19-101207f f�f 1
City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Electrical
Permit #:19 -101207 -00 -EL
Inspection Request Line: (253) 835-3050
Project Name: COSTCO GAS STATION
Project Address: 35100 ENCHANTED PKWY S Parcel Number: 219260 0180
Project Description: Replace fill sump sensors with factory same.
Owner
Applicant
Contractor
COSTCO WHOLESALE CORP
MARK VIGILS M E SOLUTIONS LLC
S M E SOLUTIONS LLC (ELECTRICAL)
999 LAKE AVE DR SUITE 201
10107 SOUTH TACOMA WAY SUITE 2
SMESOSL931K1 (5/21/19)
ISSAQUAH WA 98027
TACOMA WA 98499
2302 "A" ST
TACOMA WA 98402
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
f333 Pf - -s 3 3 M3
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PERMIT EXPIRES Saturday, 14 March, 2020
Permit Issued on Friday, March 15, 2019
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 be in accordance with the laws, rules and regulations of the State of
Washington and the City of Federal Way. 1 q
Owner or agent: Date:
f" •1
THIS CARD IS TO REMAIN ON-SITE
FFrte' 4&.
Construction Inspection Record
Pdi W INSPECTION REQUESTS: (253) 835-3050
I_' _ Lut_I!_
Project:
19101207 00 Address: 35100 ENCHANTED PKWY S
COSTCO WHOLESALE CORP FEDERAL WAY WA 98003
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.
®
UFER Ground (4295)
El
Ditch cover (4030)
®
Slab/Concrete Floor (4255)
Approved
IBY
Approved
Approved to place concrete
By
Date
By
Date
By
Date
0
Pool Bonding (4195)
El
Temporary Power (4275)
®
Service (4235)
Approved
Approved
Approved
By
Date
By
Date
By
Date
0
Feeders/Sub-panels (4045)
®
Rough Electrical (4225)
®
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
10 Final - Electrical (4055)
Approved
By Date —101
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
RECEIVED
CITY OF MAR 15 2019 ELECTRICAL
Federal Way C(TYOFFEDERpLyypY PERMIT APPLICATION
COMMUNrTy DEVELOPMENT
PERMIT NUMBER _ / ( Z O / _ v
SITE ADDRESS: 3s t o E Nc ►a 1-rt�YJ P kw� ( r-�a t wPC t w r�
SUITE/UNIT/SPACE M
PROJECT VALUATION
ASSESSOR'S TAX/PARCEL N
CURRENT/PROPOSED USE
1500. 60
l '21
PROJECT NAME
(Tenant or Homeowner Last Name)
0
9-tp�-RC�K I -I L -L VVIP S''JS a'A-S w "TNI
C S
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIINARY PHONE
PROPERTY OWNER
Los i Cb
(1 2-5) 31 3 - e) Leu
MAILING ADDRESS
E-MAIL
C4C4Cj LAW- D(2
-
CITY
STATE
ZIP
FAX
NAME
PRIMARY PHONE
S(nn5- SoLvTNOQJ LLC
(253) 512- 39'2-2-
922MAILING
MAILINGADDRESS
E-MAIL
ELECTRICAL
1 0l 01 A -1
rr a&v e- sot�s�,dv`s.
CITY
LIA�r'wobKJ
STATEZIP
UUA
RQ)14 `t 01
FAX
( ) -
CONTRACTOR
WA STATE CONTRACTOR'S LICENSE X EXPIRATION DATE
SM1 -S05 LCl� V -i OS /21 / 1
FEDERAL WAY BUSINESS LICENSE M
Zb-6'l l(71119-b6'IBL
NAME
PRIMARY PHONE
APPLICANT
PA A -V -Y- U l U k L
(253) (,Q& - J S �j - 7
MAILING ADDRESS
10 10 l T1-+Cor)Aj} wA%( A-2
E-MAIL
CITY
(LAV-
STATE
ZIP
FAX
PROJECT CONTACT
NAME
Lk -A -,Ry U -A LVON
PRIMARY PHONE
( 253) i -f ifi - '2 cod S
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 ir{formation 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 suppjiedjo the city as apart of this appliccAion.
SIGNATURI
PRINT NAM
PERMIT CENTER + 33325 8th Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenter(acityoffecleralway.com
Bulletin 4160 — April 14, 2016 Page 1 of 1 k:\Handouts\Electrical Permit Application
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