14-104364 `i tca
Community&Econ.Federal Way Services Permit #: 14-1 04364-00-EL
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 fax:(253)835-2609 F ILE
Project Name: WINCO FOODS
Project Address: 160 SW C US DR Parcel Number: 415920 0710
Project Description: Adding/altering(10)circuits for refrigeration cases and cheese
Owner Applicant Contractor
WINCO FOODS REFRIGERATION UNLIMITED INC REFRIGERATION UNLIMITED INC
PO BOX 5756 (GENERAL) (ELECTRICAL)
BOISE ID 83705 5440 S PROCTOR REFRIUI995PR(10/19/13)
TACOMA WA 98409 5440 S PROCTOR
TACOMA WA 98409
Additional Permit information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Service greater than 999 Amps9 No
Electrical fixtures
Circuits-CommerciaL 10
PERMIT EXPIRES Saturday, March 7, 2015
• Permit Issued on Monday, September 8, 2014
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' accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent Date: �/I �/-
THIS CARD IS TO MAIN ON-SITE , '
CITY OF y 1
Federal Way
• Construction I ection Record
y INSPECTION REQUE TS: (253)835-3050
PERMIT#: 14-104364-00-EL Address: 160 SW CAMPUS DR
Project: WINCO FOODS FEDERAL WAY, WA 98023
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.
CI UFER Ground(4295) El Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
•
o Pool Bonding(4195) ❑ Temporary Power(4275) Service(4235)
Approved Approved Approved
By Date By Date By Date
El Feeders/Sub-panels(4045) '0 Rough Electrical(4225) CI Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
• .
o Final-Electrical(4055)
Approved
By - Date I a -31-1
I
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
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1
t.
►. EICTRICAL
CITY OF
Federal Way PERMaiMPLICATION
1
PERMIT NUMBER (14-- _ i 0 14 ✓ F0 ¢_ (�li AUG 2 6 2014
1 — —
CITY OF FEDERAL WAY
CDS SUITE/UNIT/SPACE#
SITE ADDRESS: /'/ /� (1414,r4.. n�,
PROJECT VALUATION / ASSESSOR'S CEL# CURRENT/PROPOSED USE
$ /O, aV i ( - 92 - V- - - - -
PROJECT NAME � �f ^'
(Tenant or Homeowner Last Name) V IN CO C D /;„/A0,/, +pie
PROJECT DESCRIPTION `� -,� A /1. � !.„..J►! /
Detailed description of work to
be included on this permit only la iii& ./ 4 / /r;i
NAME PRIMARY PHONE
PROPERTY OWNER nia 1;01-1 ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
i2 6� ,G,r1.0�4/.. . )Y9g - ///
MAILING ADl S �h ' E-MAIL
ELECTRICAL �,2�N `'L�� Q� ,✓Li Ae' .
CONTRACTOR CITY STATE ZIP FAX
4 i�/� $5� ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
Pr R71 727//y5 / /
NAME PRIMARY PHONE
APPLICANT 0 A I� e63)PR�- 4///
/
MAILING
SS E-MAIL f
CITY STATE ZIP FAX
3) 3/ y� -1
NAPa' ' �/ PRIMARY PHONE
PROJECT CONTACT 4*/ �7 , 749') a - I///
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 •• •f this application.
le
SIGNATURE: I j_A. DATE /,
PRINT NAME: /
AME: /.� Fffl_dl & /i
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts'Electrical Permit Application