17-105317 s
Electrical
City of Federal Way Permit #:17-105317-00-EL
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax (253)835-2609
Project Name: WALMART STORE&AUTO CENTER
Project Address: 1900 S 314TH ST Parcel Number: 092104 9125
Project Description: Electrical wiring to upgrade panel and wire(6)annunciators at front entry of store.
,
Owner Applicant Contractor
WAL-MART PROPERTY TAX DEPT MARK SHAWLOW VOLTAGE LOW VOLTAGE SECURITIES INC(06)
PO BOX 8050#MS 0555 SECURITIES INC LOWVOVS955D2(3/22/19)
BENTONVILLE AR 72712 21805 116TH ST CT E
BONNEY LAKE WA 98391 PO BOX 7522
BONNEY LAKE WA 98390
Additional Permit Information
'Is this an Online or O.T.C.application? Yes
_ ;� Peet ---1 F.Xtll['L'S 74 ' r ry ,�r ,
Low Voltage-Fire Alarm(Co 1
PERMIT EXPIRES Saturday,3 November,2018
Permit Issued on Friday,November 3,2017
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
Washi on and the City of Federal Way.
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Owner
ora agent:
�`"s' Date:
' THIS CARD IS TO REMAIN ON-SITE
cnvo Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 17 105317 00 Address: 1900 S 314TH ST
Project: WAL-MART PROPERTY TAX DEPT FEDERAL WAY WA 98003-4917
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) ® Ditch cover(4030) ® Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
❑ Pool Bonding(4195) ® Temporary Power(4275) ® Service(4235)
Approved Approved Approved
By Date By Date By Date
r
❑ Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020)
Approved Approved Approved
By Date , By Date By Date
I Final-Electrical(4055)
Approved
By .ii,„\j.,^-- Date 1 4 1 k ,...i--
r
0 Rough Electrical ❑ Final Electrical ❑ Right of Way
Approved Approved Approved
By Date By Date By Date
CITYOF • ELECTRICAL
Federal Way PERMIT AICATION
- I
05 3i, � NOV 0 3 201?
PERMIT NUMBER CITY OF FEDERAL
COMMUNfTy DEVELOPMENT
SUITE/UNIT/SPACE#
SITE ADDRESS: GO S 1411-
PROJECT
VALUATION ASSESSOTAX/PARCEL# CURRENT/PROPOSED USE
O 1".
-
PROJECT NAME /
(Tenant or Homeowner Last Name) Ww(A46.-IC
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/✓t S? /( til ¢ (/) -1 , (ev vi a N vl �t 1/I G/CX 1 0 r 6 'F
PROJECT DESCRIPTION -I &4 \Y.
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER q,, $ ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
4-O J (4(. e SEG u 77 2nvC . )36"' /if 39
MAILING ADDRESS / E-MAIL
ELECTRICAL Z/205- /l 4-47 �'�. Com. /""'1 ZC L'vs®y4f{'D 0.cos7
CONTRACTOR CI STATE ZIP FAX
,/ ,‘/14'21( 61(ct IA/4- c7rJ? ( ) -
WA STATE C NTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
-O 00 S q 5Co 2 3 / 3/ //'
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS ( ) E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
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PROJECT CONTACT ,, L .cf./4-W (Z53 ) /`14.39
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 jplication.
SIGNATURE: DATE /1/44.9—
PRINT
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Bulletin#160-January 1,2013 Page 1 of 2 k:AHandouts\Electrical Permit Application