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17-105406Owner I Contractor Electrical c ay D & R ELECTRICAL CONTRACTORS Permit #:17 -105406 -00 -EL CmtyDevelop—t Det DRELEEC886PA (10/1/18) WALNUT CREEK, CA 94596-8408 33325 8th Ave S Federal Way, WA 98003 2598 SW PINE RD Inspection Request Line: (253) 835-3050 Ph: (253) 835-2607 Fax (253) 835-2609 PORT ORCHARD WA 98367 Project Name: SAFEWAY Project Address: 2109 SW 336TH ST Parcel Number: 873217 0020 Project Description: Add (1) 30A 208v circuit inside Starbucks kiosk for warming oven. Owner Applicant Contractor SAFEWAY INC STORE 3501 DAVID J HALLD & R ELECTRIC D & R ELECTRICAL CONTRACTORS 1371 OAKLAND BLVD UNIT 200 2598 SW PINE RD DRELEEC886PA (10/1/18) WALNUT CREEK, CA 94596-8408 PORT ORCHARD WA 98367-7292 2598 SW PINE RD PORT ORCHARD WA 98367 Additional Permit Information Is this an Online or O.T.C. application? .................. Yes Circuits - Commercial PERMIT EXPIRES Thu Permit Issued on Wedne I hereby certify that the above infor and the occupancy and the use Owner or agent: November, 2018 vembe18. 2017 i on the above described property and regulations of the State of �THIS CARD IS TO REMAIN ON-SITE Federal Way Construction Inspection Record y INSPECTION REQUESTS: (253) 835-3050 PERMIT #: 17105406 00 Address: 2109 SW 336TH ST Project: SAFEWAY INC STORE 3501 FEDERAL WAY WA 98023-2847 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. Q UFER Ground (4295) 0 Ditch cover (4030) © 3 Slab/Concrete Floor (4255) Approved Approved Approved Approved Approved By Approved to place concrete By Date By Date Date By Date ® Pool Bonding (4195) ® Temporary Power (4275) © Service (4235) Ceiling Cover (4020) Approved lBy Approved Approved By Date By Date By Date 90 Final - Electrical (4055) Approved By Date Feeders/Sub-paneb (4045) ® Rough Electrical (4225) ID Ceiling Cover (4020) Right of Way Approved Approved Approved Approved Approved By Date By By Date By Date 90 Final - Electrical (4055) Approved By Date Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date CITY of A Federal Way RECEIVED ELEC'T'RICAL NOV 0 8 201 PERMIT APPLICATION CITY OF FEDERAL WAY COMMUNITY DEVELOPMENT PERMIT NUMBER' _ ' R 5 q O `_ 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 suc claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information suppli the city as apart ofQthis application. SIGNATURE: DATE PRINT NAME: Bulletin # 160 — April 14, 2016 Page 1 of 1 k:\Handouts\Electrical Permit Application SUITE/UNIT/SPACE # SITE ADDRESS: ` LI) 13-31 --? ( lk�- 1�5-� ` PROJECT VALUATION $ ASSESSOR'S TAX/PARCEL ## � L 3 CURRENT/PROPOSED USE PROJECT NAME (Tenant or Homeowner Last Name) e- L'r-� PROJECT DESCRIPTION Detailed description of work to be included on this permit only NAME 5AFG"Y PRIMARY PHONE PROPERTY OWNER ( ) - MAILING ADDRESS E-MAIL CITY STATE ZIP FAX ( ) NT o )PRIMARY PHONE r 2 MAILING ADDRESS C F -MAIL ELECTRICAL i �� l �O - � col 9 CONTRACTORcI ST� ZIP '7FJ6-1 fn PA c ) WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE # NAME ` �' PRIMARY PHONE (`�n) Z� APPLICANT MAILING ADDRESS E-MAIL C STAT ZIP FAX PROJECT CONTACT NAME L PRIMARY PHONE Gp) 2? 3' 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 suc claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information suppli the city as apart ofQthis application. SIGNATURE: DATE PRINT NAME: Bulletin # 160 — April 14, 2016 Page 1 of 1 k:\Handouts\Electrical Permit Application