14-105853 • 0 Electrical
City of Federal Way ,.
Community&Econ.Dev.Services Permit #: 14-105853-00-EL
33325 8th Ave :"
Federal Way,WA 98003 Inspection Request Line:
Ph:(253)835-2607 Fax:(253)835-2609 p q (253) 835-3050
Project Name: CHASE ATM
Project Address: 1800 S 320TH ST Parcel Number: 092104 9208
Project Description: Refeed the meter for the ATM due to relocation of PSE Vault. Location is to the north of
old/demod Billy McHales.
Owner Applicant Contractor
SEATAC VILLAGE SHOPPING CTR JEREMIAH SHEROOD SEA TAC ELECTRIC INC
PO BOX 2708 SEA TAC ELECTRIC INC SEATAEI077RW (12/17/15)
PORTLAND OR 97208 7056 S 220TH ST 7056 S 220TH ST
KENT WA 98032 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
Alt. Srvc/Feeder 0 to 200 amps(C 1
PERMIT EXPIRES Saturday, May 9, 2015
Permit Issued on Monday, November 10, 2014
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
i\ and the City of Federal Way.
Owner or agent: -k. CL Date: 11 /CU /t/
CITY of THIS CARD IS TO MAIN ON-SITE
Construction In ction Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 14-105853-00-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 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.
❑ UFER Ground (4295) ❑ Ditch cover(4030) El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date t[( ti tA- By Date
O Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
O Feeders/Sub-panels(4045) El Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
El Final-Electrical(4055)
Approved f
l t ., Date II, (x 7
,
i
❑ Rough Electrical 111 Final ElectricalCI Right of Way
Approved Approved Approved
By Date By Date By Date
A. 0 EJCTRICAL
CITY OF
Federal Way PERMIT APPLICATION
S 5- - O
PERMIT NUMBER ! _ RECEIVED
/ ���.../// NOV 1 0 /l.l9UITE/UNIT/SPACE#
SITE ADDRESS: ����` � �
P S S. c�- at CITY OF FFDE,�AL W,�Y
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# _ O ^�. CURREN PROPOSED USE
1000. ,� �YJj�
PROJECT NAME Chit
i C ��)
(Tenant or Homeowner Last Name)
-I-ki VV\-e V fb - L -,4-I 1' i
PROJECT DESCRIPTION C'�e kaEe-'GC'+'1c-'``' O E P s( U'4 -± j�
Detailed description of work to Ixbyl-tit q, v(c e_ o19 731 1,1lr`I i( 1r', le s
be included on this permit only �U J
NAME PRIMARY PHONE
PROPERTY OWNER ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
3x.GClRc �4c, Jv • (c?))&'1a - 555?
MAILING ADDRESS E-MAIL
ELECTRICAL "JO a) S- ),,Otrl
CONTRACTOR CITY STATE ZIP FAX
LU
�/�L+ L)JA q 5 ( )
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
SEAT-RE( 01 -� 13 / (31 ') `$ 30.0a. 1(�b 6lto.& �L
NAM ` PRIMARY PHONE
APPLICANT I C -t_
;-E M (cT5O )gia- - 5553
MAILING ADDRESS E-MAIL
r105(o . aa0t.h &-i--
CITY STATE ZIP FAX
b.t+ Uti \ q aL, ( ) -
NAME , PRIMARY PHONE
PROJECT CONTACT v9J &I �UU� 11,4 ) 5?)c3
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 suppli4d to the city as a part of this application.
1
1
SIGNATURE: i! t: �� DATE /I — /O — G {e-/
PRINT NAME: ‘0
BASOk.S
Bulletin#160—January 1,2013 Page 1 of 2 k:AHandouts\Electrical Permit Application