14-106034 � r
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Community&Econ.Deof Federalv.Services Permit #: 14-106034-00-EL
33325 8th Ave S
Federal Way,WA x8317 Inspection Request Line: (253)835-3050
Ph:(253)835-2807 Fax:(253)835-2809 p q
Project Name: ULTA COSMETICS
Project Address: 1800 S 320TH ST Parcel Number: 092104 9208
Project Description: Install accessible fire alarm system for new commercial retail building
Owner Applicant Contractor
SEATAC VILLAGE SHOPPING CTR WASHINGTON ALARM INC WASHINGTON ALARM INC
PO BOX 2708 2030 AIRPORT WAY S WASHIAI282C3(12/5/15)
PORTLAND OR 97208 SEATTLE WA 98134 2030 AIRPORT WAY S
SEATTLE WA 98134
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
Low Voltage-Fire Alarm(Comm( 1
PERMIT EXPIRES Tuesday, May 19, 2015
Permit Issued on Thursday, November 20, 2014
I hereby certify that the above information is correct and that the constru a•n on the above described property and
the occupancy and the u - will be in accordance with the laws, rules and egulations of the State of Washington
and the City of Federal Way.
r
Owner or agent ..,`.�J' DateLe1—j/ 20/. 7)
THIS CARD IS TO MAIN ON-SITE
CITY of Construction In ection Record '
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 14-106034-00-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) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
o Pool Bonding(4195) 0 Temporary Power(4275) ❑ 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 n m4.-_ Date a 2 y _, . By Date ,
o Final-Electrical(4055)
Approved
By C Date 2,3_4 _1,5,
El Rough ElectricalEl Final Electrical CI Right of Way
Approved Approved Approved
By Date By Date By Date
4. SIL, -
III •
CITY OFA.
ELECTRICAL
Federal WayPERMIT APPL ON
4 PERMIT NUMBER 1 _ to 034- _ o NOV 20 2.014
culy,9NIT/SPA�C #A WAY
SITE ADDRESS: CD
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ 15-06 - 0ct7, t p 4 - q2 0 $
PROJECT NAME S cte- V A 1 L /'WSK r
(Tenant or Homeowner Last Name) U c Je lJ f�n CS L
+c,1( acl�ressz6le 4L e 4IGirm n ,n in flQ.LJ OY111I,1
PROJECT DESCRIPTION
Tncc-1< 40 s inkkc-cfeAlic.e5
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER . ea4CAC. \It 11 c5e�)(lopiDt 3r ( ) -
MAILING ADDRES _l J E-MAIL
z. I3ox 2T7 OS
CITY STATE ZIP FAX
Pols,ne) O2 9t7205‘ ( ) _
NAME -
NAM
y 1 r1,00)
/ PRIMARY PHONE
as``•\t no,k)C l&1G(rr �nG ( {, ( )320 - 32��
MAILING i
2C
DRESS ,//� ` •' Q�E-MAIL
ELECTRICAL GING At�c \,dc 5. romci ;I,b UL,01`40ALLoo,0(1
CONTRACTOR CITY T TE ZIP * 1 (�)Sfl- c7
(_�. e Q l 1. L`U
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
W1151-IA7.2‘Q. C3 L2 'os ' r5' 20.0C)-161(92q-00 BL,
NAME y.� COSI -A_' * ( PRIMARY PHONE
APPLICANT y�'c ' ale_ e CCX
MAILING ADDRESS EMAIL
CITY STATE ZIPFAX
(/
l ) -
NAME�^ PRIMARY PHONE
PROJECT CONTACT Irl .cv 'MW^(L)G‘'n ( Zbl, ) Sii- -32.z
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 partpaof this application.
SIGNATURE: '7 ../. ��l DATE /'- K/.-ZO'Li
PRINT NAME: MerK I I l wc(
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application
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