14-100618 1
Electrical
City of Federal Way
Community&Econ.Dev.Services - , ...;. Permit #: 14-100618-00-EL
33325 8th Ave S
Federal Way 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 . i _3 L._""Z
Project Name: TARGET
Project Address: 2201 S COMMONS Parcel Number: 762240 0019
Project Description: Add outlet for coffee display in Housewares.
Owner Applicant Contractor
TARGET ACT ON ELECTRIC ACT ON ELECTRIC
2201 S COMMONS PO BOX 2118 ACTEL**311LE(12/31/15)
FEDERAL WAY WA 98023 LYNNWOOD WA 98036 PO BOX 2118
LYNNWOOD WA 98036
•
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Service greater than 999 Amps? No
Electrical Fixtures
Circuits-Commercial. 1 •
PERMIT EXPIRES Wednesday,August 6, 2014
Permit Issued on Friday, February 7, 2014
I hereby certify that the above information is corr-ct and that the construction on the above described property and
the occupancy and the u - wi :- in --a• da• e ith the laws, rules and regulations of the State of Washington
= d >e City of Federal Way.
Owner or agent 4 � 7 Date: r'/7
•
44111L,.....,' '.
THIS CARD IS TO ":MAIN ON-SITE .1
CITY OF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 14-100618-00-EL Address: 2201 S COMMONS
Project: TARGET 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.
O LIFER 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) 0 Temporary Power(4275) ' Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) ‘ Q Rough Electrical(4225) Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
❑ Final-Electrical(4055)
Approved
ByC 04.10 Date 7 ,_Le`S
0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
4 R •OF ELECTRICAL
Federal Way FEB ® 7 2014 PERMIT APPLICATION
CITY OF FEDERAL WAY
/ 4
CDSQ
1 PERMIT NUMBER — / 0 6 / CJ - g-( 4 V
SUITE/UNIT/SPACE#
SITE ADDRESS: 2 2 b / 5 Cad IYM®Ns
1 PROJECT VALUATION ASSESSOR'S TAX/PARCEL 8 CURRENT/PROPOSED USE
$ 4160 ? ( ) 2 K 6 - 00 ( 5
PROJECT NAME
(Tenant or Homeowner Last Name) IA ?6 fr/ S 7re Q /9Y7
PROJECT DESCRIPTION ,4 D V o„ 7.h/ /V,E5 r 4z @a rr-„ig Pa Pkr/f eu 31 l,-A-et 3
Detailed description of work to Dei et
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER , ---
77 N6e�,/ D f 9'f 7 ( )
MAILING ADDRESS• E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
/4- f D Ai 0-4-T Ci P(C (Z ) 7? 7?r6
MAILING ADDRESS E-MAIL
ELECTRICAL Pe, '1 X 2 //i ,Er”"
CONTRACTOR CITY STATE ZIP FAX
4%0AftC 0() w fr ?"`76 (y i 7Y If
WA ATE CONTRACTOR'S LICENSE M EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE
A-C r/1=G �/1 LE 3( /D:---0_ //S-
EAM p�
APPLICANT '■/ 0 � d/ (-#- , -/ (OC) S) - g 9 V6
MAILING ADDRESS
Ro . v )c /I g
CITY STATE ZIP FAX
z L,y/V w e O,-) iv y'. 9 Pa ( ( z0- 7q. z/31 ('
NAME PRIMARY PHONE
PROJECT CONTACT ( ) _
I certify under penalty of perjury that I am the property owner or authorised 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 th ,. his - ication.
II SIGNATURE: DATE 7 f-- /3/y
PRINT NAME: 1 .JO ihil On S Yi-V'
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application
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