14-106092City of Federal Way
Anolicant
Community & Econ. Dev. Services
n
33325 8th Ave S
FIL
Federal Way, WA 98003
SEA TAC ELECTRIC INC
Ph: (253) 835-2807 Fax: (253) 835-2809
PORTLAND OR 97208
Project Name: CHASE ATM
Project Address: 1800 S 320TH ST
Electrical
Permit #: 14 -106092 -00 -EL
Inspection Request Line: (253) 835-3050
Project Description: Repairing 2" PVC conduit from damage break in conduit
Parcel Number: 092104 9208
Owner
Anolicant
Contractor
SEATAC VILLAGE SHOPPING CTR
JERENUAH 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
Low Voltage - Other (Commercial' 1 Ank
PERMIT EXPIRES
Permit Issued on Tuo
I hereby certify that the above information is correct and tt
the occupancy and the re will be in accordance with the
and the City of
Owner or agent:
C
5:
201
bove described property and
of the State of Washington
Date: 11- 2S-- 20/y
CITY OF
Federal Way
PERMIT #:
Project:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
14 -106092 -00 -EL Address: 1800 S 320TH ST
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)
Temporary Power (4275)
Slab/Concrete Floor (4255)
1:1Approved
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
Temporary Power (4275)
1:1Approved
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
0
Final - Electrical (4055)
Approved
By
Date
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date
14 10�O�2
CITY of A — — — — — — — —
Federal Way ELECTRICAL PICS o
PERMIT APPLICATION NOV 2 5 2014
"Most electrical permits may be obtained on-line at www.ci o edeCM)MjFMERAL WAY
SITE ADDRESS: 1706 S.320TH ST
SUITE/UNIT/SPACE #
A" S TAR/PARfEL # -
0 4 -PROJECT
"To
CURRENT/PROPOSED USE
NAME
(Tenant or Homeoumer Last Name)
C, AGLA� _ 1zAM
1� � A� 1 V !—'s '_
REPAIRING n PVC CONDUIT.
PROJECT DESCRIPTION
Detailed description of work to
Q1_El4K iAl C =i -
be included on this permit only
NAME
PRIMARY PRONE
PROPERTY OWNER
TKO
( ) -
MAMING ADDRESS
WKAD.
CM
STATE
ZIP
/ FAX
t ) -
NAME
SEA -TAC ELECTRIC INC.
PRIMARY PHONE
(253) 8725553
MA=G ADDRESS
E -MAH,
ELECTRICAL
7056 S.220TH ST
corey.mCfteatacelectric.com
CONTRACTOR
CrTT
KENT
STATE
WA
ZIP
98032
FAX
(253 ) 872-,4112
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
SEATAE1077RW
i i
20 -02 -100376 -00 -BL
NAME
PRIMARY PHONE
APPLICANT
( ) 872-4112
MAHaNG ADDRESS
7056 S.220TH ST
E -MAH,
CITY
STATE
ZIP
FAX
KENT
WA
98032
(253 ) 872-4112
PROJECT CONTACT
NAME
JERMEMIAH SHERWOOD
PRIMARY PHONE
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 igfonnation 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 suct claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
Wormation suppliedWto the city as a part of this application.
SIGNATURE: / DATE
11/25/2014
PRINT NAME: t�
33325 80'Avenue South ♦ Federal Way # WA ♦ 98003-6325 ♦ 253-835-2607 1 fax: 253-835-2609 ♦ www.cityoffederalway.com
Bulletin #160 — January 1, 2011 Page 1 of 2 UHandoutsTlectrical Permit Application