13-102587 • Electrical
City of Federal Way _ Permit #: 13-102587-00-E L
Community&Ecoo n..D ev.Services
33325 8th Ave S r'
Federal way,WA 980031 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax(253)835-2609 Q
t.
Project Name: MACY'S
Project Address: 1901 S COMMONS Parcel Number: 762240 0025
Project Description: Relocate lighting,safe off areas for demolition as needed,reconnect relocated equipment.
•
Owner Applicant Contractor
MACYS FEDERATED DEPT STORES ERVIN ELECTRIC LLC ERVIN ELECTRIC LLC
7 W 7TH ST 11523 CLARK RD SE ERVINEL898NJ (8/11/13)
CINNCINATI OH 45202 YELM WA 98597 11523 CLARK RD SE
YELM WA 98597
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
No Fixtures Associated With This Permit li
PERMIT EXPIRES Monday, December 9, 2013
Permit Issued on Wednesday, June 12, 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
and the City of Federal Way.
/
Owner or agent: �
Date: �e7/-3
F• .,LED
DATE INSPECTOP AREA AND TYPE INSPECTION
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THIS CARD IS TO MAIN ON-SITE
CITY r • Construction In ection Record
'Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 13-102587-00-EL Address: 1901 S COMMONS
Project: MACYS FEDERATED DEPT STORE FEDERAL WAY, WA 98003-8548
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 Ditch cover(4030) `0 Slab/Concrete Floor(4255) - -0 Service(4235)
Approved Approved to place concrete Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) 0 Rough Electrical(4225) Cl Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
O Final-Electrical(4055)
Approved
4e:; ..-
Date CG- (c.:,- l
/
1
O Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
2ECEIVED
Ali. 13 ELECTRICAL
CITY OF JUN 12 20
Federal Way PERMIT APPLICATION
CITY OF FEDERAL WAY
CDS
PERMIT NUMBER \ 3 _ ( C cg
SUITE/UNIT/SPACE#
SITE ADDRESS:�IIcy S f rPev AL to,i /9o1 Sot!6e-Peso 0A/5 ic,ho4,}-�
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CMRRENT/PROPOSED USE
$ /7, 196)0� - — — — —
PROJECT NAME
(Tenant or Homeowner Last Name) ill Of C ,S /.-b-DC 2AL t,-)14y r •
PROJECT DESCRIPTION Of °`^S r-n)a. agmO ,"s ,i/1Ziz 62a .
2Pee7..",&c=7`
Detailed description of work to 1Q e i,t2e' f e-c.0 CQps 4 f'A.,L7.
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER /1'4 eel s P—Dca g A-L IN 41-c) ( )
MAILING ADDRES /+ E-MAIL
11 C. �' S 1 vG _
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
—a- 4/1 C.L&Cr 2,1c 24.C_ (.36o ) 280-73 7 Z
MAILING ADDRESS E-MAIL
ELECTRICAL Pc .o x /3 8'c) fieK 6EPonyE/t2'r2ee I-=,,,
CONTRACTOR CITY STATE ZIP FAX
y E- -wr w A 5 S 7 (3 do ) S-s- 0 66 g—
WA STATE CONTRACTOR'S LICENSE X EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE Y
tlevlNJ4. <it9i1Nr 9/ // 1/3
NAME PRIMARY PHONE
( )
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
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 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 part of this application.
SIGNATURE: DATE /./ ,// 3
PRINT NAME: kin. L'2(//gAi
Bulletin#160-January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application