12-103690 CITY OF I Z - l 0 & Cr O
I Federal Way ELECTRICAL
RECEIVED
PERMIT APPLICATION
AUG 10 2012
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PROJECT NAME Walgreens #6901
(Tenant or Homeowner Last Name)
Replace Hi-Tech electronic message center with Daktronics
PROJECT DESCRIPTION One sign circuit
Detailed description of work to
be lrtelucled On this permit only
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NAME
1.I2iMAitle PHONE
PROPERTY OWNER Walgreens ( 253) 839- 1027
MAILING ADDRESS E-MAIL
28817 Military Road S
CITY STATE FZIP
Federal Way WA 98003
( )
-. _
rot= riamARY NHoNs
Hannah Sign Systems. LLC ( 503) 946 - 8373
MAILING ADDRESS
ELECTRICAL 1660 SW Bertha Blvd. davel®hannahslgiM EMAIL
CONTRACTOR CITY BTATC mi. FAX
Portland OR 97219 ( 503) 206 -4900
WA STATE CONTRACTOR'S LICENSE it EXPIRATION!)ATE IrEOEgAt WAY uCei v-is uctasitile S
EC HANNASS889JB 04/11 / 14
NADU PRIMARY PHONE
Hannah Sign Systems LLC ( 503) 946 - 8373
APPLICANT MAILING ADDRESS
EMAIL
1660 SW Bertha Blvd. gene®hannahsignsystems.com
or•ry STATE ZIP VAX
Portland OR 97219 ( 503) 206 - 4900
NAME PRIA :IcY PHONI �_�
M
PROJECT CONTACT Gene Clasen (503 ) 747 - 9277
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 u permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal lame regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way jw t-o any claim(inelud(ny costs,expenses,and attorneys'fees incurred in
the investigation and def nse of such claim),which ni _ made by any person,including the undersigned,and filed against the city,
but only where such ct•. arises out of the relic, , of the city, including its gfficcrs and employees, upon the aneuraeft of the
information supplied to C if
city as a part of this ,•ptioation,
SIGNATURE: DATE 08/08/2012
PRINT NAME: Davy Lanphere
33325 8ih Avenue South♦Fcdcral Way•WA•98003-6325 4 253-835-2607•lux,253-8352609•www,cityoffcdcralway.com
Bulletin#160 January 1..2011 Page 1 of 2 k: -landouts\Elcctricul Prrrnit Application
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• III Electrical
City of FederalWay Permit #: 12-103690-00-E L
Community&Econ.Dev.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
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Project Name: WALGREENS#6901
Project Address: 28817 MILITARY RI)S Parcel Number: 042104 9030
Project Description: Adding/altering(1)circuit to replace Hi-Tech electronic message center with Daktronics
`
Owner Applicant Contractor
28817 MILITARY RD S LLC HANNAH SIGN SYSTEMS LLC HANNAH SIGN SYSTEMS LLC
PO BOX 3130 1660 SW BERTHA BLVD HANNASS889JB(4/11/14)
ROLLING HILLS ESTATES CA PORTLAND WA 1660 SW BERTHA BLVD
90274 PORTLAND WA
Additional Permit Information
•
Is Use Educational or Institutional? No Service greater than 999 Amps? No
Electrical Fixtures
Circuits-Commercial 1
PERMIT EXPIRES Wednesday, February 6, 2013
,Permit Issued on Friday, August 10, 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 •IQbe iinn age an pe laws, rules and regulations of the State of Washington
ee App eral Way.
Owner or agent: Date:
AUG 102012
riAtA i \bu
c`,p r
HIS WARD IS TO REMAIN ON-SITE
AR CITY OF • Construction Infection Record
Federal'Way INSPECTION RE UTS: (253)835-3050
Q
PERMIT#: 12-103690-00-EL Address: 28817 MILITARY RD S
Project: 28817 MILITARY RD S LLC FEDERAL WAY, WA 98003-7912
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
o Pool Bonding(4195) ❑ Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
El Feeders/Sub-panels(4045) 0 Rough Electrical(4225) '❑ Ceiling Cover(4020)
Approved Approved Approved
By. . Date By Date By Date
o Final-Electrical(4055)
Approved
By 1 Date O 61/
Rough Electrical Final Electrical Right of Way
Approved ApprovedEl Approved
By Date By Date By Date