16-103555 A
Electrical
City of Federal Way
Community&Econ.Dev.Services Permit #: 16-103555-00-EL
33325 8th Ave S *— } k
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 "3 Inspection Request Line: (253)835-3050
Project Name: MAURICES-LANDLORD WORK ONLY
Project Address: 1824 S 320TH ST Unit B Parcel Number: 092104 9208
Project Description: 0-200 AMP CHANGE OUT,(2)CIRCUITS FOR RTU CONNECTION,(2)CIRCUITS
FOR NEW OUTLETS AND EXTERIOR LIGHTING
•
Owner Applicant Contractor
SEATAC VILLAGE SHOPPING CENTER STATIC ELECTRIC INC STATIC ELECTRIC INC
PO BOX 2708 34009 48TH AVE E STATIEI951C8(2/25/17)
PORTLAND OR 97208 EATONVILLE WA 98328 34009 48TH AVE E
EATONVILLE WA 98328
•
Additional Permit Information
Electrical Work Valuation 19000.00 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!!
PERMIT EXPIRES Saturday, July 22, 2017
Permit Issued on Friday, July 22, 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.
i
Owner or agent: 41111t0 — ��� _ Date: —L Z - ZO((o
P‘11-E11)
D \TF: I\SPEC1 OR RI 0.D. TYPE 0FINSPi 0110\
THIS CARD IS TO REMAIN ON-SITE r 4.4.CITY-� Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 16-103555-00-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. PO 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
By Date By Date By Date
13 Pool Bonding(4195) 0 Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
O Feeders/Sub-panels(4045) [3 Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date By Date t,-03-I` , By O Ars._, Date 9 4.— d—I kt
❑ Final-Electrical(4055)
Approved
By Ne Date Iblisit .,
E Rough Electrical El Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
ELECTRICAL
CITY OF RECEIVED
Federal Way PERMIT APPLICATION
JUL 2 2 2016
CITY OF FEDERAL WAY PERMIT NUMBER ( _ 1 0555-- 0 v
CDS - - - -
SUITE/UNIT/SPACE#
SITE ADDRESS: 5 `C` c o n (+
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ 1g1000 UG a c Z 1 0 4 _ 9 Z O
es
PROJECT NAME
(Tenant or Homeowner Last Name) I l M t i^V C 1 (f`S — LL c 'C r& =tin r v L.e ry Q✓�
L q ro.d 2 e x(5 11 h .I AC c)4 L t t)9��� se ry �e- '0
PROJECT DESCRIPTION G� Opr�3 4 Y etn1 g� 11to)PCS' /
Detailed description of work to ej ppc();f3 , 5c,d�,row-, e e c_LV i&, 1 F-5rbPr'1 cr' (i�" t•,ny
be included on this permit only �/ /
NAME PRIMARY PHONE
PROPERTY OWNER ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
_
NAME PRIMARY PHONE
4-f E/ cc-1(1C, G. ( Z53) ?llod'- 3 Z%C%
MAILING ADDRESS E-MAIL
ELECTRICAL 34 U 01 914-54-31,-e. ft' . Slb v,j @S4,(-r°LPfe +r,"e,
CONTRACTOR CITY STATE ZIP FAX
ad�ClU!lit LAM c'rK3ig
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
kT I (isle t
NAME PRIMARY PHONE
oirtyk&c^ ( ) Sa+mt
APPLICANT MAILING ADDRESS E-MAIL
Saw•
CITY STATE ZIP FAX
�wl.c Stirnc SArh4... ( ) -
PROJECT CONTACT NAME ` PRIMARY PHONE
�heyn t CA\nSar, ( )sarv`c
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: : "" DATE /` Z Z — I
PRINT NAME: Sha4_4 `,o Ccr"
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application