14-101147 • • Electrical
City of Federal y
Community&Eton. Permit #: 14-101147-00-EL
Econ.Dev.Dev.Services
33325 8th Ave S "'
Federal way,WA 98003 Inspection Request Line: 253 835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: DICK'S SPORTING GOODS
Project Address: 1801 S COMMONS Parcel Number. 762240 0010
Project Description: Install 800 amp disconnect,CT can and meter from new transformer
Applicant AnD t Contractor
STEADFAST COMMONS II LLC EVERGREEN ELECTRICAL SYSTEMS EVERGREEN ELECTRICAL SYSTEMS
18100 VON KARMAN SUITE 500 1900 W NICKERSON ST SUITE 116-9 EVERGES904CH(2/13/16)
IRVINE CA 92612 SEATTLE WA 98119 1900 W NICKERSON ST SUITE 116-9
SEATTLE WA 98119
•
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
Alt.Srvc/Feeder 601- 1000 amps 1
PERMIT EXPIRES Tuesday, September 9, 2014
Permit Issued on Thursday, March 13, 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 accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent n.v4 Date:
Il LED
/ - DATE INSPECTOR AREA SAND TYPE ( INSPECTION
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THIS CARD IS TO MAIN ON-SITE 1
Federal Way Construction In ection Record
INSPECTION REQ TS: (253)835-3050
PERMI T#: 14-101147-00-EL-00-
EL Address: 1801 S COMMONS
Project: STEADFAST COMMONS H 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) - El Ditch cover(4030) -0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
.Byn—c S Date 14_30_‘,4\ By Date •By Date
0 Pool Bonding(4195) 0 Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By O!3 Date '71 2 t [ 1.4
0 Feeders/Sub-panels(4045) 0 Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
'
Final-Electrical(4055)
• Approved
,B DateQ._ l\_ kc.
ID Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
• ELOCTRI CAL .
CITY OF A
Federal Way PERMIT APPLICATION
RECEIVED
PERMIT NUMBER ( 4 _ l O ` ( - O MARY 3 2014
1 ?-c)( ,Cr &FEDERAL WAY .
SITE ADDRESS: S Cep,fire S _
PROJECT VALUATION I A'TION ASSESSOR'S TAX/PARCEL� ► � - � O � CI CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name) ]� .5 S (J 67940 1\
1� 11 r mina eye, el ?SPe•-)r ( f CTe409K,
PROJECT DESCRIPTION [1 l4 id Yl t?Ter- d-re?m ( elk. Dr s Y fl5 I O 0 4'1 P fr ,
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER 3-,', Ql s-r ( )
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
-tea i"e eL, 1E/-ec-7.�/cry S-761( 2s 3-o/i/fr
MAILING ADDR&96 E-MAI
ELECTRICAL 19c90 41 c.u-eeso 5� $i'o )/H �i de .eeSg_Fi�d'viii e- ex)
CONTRACTOR CITY STATE ZIP '.7 FAX
7-rk 4Xl, 9f//9 ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
P, J2 6-ES F02(C y 2/ gL //3
NAME �`_ PRIMARY PHONE
( C-9-1 Se-I0 Or-1 ( 1
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
PROJECT CONTACT `''i l ° �1Jr� ( %' S1 773 69/4/,
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.
0 2 f
SIGNATURE: DATE J- 102 "--/ V
PRINT NAME: f (9 . Uri'
Y`
Bulletin#160—January 1,2013 Page 1 of 2 k:\l-Iandouts\Electrical Permit Application