15-101603 • • Electrical
C ,of Federal Way Permit #: 15-101603-00-EL
Comrr`iurrity 8 Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 Request Line:
• Ph:(253)835-2607 Fax:(253)835-2609 Inspection R 253 835-3050
Project Name: FIVE GUYS BURGERS AND FRIES
Project Address: 1900 S COMMONS Suite B Parcel Number 762240 0010
Project Description: Adding/altering(50)circuits to add new lights,plugs for associated tenant improvement
work
Owner Applicant Contractor
STEADFAST COMMONS II LLC NEW LIFE ELECTRIC LLC NEW LIFE ELECTRIC LLC
18100 VON KARMAN SUITE 50(1 5728 147TH ST E NEWLILE892JH(4/8/17)
IRVINE CA 92612 EVERETT WA 98208 5728 147TH ST E
• 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. 50
PERMIT EXPIRES Tuesday, September 29, 2015
Permit Issued on Thursda Y.Ap ril 2, 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 accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
�L
Owner or agent Date: `I f 2 ,I 5
‘IS1
111/41
DATE INSPECTOR AREA AND TYPE C NSPECTION
CITY , •4- ` • THIS CARD IS TO ON-SITE y
Federal Way Construction In ection Record
y INSPECTION REQ TS: (253)835-3050 `
PERMIT#: 15-101603-00-EL Address: 1900 S COMMONS Suite B
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.
O UFER Ground(4295) Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By .„ Date t."3_`S By Date
o Pool Bonding(4195) 0 Temporary Power(4275) D Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) El Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date Date A-,3_l By 1.44s Date 5115-115-
o Final-Electrical(4055)
Approved
By tA43 Date Tito I 1 c—
Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
0 •
ELECTRICAL
CITY OF
Federal Way PERMIT APPLICATION
Receiver)
PERMIT NUMBER l 5 — 10 1 (.4/ 3 - APR 02 2015
CITY OF FEDERAL W, VE/UNIT/SPACE#
SITE ADDRESS: $ S C O".Al 0 tJ S CDS HT E _
PROJECT VALUATION ASSESSOR'S TAX PARCEL# CURRENT/PROPOSED USE
$ 29, $95..<0 62Z 40 - or) LQ
PROJECT NAME
(Tenant or Homeowner Last Name)
'T I - ( Iv . (,v 4 S B U t i.c o a- 10/4 i 21 ES
PROJECT DESCRIPTION N a-w f2. C5'`'/-P%'1 T L l co 411 S - P L..J Cs S i.7c— .
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
MEW t I F E EL.EG t V t.1 c_ L.(-C (x.06 ) /S5- 3 606
MAILING ADDRESS E-MAIL
ELECTRICAL 57 26 1 H 7T' S r 5$E
CONTRACTOR CITY STATE ZIP FAX
Ev�.2.61T wA S etc g ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
PJ P KI Li L.E 81.2J1& 4 / g / ii
NAME PRIMARY PHONE
APPLICANT Axe-440.
01 >04-e ('2,06)'7CS - 3606
MAILING ADDRESS E-MAIL
6.-72B 147 TN s'r S(
CITY STATE ZIP FAX
itv41.6-rr WA 01$Z01 ( ) -
NAME PRIMARY PHONE
PROJECT CONTACT A d„ret o 1)04-G: (106 ) "SS- 31,06
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. A
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, i
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: 444 v1.-%.' DATE
H12/1S
•
PRINT NAME: ADJ 1 °', 9 024.
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application