16-102450 F� •
. AELECTRICAL
CITY OF MAY 2 0 2016
Federal Way PERMIT APPLICATION
CITY OF FEDERAL WAY
C D 5 � OZ ✓
Z4-50 00
PERMIT NUMBER ✓
SUITE/UNIT/SPACE#
SITE ADDRESS: 1824 S 320th Street Unit 240
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ 15,000.00 092104-9208 -
PROJECT NAME Maurices Interior Shell Improvements
(Tenant or Homeowner Last Name) p
PROJECT DESCRIPTION Replaced panel, power to new restrooms, power to replaced RTU's. See plans for full
Detailed description of work to scope of work.
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER Seatac Village Shopping Center, LLC ( ) -
MAILING ADDRESS E-MAIL
1121 SW Salmon Street
CITY STATE ZIP FAX
Portland
( )
NAME PRIMARY PHONE
***To Be Determined*** ( ) _
MAILING ADDRESS E-MAIL
ELECTRICAL
CONTRACTOR CITY STATE ZIP FAX
(
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME PRIMARY PHONE
Baysinger Partners Architecture- Brian Reeves ( 503,546.1600
APPLICANT MAILING ADDRESS E-MAIL
1006 SE Grand Ave#300 brianr@baysingerpartners.com
Portland STATE ZIP FAX
OR 97214 ( ) -
NAME PRIMARY PHONE
PROJECT CONTACT Brian Reeves ( 503x546.1600
I certify under penalty of perjury that I am the property owner or authorised 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.
SIGNATURE: DATE 05.20.2016
PRINT NAME:Brian Reeves
PERMIT CENTER+33325 8th Avenue South+ Federal Way,WA 98003-6325
253-835-2607+ FAX 253-835-2609 +permitcenterjcityoffederalway.com
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application
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#: Electricgl
City of Fc Way Permit 16-102450-00-E L
Community&Econ.n.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 F 1 L
Inspection Request
Ph:(253)835-2607 Fax:(253)835-2609 Line: (253)835-3050
Project Name: MAURICES
Project Address: 1824 S 320TH ST Unit B Parcel Number: 092104 9208
Project Description: Panel replacement to power new restooms and replacement of roof top units.
Owner Applicant Contractor
SEATAC VILLAGE SHOPPING CENTER MAURICES STATIC ELECTRIC INC
PO BOX 2708 105 WEST SUPERIOR ST STATIEI951C8(2/25/17)
PORTLAND OR 97208 DULUTH MN 55802 34009 48TH AVE E
EATONVILLE WA 98328
Additional Permit information
Electrical Work Valuation? 15000.00 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 0 to 200 amps(C 1
PERMIT EXPIRES Thursday, July 6, 2017
Permit Issued on Wednesday,July 6, 2016
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: C.tMA YV JJJ,Q.` Date: -7/(0 / (Q
I? \"I I f\ST'E( OR kRI:.X \ND T) PE_ 01 I'SP C TION
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THIS CARD IS TO REMAIN ON-SITE
Feaera�4A Construction Inspection Record
INSPECTION REQUESTS: (253)835-3050
PERMIT#: 16-102450-00-EL Address: 1824 S 320TH ST Unit B
Project: SEATAC VILLAGE SHOPPING CEN 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 LIFER Ground(4295) ❑ Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
O Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
'0 Feeders/Sub-panels(4045) 0 Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By G Date ,b 41td.. lLF-, Date 7r2 s= I .By C' •4-- Date a0 e.1 b
0 Final-Electrical(4055)
Approved
By 9_146...r., Date v1/4.46.4 b
O Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date