15-104265 • • Eleetwoical
City&Eco n..Dev ofEc Way
Services
Community Permit #: 15-104265-00-EL
Econ.Dev
33325 8th Ave S
Federal way,WA 98003 fl f Inspection Request Line: (253)835-3050
h:(253)835-2607 Fax:(253)835-2609 p q
Project Name: SALON AVIDA
Project Address: 2019 B S COMMONS Parcel Number: 762240 0010
Project Description: Install new Sign
Owner Applicant Contractor
STEADFAST COMPANIES BRUCE POITRAS POITRAS SIGN&LIGHTING(ELECTRICAL
4343 VON KARMAN AVE SUITE 300 POITRAS SIGN&LIGHTING(ELECTRICAL 04)
NEWPORT BEACH CA 92660 04) POITRSL881LG(6/7/16)
8515 189TH AVE SE 8515 189TH AVE SE
SNOHOMISH WA 98290 SNOHOMISH WA 98290
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. 1
PERMIT EXPIRES Sunday, February 21, 2016
Permit Issued on Tuesday,August 25,2015
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 .rdance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: IA(' AS Date: --a 5--/.S'
•
4 N r
I
0 THIS C IS TO RE ON-SITE
Cm
°F Construction Inspe ion Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 15-104265-00-EL Address: 2019 B S COMMONS
Project: STEADFAST COMPANIES 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) ❑ Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
❑ Pool Bonding(4195) ❑ Temporary Power(4275) ❑ 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 By Date By Date
'
Final-Electrical(4055)
ID Final
•
.y e...---- Dat.� —2(--
1
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
LECTRICAL
CITY of III
Federal Way PERMIAAVgbICATION
PERMIT NUMBER is- _ 1 0 42 & Lj_ 00 AUG 2 4 2015
CITY OF FEDERAL WAY
CDS SUITE/UNIT/SPACE#
SITE ADDRESS: 70 I �- S C 0 d�,ay 1' a a/5
PROJECT VALUATION (ASSESSOR'S TAX/PARC # CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name) S K'' /0./2../ U '
PROJECT DESCRIPTION ti5744' // / — 4-""e_k`'-- 4 4-^// -S' -:.,97
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER ('o "7-7/17,e)---N-.5' rna // ,') 2 76- .5.3'
MAILING ADDRESS E-MAIL
/9/e 7 -- S e .7-7 0-1.-5'
CITY STATE ZIP FAX
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.. NAME PRIMARY PHONE
• A;`44s -C-fir f G,J�Lri` %L9 (41)5) 3 k,C c6/ £
MAILING ADDRESS E-MAIL
ELECTRICAL 5./5 /5'f7c4 tt f S'e'
CONTRACTOR CITY / STATE ZIP FAX
S/1 c%7G s�!/?i1, / IA//I P5Z/' ( ) -
WA TE CONTRACTOR'S LICENSE# EXPIRATI/7 ///ON DATE FEDERAL WAY BUSINESS LICENSE#
ST pc / �x5-Lgg /4G
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NAME Q PRIMARY PHONE
APPLICANT S n -7 e ./ CI'4(G,vim— ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( ) -
NAME dl PRIMARY PHONE
PROJECT CONTACT /r�l l� e , f (la 5) 3 - 2 g
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. .
SIGNATURE: /-I n DATE "� S —/5
PRINT NAME:
Bulletin#160—January 1,2013 Page 1 of 2 k:\3andouts\Electrical Permit Application