13-100748 Electrical
City of Federal way Q
Community&Econ.Dev.Services ! Permit #: 13-100748-00-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: STARBUCKS#3245
Project Address: 33702 21ST AVE SW Suite D Parcel Number: 930100 0010
Project Description: Install(1) 120V 20 A circuit for future equipment
`
Owner Applicant Contractor
FRED MEYER INC LIN R ROGERS ELECTRICAL INC LIN R ROGERS ELECTRICAL INC
PO BOX 42121 2050 MARCONI DR SUITE 200 LINRRRR956B1(1/29/15)
PORTLAND OR 97242 ALPHARETTA GA 30005 2050 MARCONI DR SUITE 200
ALPHARETTA GA 30005
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
PERMIT EXPIRES Wednesday, August 14, 2013
Permit Issued on Friday, February 15, 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 be in accordance with the laws, rules and regulations of the State of Washington
See f i tof iOnal Way.
Owner or agent: Date:
FEB 15 2012
444"
THIS CARD IS TO MAIN ON-SITE
CITY OF Construction In ection Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 13-100748-00-EL Address: 33702 21ST AVE SW Suite D
Project: FRED MEYER INC FEDERAL WAY, WA 98023
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) El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
0 Pool Bonding(4195) ❑ Temporary Power(4275) El Service(4235) '
Approved Approved Approved
By Date By Date By Date
El Feeders/Sub-panels(4045) �0 Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
CI Final-Electrical(4055)
Approved
Byes Date 2✓ —2:243
Rough ElectricalEl Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
02/14/2013 THU 14: 43 FAX 7707725502 RogerZ Electric 0007/014
ti • • -
RECEIVED
CITY oP
FEB 15 2013 ELECTRICAL
Federal Way CITY OF FEDERAL WAY PERMIT APPLICATION
CDS
PERMIT NUMBER I / 1 0 0 -t g ..
SUITE/UNIT SPACER
SITE ADDRESS
3'7 oz
zi ' hit, $u7 -1
PROJECT VALUATION ANSESBOR'S TAR/PARCEL# CURRENT/PROPOSED USE
PROJECTenantorH NAME \$J C-k CDroor1%Lw1j X32 S
( orXor lAME LastNome) /Z2 Vcar, vct fir n4-P1,-.1_,
PROJECT DESCRIPTION .12ipni,u7-li
Detailed description of work to
be included on this permit only
NAMEPIONARY PHONIC
PROPERTY OWNER 1..._Slar'hr.�,...e5 Ogt79Ir -n ('f g" /675
MAMIE)ADDRESS
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WA P'r�A�CONTRACTOR'S LICENSE f _1A- 34005 EXPIRATION DATE RRDARAL(tW)WAY NI/S,675 INEW U LIMN 6 t
IMAMS G/,y�,r PNIMARY PRONE
APPLICANT a �` S WO)7
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PROJECT CONTACT '+ ,I _ Or
t cert l fy under penalty o f perjury that I am the property owner or authorised agent of the property owner.I aetti*l that to the haat
of rrw knowiedye.the injbrmatlon submitted in support of this permit application is true and correct.if certify that!will comply with
all applicabls City of Fedora!Way regulations pertaining to the work authorised by the issuance of a permit. 1 understand that the
Ise of this permit does not remove the owner's responsibility for compilation with local, state, or federal laws regulating
construction or environmental laws.
I further ayrae to hold harmless the City of Federal Way as to any claim(including costs,ycpeases,and attorneys'fears incurred in
the investigation and defense of such claim),which may he made by any person,including the undersigned,and filed against the aity,
bat only where such claim drier. out of the reliance of the city, including its officers and employees upon the accuracy of the
information supplied to the airy as a L ulthia application.
SZWiA uRE; /� TR 414 /13
is
Bulletin#160-January 1,2013 Page 1 of 2 k;U-landouts\Blectrical Permit Application