19-101989 Electrical
City of Federal Way Permit #:19-101989-00-EL
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609
Project Name: STARBUCKS
Project Address: 1301 S 320TH ST Parcel Number: 150050 0040
Project Description: Install network cabinet and network cabling.
Owner Applicant Contractor
MGP IX SUNSET SQUARE LLC ADVANCED ELECTRICAL SOLUTIONS ADVANCED ELECTRICAL SOLUTIONS
425 CALIFORNIA ST FLOOR 11 17028 19TH DR NE 17028 19TH DR NE
SAN FRANCISCO CA 94104 ARLINGTO9N WA 98223
ARLINGTO9N WA 98223
USA USA
Additional Permit Information
Is this an Online or O.T.C.application') Yes
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Low Voltage-Other(Commei I
PERMIT EXPIRES Saturday,25 April,2020
Permit Issued on Friday,April 26,2019
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 and the City of Federal Way. 11 0�
Owner or agent: Date: /4 L/ ,J/ /
j7,i )
THIS CARD IS TO REMAIN ON-SITE
`" �`Way Construction Inspection Record
INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 101989 00 Address: 1301 S 320TH ST
Project: MGP IX SUNSET SQUARE LLC FEDERAL WAY WA 98003-5340
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.
1❑ UFER Ground(4295) 2❑ Ditch cover(4030) El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
•
By Data By Date By Date
•
® Pool Bonding(4195) Q Temporary Power(4275) ® Service(4235)
Approved Approved Approved
By Date By Date By Date
El Feeders/Sub-panels(4045) ® Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
0 Final-Electrical(4055)
0 Approved l
By Date J"/4 rfc
1
0 Rough Electrical D Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
CITY OF ......._ak
APR ELECTRICAL
26 2019
Federal Way CITY OFFEDEF�gLyh,AY. PERMIT APPLICATION
COMMUNITY DEVELOPMENT
PERMIT NUMBER / C:, _ / D 1 q 9 _ 0 0
SITE ADDRESS: 1301 c1 J // rd I
SUITE/UNIT/SPACE#
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# ( L-70 CURRENT/PROPOSED USE
$ ,9-.Zv 1 5 0 05 l O - Q 0 0
PROJECT NAME 1,w,(Tenant or Homeowner Last Name) 3 f r -
rJe.l-iork t .bite,:- Q rofi()Ork e b1 , n s11
PROJECT DESCRIPTION v
Detailed description of work to
be included on this permit only
NAME // PRIMARY PHONE
PROPERTY OWNER , 17 e ( ) —
MAIL NG DRESS E-MAIL
- 01 Utti I AielMc 5okbk
CIT STATE ZIP FAX
et,444IP OA ( ) -
-- - - NAME ES Atkoocarll �1e��,1ul' SaftJi�I� ( 1a5) (�3 -PRIMARY 54i£7
MAILINGSS , � E-MAIL
ELECTRICAL I J IGnI)V Iv
CONTRACTOR CITY f I. ONE ZIP FAX
16v61 ( ) -
W STATE C TRACTOR'S LICTE N EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
AbVA Eg7c J g 31 /;011 001-000O-000-3ar-W-oo1
NAYS.. 6PRIMARY PHO
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APPLICANT
MAILING ADD S1 I E-MAIL
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S TE ZIP FAX
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5AME U PRIMARY PHONE
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PROJECT CONTACT f� 6G` (IX ) 7;3 — 1 tirl
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. l4/1
SIGNATURE: DATE 4/l�l.Y
PRINT NAME: �riGd
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application