13-104670 • Electrical
City of&Federal n.Dev.ay Permit #: 13-104670-00-EL
Community 8 Eton.Dev.Services
33325 8th Ave S
Federal Way, 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2807 Fax:ac(253)835-2609 �
Project Name: KOHL'S AT THE COMMONS
Project Address: 2101 S COMMONS Parcel Number: 762240 0010
Project Description: Adding(7)thermostats and controls for HVAC system
Owner Applicant Contractor
KOHL'S DEPARTMENT STORE EXPERT AIR CONTROL LLC EXPERT AIR CONTROL LLC
N56 W17000 RIDGEWOOD DR 5624 128TH ST E EXPERAC97966(9/30/15)
MENOMENEE FALLS WI PUYALLUP WA 98373 5624 128TH ST E
53051 PUYALLUP WA 98373
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
Thermostat. 7
PERMIT EXPIRES Sunday, April 20, 2014
Permit Issued on Tuesday, October 22, 2013
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
a d the City of Federal Way.
Owner or agent s./f tL Date: 10/2-71/3
FINALED
THIS CARD IS TO MAIN ON-SITE i ,`
'CITY°F ' Construction In ection Record ,
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 13-104670-00-EL Address: 2101 S COMMONS
Project: KOHL'S DEPARTMENT STORE 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 UFER Ground(4295) Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
• • . *
0 Pool Bonding(4195) 0 Temporary Power(4275) Service(4235)
Approved Approved Approved
By Date By Date By Date
•
1 El Feeders/Sub-panels(4045) 0 Rough Electrical(4225) Ceiling Cover(4020)
Approved Approved Approved
By Date By Date 113Y `C"S Date R (3 '
❑ Final-Electrical(4055)
,---- Approved
B� 7 Date )—/ 7-i,
0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
Nh. • EL!CTRICAL
CITY OF
Federal Way PERMIT APPLICATION
RECEIVED
PERMIT NUMBER 9 10 � 0 00
— — - - — — OCT 21 2013
s£ YtUfrAAL WAY
SITE ADDRESS: .. J 0 CDS
5, G0s4.,I,t s LiCg1
OJECTOVALOUAT OWN ASSESSOR' TAR1PAR , ° _ 1 ` k ROP03ED USE
PROJECT NAME ,/
(Tenant or Homeowner Last Name) n/O ,5 ) 1
1'Lej,ujJa/T and tONlr01s -Cr a 1 VA(-
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER /co j J �n (Zd Z )763 - 7000
MAILING ADDRESS „ 7Q E-MAIL
X56 N J 7000 1 d e,,JoS d ED ZIP FAX
CITY
1�9eho e ;Cu�ls G,�2` 5305) (zdz.)703 -7/05
NAME
1,,YI PRIMARY PHONE
Pir /1 r (4 /
s / (ZS3 ) yys 6617
MAILIN6 ADDRESS E-MAIL
ELECTRICAL 3 z-y /z-F j, g/. G ,* 6X&epj elf a∎reAKio I,coh.,
CONTRACTOR CITY STATE ZIP FAX
Al, All ' W Q 9P3 (2S3 ) »o - fl,
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE.
XPEgf11 97go6 /
NAME PRIMARY PHONE
APPLICANT A 1 g�rr I) (z 5? ) 114/C - E 9
MAILING ADDRESS E-MAIL
S6z y /Z 'f-) e pCr114 e,onlrol.coy,
CITY STATE ZIP FAX
NAME al)`'p !AAA 9 d 373 ( ) -
PRIMARY PHONE
PROJECT CONTACT / 6t4-(01) (2 s3 )4/1S -G 6 a 7
itK
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 t to the city as a part of this application.
SIGNATURE: � �z DATE /Q/ A Z//
-
PRINT NAME: Wes S S7`ra ji.4
Bulletin#160—January 1,2013 Page 1 oft k:\Handouts\Electrical Permit Application