15-100357 • • Electrical
City ofCommunity
&FederalDev.ay Permit #: 15-100357-00-EL
Community Econ.& Services
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: 253 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p Q
Project Name: AUTOZONE
Project Address: 27300 PACIFIC HWY S Parcel Number: 872992 0030
Project Description: Replacing(18)florescent light bulbs with LEDs
Owner Applicant Contractor
AUTOZONE INC. HARVEST ELECTRIC CO OF CA INC HARVEST ELECTRIC CO OF CA INC
60 MADISON AVE PO BOX 604 HARVEEC855BW(1/16/17)
MEMPHIS TN 38103 ST HELENA CA 94574 PO BOX 604
ST HELENA CA 94574
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. 6
PERMIT EXPIRES Wednesday, July 22, 2015
Permit Issued on Friday, January 23, 2015
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use wil •- in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way. f
Owner or agent: �/,i/,� Date:
THIS CARD IS T MAIN ON-SITE ,f
CITY OF 0 Construction In ection n
Federal Wayo Record
INSPECTION REQUE TS: (253)835-3050
PERMIT#: 15-100357-00-EL Address: 27300 PACIFIC HWY S
Project: AUTOZONE INC. FEDERAL WAY, WA 98003-6999
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 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) 0 Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
O Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
O Final-Electrical(4055)
Approved
By CAN..., Date tk— (5
❑ Rough ElectricalEl Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
,
AI►. EtitCTRICAL
CITY OF ,yam
Federal Way PERMIT APPLICATION
n ��
RECEIVED
PERMIT NUMBER I S ( O -V 5
- - - - - - JAN23 2015
CITY 'Lf)E 5 IAY
SITE ADDRESS: 7 30-0 � ` L'� j, � e CDS
PROJECT)j
ASSESSOR'S /PARCF�# 4 _ Q /1 '0 CURRENT/PROPOSED USE
PROJECT NAME C/ l
(Tenant or Homeowner Last Name) Ts vV41r0 f
Ql(Lr Pl reSJ('le ,ii he /L s
PROJECT DESCRIPTION 1 /,, /= V
Detailed description of work to
be included on this permit only
NAME aa yI PRIMARY PHONE
PROPERTY OWNER U 2 0 / ( ) -
MAILING ADDRESS E-MAIL
a-i,cy-o Pct,ctr lc
...... ''. ' 0-141 5
CITY STATE Z FAX
( C.�a.t// WA 1� 3 ( ) -
N _ / PRI PHONE
ilv
E.st Pie(roc. Co ylciq , .rim: ?07 )7 � �g�
' ING ADD S / I_ L E-MAIL
ELECTRICAL 1 'D c� )4ar I(�'�"d eci n,C:C� rm,c,e04
CONTRACTOR c7*.
4?ys,..,7 y
s A zIP
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME PRIMARY PHONE
APPLICANT ( )
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
PROJECT CONTACT N Pi'in n (7)7) PRIMARY Px g 76'
Ti /I y )rj ��
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 Wa as to any claim(including costs,expenses,and attorneys'fees incurred in
the investigation and defense of such claim), whichmade by any person,including the undersigned,and filed against the city,
but only where such clai arises out of the r- . of the city, including its officers and employees, upon the accuracy of the
ill
information supplied to as a part of th'4 Ication.
SIGNATURE: ►L 9f',)( 9DATE /PRINT NAME: 1 ,%i
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application