12-104329 . r '1
''
•• Electrical
City of Federal v.S
Community&Econ.n.D ev.Services Permit #: 12-104329-00-E L
33325 8th Ave S
Federal Way,WA 98003 Inspection R
Ph:(253)835-2607 Fax:(253)835-2609 Ins ec p Request Line: (253 835-3050
Project Name: TARGET AT'1'HI COMMONS
Project Address: 2201 S COMMONS Parcel Number: 762240 0019
Project Description: Installation of 1 20-amp receptacle and 1 30-amp receptacle.
•
Owner Applicant Contractor
STEADFAST COMMONS LLC LIN R ROGERS ELECTRICAL INC LIN R ROGERS ELECTRICAL INC
1928 S COMMONS 2050 MARCONI DR SUITE 200 LINRRRR956B1(1/29/13)
FEDERAL WAY WA 98003-6013 ALPHARETTA GA 30005 2050 MARCONI DR SUITE 200
ALPHARETTA GA 30005
Additional Permit information
Is Use Educational or Institutional? No Service greater than 999 Amps? No
Electrical Fixtures
Circuits-Commercial 2
PERMIT EXPIRES Wednesday, March 20, 2013
Permit Issued on Friday, September 21, 2012
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 y of Federal Way.
Owner or agent E0--/lU - Date:
4
A , THIS.CARD IS TO MAIN ON-SITE
CITY OF • Construction In ection Record '
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 12-104329-00-EL Address: 2201 S COMMONS
Project: STEADFAST COMMONS LLC 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 Rough Electrical(4225) Ceiling Cover(4020) El Final-Electrical(4055)
Approved Approved Approved
By Date By Date :i� Date 2 --4 1(2.
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
• •
C 5 ,92
CITY
Fe of ELECTRICAL
SEP 4117-fa PERMIT APPLICATION
OFF ,most electrical permits ma be obtained on-line at www.ci oa ederalway.com**
&
SITE ADDRESS: 2201 S Commons Federal Way,WA 98003
SUITE/UNIT/SPACE# ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
u. . `••'3 ,r''," �+ i 9�"'. r r�,'
arX ".ZA ubMWaS - •uti'k"h'a,.c,.
PROJECT NAME
1947 Target Retail
(Tenant or Homeowner Last Name)
Installation of(1)20A receptical and(1)30A receptical
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
F �
+°;:�•. ,.r ..: e aw-''� ._ Yom': ,a`y;
...a'•.'` `�• "'.'ac• .'�'... _. < k; , +.. v.4,. e ; ism
Sdoa� ara�w.,. .�=x..�..ac �.:�`a,-.;,.. '��n..
NAME Target Corporation PRIMARY PHONE
PROPERTY OWNER (612 ) 304_6173
MAILING ADDRESS E-MAIL
1000 Nicollet Mall
CITY STATE ZIP FAX
Minneapolis MN 55403 ( ) -
NAME Lin R. Rogers PRIMARY PHONE
(770 ) 883 _ 8557
MAILING ADDRESS E-MAIL
ELECTRICAL 2050 Marconi Dr Suite 200 acoursey @Irogerselectric.com
CONTRACTOR CITY STATE ZIP FAX
Alpharetta GA 30005 ( 866)592 - 9161
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
EC01 LINRRRR956B1 01 /29 /2013 58-1539550
NAME PRIMARY PHONE
APPLICANT Lin R. Rogers ( 770)883 - 8557
MAILING ADDRESS E-MAIL
2050 Marconi Dr acoursey @Irogerselectric.com
CITY STATE ZIP FAX
Alpharetta GA 30005 ( 866 )592 - 8557
NAME PRIMARY PHONE
PROJECT CONTACT ( ) -
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 authorised 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 as a part of this application.
SIGNATURE: %/4 DATE
PRINT NAME: tit
ti1 t K e0
33325 8th Avenue South•Federal Way•WA•98003-6325•253-835-2607•fax:253-835-2609•www.cityoffederalway.com
Bulletin#160-January 1,2011 Page 1 of 2 k:\Handouts\Electrical Permit Application