19-102588 , * r
e Electrical
City of Federal Way Permit #:19-102588-00-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: MARINER FINANCE
Project Address: 31883 GATEWAY CTR BLVD S Parcel Number:092104 9137
Project Description: Electrical work to include replacing lights,low volt data runs(10 locations),adding(4)circuits
120V.
Owner Applicant Contractor
ANS L L C C T R ELECTRIC C T R ELECTRIC INC
PO BOX 1941 33228 206TH PL SE CTRELI*07700(9/22/19)
AUBURN WA AUBURN WA 98092
98071 PO BOX 7475
KENT WA 98042-0043
Additional Permit Information
Is this an Online or O.T.C.application9 Yes
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Circuits-Commercial 4 Low Voltage-Other(Commei 1
PERMIT EXPIRES Friday,29 May,2020
Permit Issued on Thursday,May 30,2019
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.
L
Owner or agent: ,S /°tecy Date:6 X377
4 THIS CARD IS TO REMAIN ON-SITE
`""� Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 102588 00 Address: 31883 GATEWAY CTR BLVD S
Project: ANS L L C FEDERAL WAY WA 98003
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.
0 UFER Ground(4295) 0 Ditch cover(4030) El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
0 Pool Bonding(4195) 5 •`
❑ Temporary Power(4275) ® Service(4235)
Approved Approved Approved
By Date By Date
By Date
f
El Feeders/Sub-panels(4045) ® Rough Electrical(4225) "® Ceiling Cover(4020)
Approved , Approved - / Approved
.By Date • By /` Date e-' '1 By 4 l Date 7iO/,
Ea Final-Electrical(4055)
Approved
By Date
Ce,/11/
C �' ( V 6— /—/ s7 0
0�eI' n ,p n �� o C,vt/e
❑ Rough Electrical ❑ Final Electrical ❑ Right of Way
Approved Approved Approved
By Date By Date By Date
•
i
Electrical
City ofFederal Way Permit #:19-102588-00-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: MARINER FINANCE
Project Address: 31883 GATEWAY CTR BLVD S Parcel Number:092104 9137
Project Description: Electrical work to include replacing lights,low volt data runs(10 locations),adding(4)circuits
120V.
Owner Applicant Contractor
ANS L L C C T R ELECTRIC C T R ELECTRIC INC
PO BOX 1941 33228 206TH PL SE CTRELI.07700(9/22/19)
AUBURN WA AUBURN WA 98092
98071 PO BOX 7475
KENT WA 98042-0043
Additional Permit Information
Is this an Online or O.T.C.application9 Yes
Circuits-Commercial 4 Low Voltage-Other(Commei 1
PERMIT EXPIRES Friday,29 May,2020
Permit Issued on Thursday,May 30,2019
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. r�
Owner or agent: "9Date: /—Ao2 ' /
er,
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..THIS CARD IS TO REMAIN ON-SITE
my OF 1A WayConstruction Inspection Record
Federal
INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 102588 00 Address: 31883 GATEWAY CTR BLVD S
Project: ANS L L C FEDERAL WAY WA 98003
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) El Ditch cover(4030) 1 0 Slab/Concrete Floor(4255)
Approved ! Approved Approved to place concrete
.By Date •,I•By Date ••By Date
•
El Pool Bonding(4195) 0 Temporary Power(4275) ' ® Service(4235)
Approved Approved Approved
.By Date . By Date By Date
Feeders/Sub-panels(4045) � ® Rough Electrical(4225) ® Ceiling Cover(4020)
Approved Approved Approved
•By Date I By Date By Date
EU Final-Electrical(4055)
Approved
�
By J a Q Date 2DCIK 2.919'
El Rough Electrical El Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED ELECTRICAL
CITY OF �/
Federal Way M '� r 2.°39 PERMIT APPLICATION
CITY DF FEC=`- 'f,:Y
COMMUi�1TY DEVELOPMEiJT
PERMIT NUMBER l _ ' 0 Z J c
,R _ E
SUITE/UNIT/SPACE#
SITE ADDRESS: 3188'3 6ct--eale CT'R gBVD S
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$36'6'CI 0 9 2 0 Y _ .9' 1 3 7 e CcYc.c 5eact_
PROJECT NAME
(Tenant or Homeowner Last Name) MAV(4 ,,'/' run 0.4.e...,,
•
PROJECT DESCRIPTION Tom"s"." g etilac 4is , 4& �i
VO6L la (uses /0 1 7i7 �
Detailed description of work to eadded ci iectt(�5_ /tcV,
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER toAC.olvt Z505 LLC 0 MK v` set/ ice.; -LLG
MAILING ADDRESS // j E-MAIL
Po 430x 94?7
CITY STATE ZIP FAX
5i409 at(.e, k/,( ?goes ( ) -
NAME PRIMARY PHONE
C:Fig e-7 C.6/1(C /NG (253)356_ 0166
MAILING ADDRESS E-MAIL
ELECTRICAL PO 06>e T'75 cr'"e/ec fy',c TP- qou��
CONTRACTOR CITY STATE ZIP FAX V
k wA 9.a5Z ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
Cr7aa/ICd 7740 0 69/ 0/ /zogo a 3-/0/7P5-CO -r
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS ( ) E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
PROJECT CONTACT CF iGy 56(4 i .L/_ (at/ ) ,z 3g/e/
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.
SIGNATURE: /.6e.,12.,5. DATE 5-g6 -/7
PRINT NAME: We �et
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application