13-103025 Electrical
City of Federal Way
Community&Econ.Dev.Services Permit #: 13-103025-00-EL
33325 8th Ave S
Federal Way,WA 980
Ph:(253)835-2607 Fax:(253)803 35-2609 Inspection Request Line: (253)835-3050
Project Name: THE COMMONS-SPACE C-5
Project Address: 2101 S COMMONS Parcel Number: 762240 0010
Project Description: Relocate 150 amp panel,add(8)lights,(1)switch,(5)plugs,(1)exit sign,(1)sign circuit and
(1)HVAC
Owner Applicant Contractor
STEADFAST COMMERCIAL PROPERTIES EVERGREEN ELECTRICAL SYSTEMS EVERGREEN ELECTRICAL SYSTEMS
18100 VON KARMAN SUITE 500 1900 W NICKERSON ST SUITE 116-9 EVERGES904CH(2/13/14)
IRVINE CA 92612 SEATTLE WA 98119 1900 W NICKERSON ST SUITE 116-9
SEATTLE WA 98119
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
Alt.Srvc/Feeder 0 to 200 amps(C 1
PERMIT EXPIRES Sunday, January 5, 2014
Permit Issued on Tuesday,July 9, 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: 9 Date: ( � /3
THIS CARD IS TO ON-SITE , i
CITY OF 0 Construction In ection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 13-103025-00-EL Address: 2101 S COMMONS
Project: STEADFAST COMMERCIAL PROPI 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) ❑ 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
B � Date rj—( G--(3 By Date Byc. Date 9 _ -.--_f--&
❑ nal-Electrical(4055)
Approved
By iti Date ,,/7 413
Rough Electrical Final Electrical
El
Right of Way
ElApproved ElApproved Approved
By Date By Date By Date
4%,. •
CITY OF
EC'T'RICAL
Federal Way PERMIT APP aN
PERMIT NUMBER 1 _ 0 CO JUL 0 9 2013
CITY OF FEDERAL WAY
SUITE/UNtr1y ACE#
SITE ADDRESS: t 6(07 8.- C �-
r
PROJECT
VALUATION ASSESSOR'S TAX/PARCEL# ® O CURRENT/PROPOSED USE
$ �j /'j 7 6 2 0 O _ —PROJECT NAME
(Tenant or Homeowner Last Name) 5
PROJECT DESCRIPTION (J b S Cr"I 7.-C•�,j .S x? �C 1 5 l E� X/' - /7` , / S%5 r/ r��," .
Detailed description of work to f1 � Q n 11/ /IC)
C o / r.
be included on this permit only
NAMEPRIMARY PHONE
PROPERTY OWNER -5 -/...ec LS`,. ( ) _
MAILING ADDRESS E-MAIL
CITY STATE ZIP
FAX
( ) -
NAME PRIMARY PHONE
t=v� a�eel� 7e7,'/ / ( ) -
MAILING ADDR ,S E-MAIL
ELECTRICAL
CONTRACTOR CITY STATE ZIP FAX
( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME PRIMARY PHONE
APPLICANT 5 q' ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAMEPRIMARY PHONE
PROJECT CONTACT d9 e._ 6-i Se, v7e ( V 23Y? 73 0 e-7 er
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: a
I q-
DATE 7" O / 3
PRINT NAME: (9 C-- ( , / (i.
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application