13-103958 t r . I ,
- Electrical
CCommunty&E��oev�Sern-ces Permit #: 13-103958-00—EL
33325 8th Ave S
Federal way,WA 98003 Inspection Request Line: (253)
Ph:(253)835-2607 Fax:(253)835-2609 P q 835-3050
Project Name: 7-ELEVEN#26268
Project Address: 28719 MILITARY RD S Parcel Number: 332204 9161
Project Description: Adding/altering up to(6)ciruits for point of sale area
`
Owner Applicant Contractor
THE SOUTHLAND CORPORATION POWERHOUSE RETAIL SERVICES INC POWERHOUSE RETAIL SERVICES INC
PO BOX 711 812 SOUTH CROWLEY RD SUITE A POWERRS877DQ(3/18/15)
DALLAS TX 75221 CROWLEY TX 76036 812 SOUTH CROWLEY RD SUITE A
CROWLEY TX 76036
• ,
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 6
PERMIT EXPIRES Su ay! ch 2014
Permit Issued on Tu 4,% • ember 2013
I hereby certify that the above information is ect/� ,: theproperty
nst on the above describedand
the occupancy and the use will be in accordanc wit e laws, a regulations of the State of Washington
and th ' of Federa AI-y.
/ /
Owner or agent: /a' ,_ _/,i&J ,A Date: 9 /0 l 3
.../
$4.drb
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Nri7 1
r
CITY OF
Federal Way
ELECTRICAL
PERMIT AFP R��CEWN
PERMIT Numan I/ �3 0159 CC)
SEP 0.6 2013
I certVy under penalty o f pedury that I am the property owner or anthorixed agent of the property owner. Z eertVy, that to the best
of my knowledge, the information Submitted to support of this permit application is true and correct. I certify that Z will comply arm
all applicable City of Federal Wag regulations pertaining to the work authorized by the issuance of a permit. Z 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 taws.
I further agree to hold harmless the City of Federal Way as to any claim /including costs, eaqsenses, and attorneys' fear incurred in
the investigation and defense of such Blain* which may be made by any person, inchtdin g the undersigned, and filed against the eitlti
but only where such claim arises out of the reliance of the city, including its ofileers and employees, upon the accuracy of the
iVermation supplied to the city as- apart of this application.
SIGNATURE: { ..w( _ DATE 8/29/2013
PRINTNAPSEt Curtis Wood
Bulletin #160 -- January 1, 2013 Page 1 of 2 kAHandoutsTlectrical Permit Application
SQPT 1UM/iiiWz-
SITE ADDR S: 28719 MILITARY RD S
PROJECT VALUATION
1,500
ASSESSOR'S TAX/R//PARCZL # �
_% 3 (� 7j O -►► `F'
— —
MMUNTIPAO QBE
Mercantile
PROJECT NAME
genantOrHomeowner Last Name)
?-Eleven Store #26268
PROJECT DESCRIPTION
Installing 4-6 electrical outlets at an existing 7 -Eleven at the point
of sale area for future use.
Detailed description ofwork to
be included on this permit only
NAM
PFJMAW FROM
PROPERTY OWNER
7 -ELEVEN, :,,IN.C..,
828
97-2 ) - 7011
uAUMO ADDRESS
WMAIL
1722 ROUTH STREET, #1000
CITY
STATE
ZM
FAX
Dallas
TX
75201
) _
NADIR
Powerhouse Retail Services, Inc
PRAtARY P
817 ) 297-8575
MUMO ADDRESS
Eaten.
ELECTRICAL
812 SOUTH CROWLEY ROAD, SUITE A
crry
STATZ
M
FAX
CONTRACTOR
CROWLEY
TX
I
76036
817 2978576
VATS
WA STATE CONTRACTOWS LICEKSZ # EYtMA!30!
1?DBRAI. WAY EUSUMIS LMS #
POWERRS883KA 4 //2014
TBD
APPI�CANT
SAUE
Curtis Wood
PRI19AR4 rooms
817 297-8575
MAIL]NO ADDRESS
wum
1722 ROUTH STREET, #1000
CMR
STATL
zn,
- 'TAE
Dallas
TX
75201
( 817) 297_8576
PROJECT CONTACT
XAME
Daniel Savage
PRIG ARY PROKS
770 ) 433 - 0169
I certVy under penalty o f pedury that I am the property owner or anthorixed agent of the property owner. Z eertVy, that to the best
of my knowledge, the information Submitted to support of this permit application is true and correct. I certify that Z will comply arm
all applicable City of Federal Wag regulations pertaining to the work authorized by the issuance of a permit. Z 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 taws.
I further agree to hold harmless the City of Federal Way as to any claim /including costs, eaqsenses, and attorneys' fear incurred in
the investigation and defense of such Blain* which may be made by any person, inchtdin g the undersigned, and filed against the eitlti
but only where such claim arises out of the reliance of the city, including its ofileers and employees, upon the accuracy of the
iVermation supplied to the city as- apart of this application.
SIGNATURE: { ..w( _ DATE 8/29/2013
PRINTNAPSEt Curtis Wood
Bulletin #160 -- January 1, 2013 Page 1 of 2 kAHandoutsTlectrical Permit Application
THIS CARD IS TO REMAIN ON-SITE
CITY OF - Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 13-103958-00-EL Address: 28719 MILITARY RD S
Project: THE SOUTHLAND CORPORATION FEDERAL WAY, WA 98003-3332
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.
O UFER Ground(4295) ❑ Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
O Pool Bonding(4195) Ei Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
O Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
O Final-Electrical(4055)
Approved
By Date
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date •
Aki. CITY OF Building Division
33325 Eighth Avenue South
Federal lIlIay Phone 253-835-2607 Fax 253-835-2609
CORRECTION NOTICE
ADDRESS: i' -z 1 VtitH-e PA). s• PERMIT#: 13' 1°3 - 00
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IF YOU HAVE QUESTIONS CALL (253) 835- 2C,23
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE-INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS.
V0t13
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE
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