21-102345City of Federal Way
Community Development Dept
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name
Project Address
Project Description
CVS PHARMACY
33520 21ST AVE SW
Electrical
Permit #:21-102345-00=EL
Inspection Request Line: (253) 835-3050
Parcel Number: 132103 9098
adding 1 panel, lighting & power for consult HUB room, gondola power drops on sales floor
Owner
Applicant
Contractor
WASHINGTON CVS PHARMACY LLC
VICTORIA BRADBURYINDUSTRIAL
INDUSTRIAL COMMERCIAL ELECT CO
1 CVS DR
COMMERCIAL ELECTRIC COMPANY
INDUSCE875PN (10/15/2021)
WOONSOCKET RI 02985
030 SW TOWN CENTER LP E SUITE 202 #1
29030 SW TOWN CENTER LP E
WILSONVILLE OR 97070
WILSONVILLE OR 97070
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Electrical Fixtures
Alt. Srvc / Feeder 0 to 200 aml 1 Circuits - Commercial 30
PERMIT EXPIRES Wednesday, 15 June, 2022
Permit Issued on Tuesday, June 15, 2021
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
hi to nd the City of Federal Way.
Owner or agent: Date:
A�_
CITY OF
Federal Way
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 21 102345 00 Address: 33520 21ST AVE SW
Project: WASHINGTON CVS PHARMACY L FEDERAL WAY WA 98023-2874
Scheduled inspections may be failed if this card is not on -site. DO NOT LOSE 'PHIS 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) ❑ Slab/Concrete Floor (4255)
Approved Approved Approved to place concrete
By Date By Date By Date
El Pool Bonding (4195) 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 By Date '` �/�/ By Date
❑ FinpI - Electrical (4055)
jy� ,f yrzlhApproved
By R Date V ec/
.s�.l�s
Rough Electrical
El
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date