13-102317 a
•
Electrical
City of Federal Community&Econ.Dev.Services Permit #: 13-102317-00-EL
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: RITE AID
Project Address: 32015 PACIFIC HWY S Parcel Number: 150050 0110
Project Description: Replace(3)T-stats,add(1)control humid sensor and replace EMS panel
Owner Applicant Contractor
RITE AID CORPORATION#5186 SEA-TAC ELECTRIC INC SEA-TAC ELECTRIC INC
PO BOX 3165 7056 S 220TH ST SEATAEI077RW(12/17/13)
HARRISBURG PA KENT WA 98032 7056 S 220TH ST
17105 KENT WA 98032
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 Low Voltage-Other(Commercial 1 Thermostat. 3
PERMIT EXPIRES Sunday, November 24, 2013
Permit Issued on Tuesday, May 28, 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 be1Fi ordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date: 5---/ 8//3
C )
THIS CARD IS TO ON-SITE
Federal WayConstruction In ection Record
INSPECTION REQUE TS: (253)835-3050
PERMIT#: 13-102317-00-EL Address: 32015 PACIFIC HWY S
Project: RITE AID CORPORATION #5186 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) El Service(4235)
Approved Approved Approved
By Date By Date By Date
o Feeders/Sub-panels(4045) El Rough Electrical(4225) ElCeiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
0 Final-Electrical(4055)
Approved
i .-\\-----(:....._ Date(,)--/Z( -
0 Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
• ELECTRICAL
tey' or
deral Way PERMIT Appp ICATION
IVSD
PERMIT NUMBER — 1 0 Z -' 1 — CC:" MAY 2 8 2013
CITY fuFhypeiwtyty
SITE ADDRESS: 22-
S
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ 2 coo -
PROJECT NAME
(Tenant or Homeowner Last Name) o
Aoo 6) CO2_ lf)‘"r.., . SAA,s . (3 ) 7= "ar -r,
PROJECT DESCRIPTION .E1 4-_-c � S �.�--' - .
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER � r i 14,a # 5/ 7 (2s3 ) qyr- ,0 r
MAILING ADDRESS E-MAIL
32c / S .
CITY STATE ZIP FAX
Fs o C-2 Are- .rte- u-).4 -
NAME PRIMARY PHONE
5E A - L /✓1/C. ( Z ) 117z- - S 53-3
MAILING ADDRESS E-MAIL
ELECTRICAL 7 o 5-76 S . Z 7-0 T S
CONTRACTOR CITY STATE ZIP FAX
th Q O3Z ( 2c ) v12 - s , , 2
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
p17-7 /?1" 12- o ' / Zo3 2o-o2-foo 376- oaSL
NAME PRIMARY PHONE
APPLICANT //s'„ �v"' ."',o g ( z0P) y 0G- & .
MAILING ADDRESS E-MAIL
/Ta; 74-73 •-/L'
CITY STATE ZIP FAX
NAME PRIMARY PHONE
PROJECT CONTACT
sr tis 5 « ( 2S3) a6? - z3 r7
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: �L� � DATE 4/2 Z-d r 3
PRINT NAME: 4t-Ai
Bulletin#160 -January 1,2013 Page 1 of 2 k:'Handouts\Electrical Permit Application