13-101598City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax (253) 835-2609
-- J
Project Name: WINCO FOODSLl
Project Address: 160 SW CAMPUS DR ts-
Project Description: Install (9) cables for self-service check out lanes.
r
Electrical
Permit #: 13 -101598 -00 -EL
Inspection Request Line: (253) 8353050
Parcel Number. 415920 0710
Owner
ARulicant
Contractor
WINCO FOODS, INC
COCHRAN INC
COCHRAN INC
PO BOX 5756
PO BOX 33524
COCHRI.088JS (4/11/14)
BOISE ID 83705
SEATTLE WA 98133
PO BOX 33524
SEATTLE WA 98133
PERMIT
I hereby certify that the above in rrect ar
the occupancy and use will ante with
and the Cit,
Owner or agent:
kr`
Octo r 8, 2013
2013
r construction on the above described property and
rules and regulations of the State of Washington
ral Way.
Date: z1111 //3
` cffyTHIS CARD IS TO REMAIN ON-SITE
Federal Way Construction Inspection Record
y INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 13 -101598 -00 -EL Address: 160 SW CAMPUS DR
Project: WINCO FOODS, INC FEDERAL WAY, WA 98023
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARS, 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)1:1Ditch
cover (40 0)
0
Slab/Concrete Floor (4255)
11
Approved
(4235)
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
Temporary Power (4275)Service
11
Right of Way
Approved
(4235)
Date
Approved
By
Date
Approved
By
Date
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
Final - Electrical (4055)
Approved
By
Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
RECEIveo
ppR 112013
CITY OF OF
w AY
Federal Warm' Foos
PERMIT NUMBER _/ � — / 6 I 51 t — / /
ELECTRICAL
PERMIT APPLICATION
SITE ADDRESS: 40 9VV QuS or.
SUITE/UNIT/ SPACE #
PROJECCTT VVA/LUUATI(O/N^J(/l
ASSESSOR'S TAX/PARC #
CURRENT/ PROPOSED USE
PROJECT NAME
1 • j�,n CO _�
� 0d',
(Tenant or Homeowner Last Name)
VV l j
V"'
WS aMM0 VAS _ 'ii
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
M Y ► O
( ) -
MAILIjNh)G ADDRESS .^
V W% U 5 , .,
E-MAIL
STATE
1 ZIP
FAX
NAME
a�n vin
PRIMARY PHONE
.MAILING ADDRESS VA n
i O va � Y e
E-MAIL
ELECTRICAL
CITYSTATE
&e U_t"v
ZIP
��3�
FAX
&%I -
CONTRACTOR
WA STATE CONTRACTOR'S LICENSE # IR� ION � � E
COC"VA SS 4
FEDERAL WAoY B SINESS LICENSE #
AAS.
NAME an '
fixAPPLICANT l awY 'n '
�p PRIMARY PHONE
- �tP
1 LING ADDRESS n �V +Iwi�
��MAIL
eaA--� V
T
STA
ZIP 91
(� FAX
PROJECT CONTACT
IMAME WlS �pWE
✓1 I� �j
PHO
VW4I(toCY Utib
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. 1 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:
PRINT NAME:
TE t/ (i/17,
Bulletin #160 —Jan uary 1, 2013 Page 1 of 2 k:AHandouts\Electrical Permit Application