14-101911 Electrical
City of Federal Way Permit #: 14-101911-00-EL
Community&Econ.Dev.ServicesFILE
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: HOME DEPOT
Project Address: 1715 S 352ND ST Parcel Number. 282104 9008
Project Description: Lighting Retrofit.
Owner Applicant Contractor
HD DVLPMT OF MARYLAND INC ALEXANDER LIGHTING INC ALEXANDER LIGHTING INC
PO BOX 105842 2408 KINSMAN CT E ALEXALI899C8(2/28/15)
ATLANTA GA 30348 ROY WA 98580 2408 KINSMAN CT E
ROY WA 98580
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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 20
PERMIT EXPIRES Saturday, October 25, 2014
Permit Issued on Monday,April 28, 2014
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 beolnileeerdeneesiwith the laws, les and regulations of the State of Washington
and the 1, of Fe, -ral Way.
Owner or agent - IF ` Date:.111/ Zy �y
Piettit,pit
0
'MAIN ON-SITE
crry of + ..
Federal Way , Construction In ection Record
y INSPECTION REQ TS: (253)835-3050
PERMIT#: 14-101911-00-EL Address: 1715 S 352ND ST
Project: HD DVLPMT OF MARYLAND INC FEDERAL WAY, WA 98003-8316
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) 0 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) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) 0 Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
'
Final-Electrical(4055)
Approved
B Date '? 7"'/
0 Rough Electrical ❑ Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
011
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$ 8 2014 ELECTRICAL
CITY of
Federal Way CITY OF FEDERAL WAY
CDs PERMIT APPLICATION
PERMIT NUMBER / (/ - / 0 / ) / / -
SUITE/UNIT/SPACE#
SITE ADDRESS: /7/5— ,S . 3 5 /7/Z). S /
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ /� ' c _ GO - - - - -
PROJECT NAME Aiyl+�i e
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION //94 r 4m4/ i-e �^�j
Detailed description of work to / (/
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP
FAX
( ) -
NAME
PRIMARY PHONE
1P.Iea0 Cf/-- /;r.- of - (2S') YZL - 4/
I MAI�LING ADDRESS 7 -
ELECTRICAL �7e%e i6G2-S,17&4, ACicaktU <6 Adt$10Ji/fas,
CONTRACTOR CITYSTATE ZIP
I FAX
�
?8S-Cat (S4O) B 212--
WA STATE C
RACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE B
L/8 / / / -- /d 3 -640-Z
NAME PRIMARY PHONE
APPLICANT L`,,, 34L ( �3) 3�.0-6,'z ,
MAILING ADDRESS E-MAIL
9,/,42 4tCTi-- Q4aw,( 2(v14 +�f
CITY STATEZIP FAX
koy ��
,8 SS (ileo ) Raz- 2512-7----
NAME/4.1
�/eLl..._ PRIMARY PHONE
PROJECT CONTACT (2S3 ) 320 -(Q( (j
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: ' 02' !=�� DATE 2 S-
PRINT NAME: /4e/sot. etGh_
Bulletin#160–January 1,2013 Page 1 of 2 k:\1-Iandouts\Electrical Permit Application