19-105575 Electrical
City of Federal Way Permit #:19-105575-00-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: STATE FARM-UPTOWN SQUARE
Project Address: 1066 S 320TH ST Parcel Number:327800 0020
Project Description: Install 200A panel.Install 10 duplex receptacles.Install 12 light fixtures.Install 60A HVAC
unit.
Owner Applicant Contractor
HIGH POINT 320 LLC MARTIN CHAVEROM C H ELECTRIC LLC M C H ELECTRIC LLC
10900 8TH AVE S SUITE 1200 407 S 306TH ST MCHELEL856LP(6/17/21)
BELLEVUE WA 98004 FEDERAL WAY WA 98003
407 S 306TH ST
FEDERAL WAY WA 98003
Additional Permit Information
Is this an Online or O.T.C.application') Yes
atw�z ,;� Gni v;' s.,z< 9, f farm ..
Alt. Srvc/Feeder 0 to 200 amt 1
PERMIT EXPIRES Thursday, 19 November,2020
Permit Issued on Wednesday,November 20,2019
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
/: ,ton and the City of Federal Way. I
Owner or agent:
Date: I^
THIS CARD IS TO REMAIN ON-SITE
`""�' Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 19 105575 00 Address: 1066 S 320TH ST Unit K-110 E
Project: HIGH POINT 320 LLC FEDERAL WAY WA
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) Q Ditch cover(4030) ® Slab/Concrete Floor(4255)
Approved Approved j Approved to place concrete
By Date By Date j By Date
0 Pool Bonding(4195) El Temporary Power(4275) ® Service(4235)
Approved Approved Approved
By Date By Date By fe/e Date 1 ,--/+ di
El Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020)
Approved
Approved pproved
By Date By Date //'0-1? By p(-/ / Date
El Final-Electrical(4055)
Approved
By /e) Datei _ 1,
Rough Electrical 12 Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
1116. RECEIVED ELECTRICAL
CITY OF 1011
Federal Way Nov 2 0 2019 PERMIT APPLICATION
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT 1 \ C F c7 5
PERMIT NUMBER l
SUITE/UNIT/SPACE#
SITE ADDRESS: I 0 6 6 S 3 2 G S-
PROJECT VALUATION' C7 ASSESSOR'S�/P �L# � � - ��
PROJECTCURRENT/PROPOSED USE
VVNAME 22
(Tenant or Homeowner Last Name) S �- -c
NA 1 'LOC va C'is.V L3. 20'eV . INA-
PROJECT DESCRIPTION G P U‘t'l It i c C+f' t t� CLC
Detailed description of work to ,'Vl .QS I L `,,\G l"#'T 'R i -T o (-2_z--3
be included on this permit only
-Xt GC I>, (-s,v G v v\
NAME PRIMARY PHONE
PROPERTY OWNER CI(-4 CA t• 'mc) 1,_\_
( ) -
MAILING ADDRESS E-MAIL
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CITY STATE ZIP FAX
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NAME PRIMARY PHONE
Cly LLMC YZ\c LL C. (2-QG)250- S1 `�S
MAILING ADDRESS E-MAIL
ELECTRICAL (-1.0"1 s 3 6 G SS \-4C- t►, c_ cA&yLT.t GM
CONTRACTOR CITY STATE ZIP FAX
X' 2: (ZAL A 9' ?OC-3 (2QC) (s\ -7270
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
CC it..t C -\ >r t_�: l_ ?S>C t-A7 C (7 / Z I
NAME p PRIMARY PHONE
APPLICANT M G �n". EV 0
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
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NAME PRIMARY PHONE
PROJECT CONTACT
oiN - aNK31. 5ex o (2�.3)2S0- `
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 part of this application.
/
SIGNATURE: f.L-"I r DATE (, ( -Z U-- [ I
PRINT NAME: v\ Ck'Csi\Je t C)
Bulletin#160-April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application