13-105345' . ' Electrical
City of Federal Way .{{.�
Community & Econ. Dev. Services �, �. Permit #: 13 -105.1,45 -00 -EL
33325 8th Ave S
a Lt
ns
Federal Way,
WA 98003 Inspection Request Line: 253 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609 pecq
Project Name: KOHL'S AT THE COMMONS
Project Address: 2101 S COMMONS Parcel Number: 762240 0010
Project Description: Install new security alarm system
Owner
ARRlican
Contractor
KOBL'S DEPARTMENT STORE
ELECTRONIC DETECTION SYSTEMS LLC
ELECTRONIC DETECTION SYSTEMS LLC
N56 W17000 RIDGEWOOD DR
PO BOX 526
ELECTDS987DF (3/6/14)
MENOMENEE FALLS WI
WOODINVILLE WA 98072
PO BOX 526
53051
WOODINVILLE WA 98072
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes
Service greater than 999 Amps? .............................No
Electrical Fixtures
Low Voltage - Burglar Alarm (Cor 1
Is Use Educational or Institutional?.......................No
PERMIT EXPIRES Saturday, May 31, 2014
Permit Issued on Monday, December 2, 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 wil in acc dance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date: 1�= 12
THIS CARD IS TO REMAIN ON-SITE
`fr- OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 13 -105345 -00 -EL Address: 2101 S COMMONS
Project: KOHL'S DEPARTMENT STORE FEDERAL WAY, WA 98003
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CAR& 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 Pool Bonding (4195)
LIFER Ground (4295)Ditch
0
cover (4030)
1:1Approved
Slab/Concrete Floor (4255)
11
Approved
Approved
Approved
to place concrete
By
Date
By
Date
By
Date
0 Pool Bonding (4195)
Rough Electrical
Approved
0
Temporary Power (4275)Service
Final Electrical
11
(4235)
Approved
Date
Approved
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
Date
Final - Electrical (4055)
Approved
By ,.S Date . e1
Rough Electrical
Approved
1:1Approved
Final Electrical
11
Right of Way
Approved
By
Date
By
Date
By
Date
4%
CITY OF
Federal Way
PERMIT NUMBER f
ELECTRICAL
PERMIT APP�TjPN
io534soo
DEC 02 2013
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SITE ADDRESS:surrE/UNl'�/�cE
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PROJECT VALUATION
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77777!1
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CURRBAT/PROPOSED USE
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PR CT NAME
(Tenant or Homeowner Last Name)
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PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
G
PROPERTY OWNER
.
NAME
PRIBM" PHONE
( ) -
NfAWNG ADDRESS
E-KAM
CITY
STATE
ZIP
FAX
ELECTRICAL
CONTRACTOR
APIKE
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FAX
(�6�) T_ d FIS-
WA STATE CONTRACTOR'S LICENSE i EXPIRATION DATE
jE_1-AECLdZi
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
MAKE
PRIKARY PHONE
( )
NRAD.ING ADDIu=
E-N(AM
CITY
STATE
I ZIP
FAX
PROJECT CONTACT
NAME
PRUTARY PHONE
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I certVy under penalty of perjury that I am the property owner or authorised agent of the property owner. I certify that to the best
of my knowledge, the injormation 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 flied 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 apart of this application.
SIGNATURE: DATE
PRINT NAME:
Bulletin #160 -January 1, 2013 Page 1 of 2 k: HandoutsTlectrical Permit Application