13-101677 t f I
• Electrical
City of Econ. Way Permit #: 13-101677-00-EL
Community&Ecoon.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
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Project Name: CATHERINE'S
Project Address: 2114 S COMMONS Parcel Number. 762240 0010
Project Description: Power and lighting for new TI,no L/V wiring.
Owner Applicant Contractor
STEADFAST COMMONS II LLC CLOVER CREEK ELECTRIC CLOVER CREEK ELECTRIC
18100 VON KARMAN SUITE 500 1413 CENTER ST CLOVECE293LA(4/30/14)
IRVINE CA 92612 TACOMA WA 98409 1413 CENTER ST
TACOMA WA 98409
•
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
No Fixtures Associated With This Permit I!
PERMIT EXPIRES Monday, October 14, 2013
Permit Issued on Wednesday, April 17, 2013
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: 4' Gt fr.e. 7 Date: (7 7,3
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441A ' TITS CARD IS TO MAIN ON-SITE r ,
CITY OF Construction In ection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 13-101677-00-EL Address: 2114 S COMMONS
Project: STEADFAST COMMONS II 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 Ditch cover(4030) - 0 Slab/Concrete Floor(4255) 0 Service(4235)
Approved Approved to place concrete Approved
Byes Date s (O_(3 By Date By Date
El Feeders/Sub-panels(4045) CI Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
B 12 Date S__ ?p—i 3' ByLay C Date co, i -4., By \ c Dater ( —
'
Final-Electrical(4055)
Approved ��//
By Dat� f '�{—/
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.o Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
I CEIVED • 2oc'1 w
APR 17 2013 ELECTRICAL
cirY OP ®a ,R
Federal Way cnr OF FEDERAL WAY PERMIT APPLICATION
PERMIT NUMBER / 3 _ ( 0 ( 7 -
oat i SUITE/UNIT/SPACE f
SITE ADDRESS: _onyx S G 3
PROJECT VALUATION ASSESSOR'S TAX/PARCEL f .-. CURRENT/PROPOSED USE
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PROJECT NAME
(Tenant or Homeowner Last Name) CAA T/'t'h'/NEf
PROJECT DESCRIPTION AVE'..(z. 9- 41 C-;WT,A✓6 ,4'z T(NI9,vl ,ZMT''a✓e, iEA/7.
Detailed description of work to ,V p r:.a
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER G f✓ ,Q fYl l Ai6 $M o p PCS - c . (62/5' ) 2 y5- 4,/e0
MAILING ADDRESS E-MAIL
`3 7So ""7-177-E /eof?b
CITY STATE ZIP FAX
25,ow tr,41 19,4 17 V C ( ) -
NAME PRIMARY PHONE
t�r�mi/E� C,Q,tf_K t �-EC-r /C- (a53) 601.7 - if
MAILING ADDRESS E-MAIL
ELECTRICAL Pi 13 C-C.v-rtc/e STR 'C 1,6f/cjeetV wA'i '4iL.N 1'•
CONTRACTOR CITY STATE ZIP FAX
revr k///Q gY4/09 (0153) 6;g7- b /
TAW STATE CONTRACTOR'S LICENSE f EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE f
CL-0 eCE 9jJ 9 Y / 30 f •-t'" - 066 fro-no-a?L,'
(((( NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS ( ) E-MAIL
CITY STATE ZIP FAX
NAME PRIMARY PHONE
PROJECT CONTACT AAlcRY 57--6,6/fe✓San/ (.153) 6.7;z1- 66YY
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 authorised 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.
910(4.1-e
SIGNATURE: DATE / //7/,3
PRINT NAME: MF Tr' AI.S D AI
Bulletin#IN)-January I.2013 Pagc I c112 k Miami(nats\Electrical Pcrnlit 3pplicatioaa