13-103457 ,
i Electrical
City of Federal Way
Community&Econ.Dev.Services Permit #: 13-103457-00-EL
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (25
3) 835-3050
Project Name: SAFEWAY#1555
Project Address: 1207 S 320TH ST Parcel Number: 150050 0020
Project Description: Electrical work to lighting in east entry, floral,sales floor, bakery,and deli. Add 6 new 20
amp circuits to center of store and relocate 6 circuits,includes the removal, relocation and
installation of misc. electrical systems pertaining to th aforementioned scope.
/ Owner Applicant Contractor
MGP IX SUNSET SQUARE LLC SEA TAC ELECTRIC INC SEA TAC ELECTRIC INC
425 CALIFORNIA ST FLOOR 11 7056 S 220TH ST SEATAEI077RW (12/17/13)
SAN FRANCISCO CA 94104 KENT WA 98032 7056 S 220TH ST
KENT WA 98032
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 6
PERMIT EXPIRES Saturday, February 1, 2014
Permit Issued on Monday, August 5, 2013
I hereby certify that the above ipformation is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the jaws, rules and regulations of the State of Washington
drid't - City Federal Way.
Owner or agent: GDate:
•41111§1..., THIS CARD IS TO MAIN ON-SITE
�� °FConstruction In ection Record ,,
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 13-103457-00-EL Address: 1207 S 320TH ST
Project: MGP IX SUNSET SQUARE LLC FEDERAL WAY, WA 98003-5339
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 Service(4235) ❑ Feeders/Sub-panels(4045) ❑ Rough Electrical(4225)
Approved Approved Approved
By Date By Date By ,4 Date 19 lit I I Z
❑ Ceiling Cover(4020) 0 Final-Electrical(4055)
Approved Approved
By Date Datc9--76A—
0 Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
� I
DATE INSPECTOF AREA AND TYPE( INSPECTION
S' Z3 I t? Ifk^15 0 V-- +0 FO ale /0 L - ^Gil
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t
CITY OF 0 RECEIVED EPECTRICAL
Federal Way AUG 05 2013 PERMIT APPLICATION
f t CITY OF FEDERAL WAY
PERMIT NUMBER f 3 — ( S
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SITE ADDRESS: /2 0,7 5'• 3k) T`i $ i , Fi a r it a L_ i.,,, A w h 178'041 3 SUITE/UNIT/SPACE#
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
PROJE6T NAME
(Tenant or Homeowner Last Name) SFS- ,� St- /5-5-6-
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5 5-7"``iv•+.vT /P-I P/e a 5-A^Lit/r- rO L / SIH r I.v y /N +t 4 S r E+v'T•fY,
PROJECT DESCRIPTION Fc,/z,r` , f 444-s F"0 0'e ,. 130+K0-A3' .SNA &"�i . "lb (‘ ) ,Y<ue
Detailed description of work to 70 .4..-,p l- -R e.., r e site
be included on this permit only
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NAME PRIMARY PHONE
PROPERTY OWNER S,4 ,c.,,,y,' J 15-5-3— ( ) -
MAILING ADDRESS E-MAIL
/90 7 E. 32-0 TH S i
CITYITYSTATE ZIP FAX
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__
NAME NAME PRIMARY PHONE
SE-A --7; c -4-�c._Trric , /A./c- (-2-573) 87Z- 5-5-S3
MAILING ADDRESS E-MAIL
ELECTRICAL 70 4' S , i:Z_a 7-W 3 T
CONTRACTOR CITY STATE ZIP FAX
KA ,., ?"--- 1,)'- 98 o3- (25-3) I"71 - 4"2
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE H.
j�iii-T-ike_z,cn( 7 7 R 1--) /Z 7 /zc/3 Z.)-o2-J00376- o c - 61--
NAME
dc_NAME PRIMARY PHONE
APPLICANT /�' �� VALO
S ( ) -
MAILING ADDRESS E-MAIL
Sot+^ it- s 74 a c9 ✓
CITYSTATE ZIP FAX
( )
NAME PRIMARY PHONE
PROJECT CONTACT . • M --71,4,Vfete ( 253) 15 67- Z3 6 -
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.
J
SIGNATURE: /e �!/✓l���l�'4 DATE 7/Z- .• /3
PRINT NAME: /OW 4-7117a Ae'd5
Bulletin#160-January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application