15-100972 411111 Electrical '.
Commuunity&Econ.conratwa„DevServices m Per #: 15-100972-00-EL
.
33325 8th Ave S FI
LE
Federal What',WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: ULTA COSMETICS
Project Address: 1800 S 320TH ST Parcel Number: 092104 9208
Project Description: Electrical work for tenant improvements.
`
Owner Applicant Contractor
SEATAC VILLAGE SHOPPING CTR SURGE ELECTRIC INC SURGE ELECTRIC INC
PO BOX 2708 13023 NE HWY 99 SUITE 7-147 SURGEEI922PG(1/30/17)
PORTLAND OR 97208 VANCOUVER WA 98686 13023 NE HWY 99 SUITE 7-147
VANCOUVER WA 98686
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 150
PERMIT EXPIRES Saturday, August 29, 2015
Permit Issued on Monday, March 2, 2015
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 ac rdance with the laws, rules and regulations of the State of Washington
nd the City of Federal Way. ��
Owner or agent Date: c/
w )
.
THIS CARD IS TO MAIN ON-SITE a, ,
CITY OF -.moor"
Federal WayConstruction I ection Record •
INSPECTION REQU TS: (253)835-3050
PERMIT#: 15-100972-00-EL Address: 1800 S 320TH ST
Project: SEATAC VILLAGE SHOPPING CTF FEDERAL WAY, WA 98003-5413
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 covereduntil• 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.
El UFER Ground (4295) Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date
By ,s Date ,s_\ By C � Date &_,
Pool Bonding(4195) Temporary Power(4275) �0 Service(4235)
Approved Approved Approved
By Date By Date By Date
•
Feeders/Sub-panels(4045) R❑ Rou h Electrical(4225) Ceiling Cover(4020)
Approved Approved Approved
By Date • ( •7 Date 3�7 �(S B Date
El Final-Electrical(4055)
Approved
By X14. Dates a _15
Ej Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
DATE INSPECTOR ARE.k. AND TYPE OL' INSPECTION
?J I ti �— 1no�u� l.�o l-c C� ``Z '�
%RECEIVED
CITY
OF : ► MAR 02 2015 EL CTRICAL
Federal Way CITY OF FEDERAL WAY PERMIT APPLICATIQN
CDS
PERMIT NUMBER/ --_a.- cC ,L -
/ ( /( 1 7
SITE ADDRESS: /c5)0 ��It, SUITE/UNIT/SPACE#
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ 67‘9° 9 . -j c 'I- 9J-- 0
PROnt or H NAME �-'�'"� -/ S
(Tenant or Homeowner Last Name) ✓
ec'e � 0t
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME / PRIMARY PHONE
PROPERTY OWNER ( ) -
MAILING AD S- E-MAIL
CITY STATE ZIP FAX
�/^ �J��/ /J �, ( )
NAME i', / �/ �/ O PRIMARY PHONE
MAILING ADDRESS E-MAIL
ELECTRICAL /
ELECTRICAL /3o z 'v ; 4(19 �7 /r7 S vgG 1c0Ci,4ic
CONTRACTOR CITY STATE
G(/�J" ZIP � FAx
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
s�� , q 22 Pc / / .
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS ( ) E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
PROJECT CONTACT ( )
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
i information supplied to the ci • •part of this application.
$IGNATURE�i���QQ ,yA DATE �► Z S
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PRINT NAME:__i'____ /r/P
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application
C
•
ELECTRICAL PERMIT FEES
- Electrical permit fees are calculated based on the value of the : -ctrical work to be
performed using the table below.
- A copy of a contractor's bid or estimate may be require. or verification of the valuation
provided. The Building Official has the authority to . sign a project valuation when the
cost information provided is not consistent with in,. stry standards.
-> An Automation Fee of$20.00 is also charged on -ach permit.
-> Plan review fees, when required, are in additio to permit fees, based on 65% of the electrical
permit fee
Plan Review is required only for:
• New, or alteration to, service of 1,00e amps or greater
• Medical/Educational/Institution. acility
• Commercial generator installatio
• Inordinately complex projects, s determined by the Building Official
TOTAL PROJECT VALUATION INCREMENTAL FEE FACTOR
(1)$1.00 to$500.00 (1)$3-.00
(2)$501.00 to$2,000.00 (2) 36.00 for the first$500.00 plus$4.50 for each additional$100.00 or fraction thereof,to and
including $2,000.00
(3)$2,001.00 to$25,000.00 (3)$103.50 for the first.$2,000.00 plus$21.50 for each additional$1,000.00 or fraction thereof,to
and including$25,000.00
(4)$25,001.00 to$50,000.00 (4)$598.00 for the first$25,000.00 plus$15.50 for each additional$1,000.00 or fraction thereof,to
and including$50,000.00
(5)$50,001.00 to$100,000.00 (5)$985.50 for the first$50,000.00 plus$10.50 for each additional$1,000.00 or fraction thereof,to
and including$100,000.00
(6)$100,001.00 to$500,001.00 (6)$1,510.50 for the first$100,000.00 plus$8.50 for each additional$1,000.00 or fraction thereof,
to and including$500,000.00
(7)$500,001.00 to$1,011,000.00 (7)$4,910.50 for the fist$500,000.00 plus$7.00 for each additional$1,000.00 or fraction thereof,to
and including$1,000,000.00
(8)$1,000,001.00 an, up (8)$8,410.50 for the first$1,000,000.00 plus$5.50 foreach additional$1,000.00 or fraction thereof.
Table A
**Many Electrical Permits can be applied for using our on-line system.
Visit cit yoffederalway.com for more information.**
PERMIT CENTER
33325 8th Avenue S
Federal Way,WA 98003-6325
253-835-2607 • FAX 253-835-2609 •
K permitcenter@cityoffederalwa_y.com
•
Bulletin#160—January 1,2013 Page 2 of 2 k:\ Iandouts\Electrical Permit Application