16-104289City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Electrical
Permit #: 16- 104289 -00 -EL
FILEInspection Request Line: (253) 835 -3050
Project Name: FRED MEYER
Project Address: 33702 21ST AVE SW `
Project Description: Install 3 Phase 208V 20A circuit to accommodate new ale lift
Parcel Number: 930100 0010
Owner
FRED MEYER INC
Aa lip cant
NICK PROVO
Contractor
SEA TAC ELECTRIC INC
PO BOX 42121
SEA TAC ELECTRIC INC
SEATAEI077RW (12/17/17)
PORTLAND OR 97242
7056 S 220TH ST
7056 S 220TH ST
KENT WA 98032
KENT WA 98032
Additional Permit Infarma #ion
Electrical Work Valuation ? ........... .........................550.00 Is this an Online or O.T.C. application ?................ Yes
Is Use Educational or Institutional ? ....................... No Service greater than 999 Amps? ............................. No
Electrical Fixtures
Alt. Srvc / Feeder 0 to 200 amps (C 1
PERMIT EXPIRES Saturday, September 2, 2017
Permit Issued on Friday, September 2, 2016
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.
Owner or agent aim Date:
UNI INE
crry os
Federal Way
PERMIT #:
THI9 CARD IS TO REMAIN ON- SITE
Construction Inspection record
INSPECTION REQUESTS: (253) 835 -3050
16- 104289 -00 -EL Address: 33702 21ST AVE SW
Project: FRED MEYER INC FEDERAL WAY, WA 98023 -7762
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.
Pool Bonding (4195)
UFER Ground
Ditch cover
Temporary Power (4275)
Slab/Concrete Floor )
Approved
Approved
By
Approved to place concrete
By
Date
By Date
By
Date
Pool Bonding (4195)
Rough Electrical
Approved
Temporary Power (4275)
Final Electrical
Approved
Service (4— 235)
Approved
By
Date
Approved
By
Date
Approved
By Date
Date
By
Date
By
Date
0
Feeders/Sub- panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By �V�N Date ct, _ t 14_1
Rough Electrical
Approved
Final Electrical
Approved
rl
Right of Way �^
Approved
By
Date
By
Date
By
Date