15-102261 Electrical
CCommunity&Econ.of ralDev.aServices Permit #: 15-102261-00-EL
33325 8th Ave S
Federal Way,WA 98003 Request Inspection Line:
Ph:(253)835-2607 Fax(253)835-2609RISE p (253)035-3050
Project Name: HAGGEN
Project Address: 31009 PACIFIC HWY S Parcel Number 082104 9089
Project Description: Altering up to(5)circuits for track lighting relocation
Owner Applicant Contractor
ALBERTSONS LLC SEA-TAC ELECTRIC INC SEA-TAC ELECTRIC INC
C/O PROPERTY TAX 7056 S 220TH ST SEATAEI077RW(12/17/15)
PO BOX 990 KENT WA 98032 7056 S 220TH ST
MINNEAPOLIS MN 55440 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. 5
PERMIT EXPIRES Sunday, November 8, 2015
Permit Issued on Tuesday, May 12, 2015
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and t'ie 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: �,0,�� lj Date: S —l z-- 20 I S
, ...Ali,
THIS CARD IS TO MAIN ON-SITE ,
CITY°FConstruction In ection Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 15-102261-00-EL Address: 31009 PACIFIC HWY S
Project: ALBERTSONS LLC 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.
El 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) El Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
o Feeders/Sub-panels(4045) 0 Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
O Final-Electrical(4055)
Approved
By c1 Date a 1_, ,
O Rough Electrical Cl Final Electrical .� Right of Way
Approved Approved Approved
By Date By Date By Date
• •
44.LIL 1 5
CITY OF
1 ° Z (7'-
Federal Way ELECTRICALMEWED
PERMIT APPLICATION MAY 12 2015
**Most electrical permits may be obtained on-line at www cityoffed ,,,,i #6 ra , .
s#_yam ..
4 AkL
SITE ADDRESS: 31009 PACIFIC HIGHWAY S.,FEDERAL WAY 98003
SUITE/UNIT/SPACE# ASSESSOR'S TAY/MARVEL#O O CURRENT/PROPOSED USE
/ BCS.06 O S Z - C . 9
,.
PROJECT NAME
(Tenant or Homeowner Last Name) HAGGEN-FEDERAL WAY
RELOCATE EXISTING TRACK LIGHTING OVER RELOCATED PRODUCE CASES IN OPEN PRODUCE
PROJECT DESCRIPTION AREA.LIKE FOR LIKE SWAP OUT OF OLD FOR NEW MEAT CASES
Detailed description of work to
be included on this permit only 5 G Q. Gln.KL 84,6 Cb
NAME PRIMARY PHONE
PROPERTY OWNER HAGGEN-FEDERAL WAY ( ) -
MAILING ADDRESS E-MAIL
31009 PACIFIC HIGHWAY S.
CITY STATE ZIP FAX
FEDERAL WAY WA 98003 ( ) -
NAME PRIMARY PHONE
SEA-TAC ELECTRIC,INC. ( 253 ) 872 - 5553
MAILING ADDRESS E-MAIL
ELECTRICAL 7056 S.220TH ST.
CONTRACTOR CITY STATE ZIP FAX
KENT WA 98032 ( 253 ) 872 - 4112
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
SEATAEI077RW 12/ 31 / 2014 20-02-100376-00-BL
NAME PRIMARY PHONE
IAN EDMUNDS ( 253 ) 872 - 5553
APPLICANT MAILING ADDRESS E-MAIL
SAME AS ABOVE
CITY STATE ZIP FAX
( ) -
NAME PRIMARY PHONE
PROJECT CONTACT NICK BAILEY ( 253 ) 232 3004
I certify underpenalty 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 ofFederal 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 suchclaim 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: IAN EDMUNDS DATE 01/15/2015
PRINT NAME: IAN EDMUNDS
33325 8`"Avenue South•Federal Way♦WA♦98003-6325♦253-835-2607•fax:253-835-2609•www.cityoffederalway.com
Bulletin#160—January 1,2011 Page 1 of 2 k:\Handouts\Electrical Permit A