17-104606 r 'r
Electrical
Permit #:17-104606-00-ELCmiry Development
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: 85c BAKERY
Project Address: 31503 PACIFIC HWY S Parcel Number:082104 9013
Project Description: Electrical work to include power and lighting for tenant improvement.
Owner Applicant Contractor
PAVILION CENTER ASSOCIATES MARTIN CHAVEROM C H ELECTRIC M C H ELECTRIC
3650 131ST AVE SE UNIT 205 407 S 306TH ST MCHELEL856LP(6/17/19)
BELLEVUE,WA 98006-1334 FEDERAL WAY WA 98003 407 S 306TH ST
FEDERAL WAY WA 98003
Additional Permit Information
Is this an Online or O.T.C.application? Yes
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PERMIT EXPIRES Wednesday,26 September,2018
Permit Issued on Tuesday,September 26,2017
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.
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Owner or agent: A r= Date:
'
DATE: INSPECTOR tRE: AND TYPE OF INSPECTIO
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THIS CARD IS TO REMAIN ON-SITE
�►� Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
. PERMIT#: 17 104606 00 Address: 31503 PACIFIC HWY S
Project: PAVILION CENTER ASSOCIATES FEDERAL WAY WA 98003-5405
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.
0 UFER Ground(4295) ® Ditch cover(4030) 8❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date Date ,,
El 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 (< (14 (11 BY Date x t--..22;),-9.....,
L DateE� Final-Electrical(4055) '
Approved
By
(ti` )t'1(1
0 Rough Electrical El Final Electrical El Right of Way
Approved Approved Approved
By. Date By Date By Date
k RECEIVED
CITY OF ELECTRICAL
Federal Way SEP 2017 FERMIT APPLICATION
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT
PERMIT NUMBER ' 1 _ 1 0 t (00 6 _
I SUITE/UNIT/SPACE#
SITE ADDRESS: 3 c.,....,-7
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PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
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PROJECT NAME
(Tenant or Homeowner Last Name) c:9cD5 Q J A- `qr2. (-k c o!p- a
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PROJECT DESCRIPTION ?ow 2. - t U\. cq N-r l 1J C-1
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER e S C - A K L 2 t.( CiF E- ( ) -
MAILING ADDRESS E-MAIL
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CITY STATE ZIP FAX
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NAME PRIMARY PHONE
\\XC0 LL ,C-- .121C .ULC (253 )2So-5k. at5
MAILING ADDRESS E-MAIL
ELECTRICAL L-101 S 3 cpC.4-0 S"C }.,f atiA-i v‘ •L aM.0 61-Gzi-gc-4112
CONTRACTOR CITY STATE ZIP FAX •Cy,
F50t.12. -L L-' ti (--'11\ ateco3 (206)GS1 72-"10
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PRIMARY PHONE
APPLICANT 0,11/ v\ G„WO EN 0 (253 ) ?SO -S-( Cl S
MAILING ADDRESS E-MAIL
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CITY STATE ZIP FAX CPJ
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PROJECT CONTACT NAME PRIMARY PHONE
V-A_atiIr.k✓\ C�C.L\-f stti 0 (253) 250 -Slat S
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 Iaws 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 pa of this application.
.:VP
SIGNATURE: / DATE O-y '2 I � 7
PRINT NAME: O.,'R \ ' O J Ni C)
Bulletin#160—April 14,2016 Page 1 of 1 k:\Elandouts\Electrical Permit Application