12-104745 • • . Electrical
City of FederalWay Permit #: 12-104745-00-EL
Community Econ.& D Dev.Services
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: ROSS DRESS FOR LESS
Project Address: 32075 PACIFIC HWY S Parcel Number: 150050 0110
Project Description: Low voltage wiring for voice&data.
Owner Applicant Contractor
ROSS DRESS FOR LESS INC MCGILL ELECTRIC MCGILL ELECTRIC
4440 ROSEWOOD DR 9508 WOODWORTH AVE MCGILE*908NR(8/19/14)
PLEASANTON CA 94588-3050 GIG HARBOR WA 98332 9508 WOODWORTH AVE
GIG HARBOR WA 98332
Additional Permit Information
Is Use Educational or Institutional? No Service greater than 999 Amps? No
Electrical Fixtures
Low Voltage-Other(Commercial 1
PERMIT EXPIRES Sunday, April 14, 2013
Permit Issued on Tuesday, October 16, 2012
I hereby certify that the abo - in •rmation is correct and that the construction on the above described property and
the occupancy and the u--- wi be in acc• •a e with the laws, rules and regulations of the State of Washington
�:n,fthe Ci• if Federal Way.
Owner or agent: I / Date: EE'`6
n � � 1O((qtt
FIh
• THIS CARD IS TO MAIN ON-SITE ,
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CITY OF - Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 12-104745-00-EL Address: 32075 PACIFIC HWY S
Project: ROSS DRESS FOR LESS INC 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.
❑ UFER Ground(4295) 0 Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
O Pool Bonding(4195) ❑ Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
❑ Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
0 Final-Electrical(4055)
Approved
BY' e S Date \ a— (1--l7.....
Rough Electrical Final Electrical •ID
Right of Way
ElApproved ElApproved Approved
By Date By Date By Date
Iv _ / 6 4/' 7 c4,5"
CITY Of \..� •
Fed '�-: ELECTRICAL
cA 16 201 PPPRMIT APPLICATION
EDEov.w
t electrical permits may be obtained on-line at www.cityo ederalway.com**
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SITE ADDRESS: 2� b 7 / ( r �( � i r * /
SUITE/UNIT/SPACE# ASSESSOR'S TAX/P -I EL# CU• -•NT/PROPOSED USE
s
y � r
PROJECT NAME
(Tenant or Homeowner Last Name) l'Idli S (02-3_..S`-1,-02
sigonrimI
402580
PROJECT DESCRIPTIONi
Detailed description of work to ,�'--" - �>ll______irk.-.�
be included on this permit only
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PROPERTY OWNER
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11/IPMrAMFALIIIIE4enra/ PRIMARY PHONE
MAILING ADDRESS / E-MAIL
CITY STATE
FAX
I i i 1 I P.1 In IVAl 1 M PRIMARY PHONE 7
MAILING ADDRESS VI
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CONT- • •l••
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2I; FAX
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WA STATE CO R'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
/ // ' / /-- - ----- —PRIMARY PHONE
APPLICANT liiirJ ( ) —
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 •7' less the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in
the investigation and def -of such claim), which may be made by any person,including the undersigned,and filed against the city,
but only where such c • • ses out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied ity as a p• of this application.
I
SIGNATURE: �P�_III' DATE i `' — (2—
PRINT NAME: J 'r ' ,'" i 7
33325 8th 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 Application