 14 -101729 -00 -EL Address: 27202 PACIFIC HWY S
Project: WEN & MING KUO FEDERAL WAY, WA 98003-6998
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.
Final - Electrical (4055)
Approved
By Dateto _9
UFER Ground (4295)13
Ditch cover (4030)
Temporary Power (4275)Service
lab/._ oncrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Dateto _9
Pool Bonding (4195)
Temporary Power (4275)Service
(4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
Ceiling Cover (4020)
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Dateto _9
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF 4:
Federal Way
PERMIT NUMBER _ I
ELECTRICAL
PERMIT APPLICATION
qLCE1
APR 16 2014
CITY jIIrqffVV*"0NA'1
SITE ADDRESS: % �v�- �G1 �/ F/ C X1
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PROJECT VALUATION ASSESSOR'S TAR/PARCEL # CURRENT/PROPOSED USE
O
WO z O - `� 7-
PROJECT NAME
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to/
be included on this permit only
�' r lVlefmj G�/0
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NAME
PRIMARY PHONE
PROPERTY OWNER
( ) -
MADJNG ADDRESS
E -MAH.
CITY STATE
ZIP
/ FAX
l
NAME
Pao S �ca� 1 �� ✓v/ -� wL
PRIMARY PHONE
(fob ) �/� - ��1Ss
ELECTRICAL
BLAMING ADDRESS
)L L/ 33 R uG S 4 a ke Zo,,j
E-MAIL
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CITY
STATE
ZIP
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FAX
-
CONTRACTOR
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
Soo4z�Pss e-76 U-ry 15
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME ,
PRIMARY PHONE
MAEUN(GGAA(DDREiggg3`SS, CE
/cc Ao,* d-
-MAIL
C[E ITY ()(/Y, 4 S144TATE I Zq GIP
NAME !(/ _
FAR
PROJECT CONTACT�.j
PRIMARY PHONE _
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 'hot 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 clainq, which may be made by any person, including the undersigned, andfiled 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.
SIGNATURE: DATE _
PRINT NAME:
Bulletin #160 — January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Pen -nit Application
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