13-102316 • • Llecirical
aty of Community&Federal
�� Permit #: 13-102316-00-EL
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Li
Ph:(253)835-2607 Fax:(253)835-2609 ne: (253)835-3050
Project Name: RITE AID
Project Address: 2131 SW 336TH ST Parcel Number: 873217 0030
Project Description: Replace(5)T-stats,add(1)control humid sensor and replace EMS panel
Owner Applicant Contractor
RITE AID CORPORATION#5186 SEA-TAC ELECTRIC INC SEA-TAC ELECTRIC INC
PO BOX 3165 7056 S 220TH ST SEATAEI077RW(12/17/13)
HARRISBURG PA KENT WA 98032 7056 S 220TH ST
17105 KENT WA 98032
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. 1 Low Voltage-Other(Commercial 1 Thermostat. 5
PERMIT EXPIRES Sunday, November 24, 2013
Permit Issued on Tuesday, May 28, 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 w'll be in acco - -«- with the laws, rules and regulations of the State of Washington
and the City of Federal Way. G--/ //Owner or agent Date:
FINLD
' '
' THIS CARD IS TO MAIN ON-SITE ,
CITY OF41A0.„ 0 Construction In ection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 13-102316-00-EL Address: 2131 SW 336TH ST
Project: RITE AID CORPORATION #5186 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.
LIFER Ground(4295) Ditch cover(4030)0 ❑ Slab/Concrete Floor(4255)
Approved Approved to place concrete
By Date By Date
By Date
Pool Bonding(4195) ❑ Temporary
ra Power 4275 .
❑ Approved A ( )
El Service
(4235)
Approved Approved
By Date By Date By Date
Feeders/Sub-panels(4045) Rough Electrical 4225
❑ Approved ❑ g ( ) 0 Ceiling Cover(4020)
Approved Approved
By Date By Date By Date
,
❑ Final-Electrical(4055)
Approved
Date 7
•
D Rough Electrical El Final Electrical C3 Right of Way
Approved Approved Approved
By Date By Date
By Date
• ELECTRICAL;'
CITY OF
Federal Way PERMIT APPliteiliDION
PERMIT NUMBER (� _ Z I _ c 4.2 MAY 2 8 2013
CITY OF FEDERAL WAY
SUrTE/UNITBA%E#
SITE ADDRESS: 2 I 3 / 5 w 3 3 4
PROJECT VALUATION ASSESSOR'S TAX/PARCEL M
_ CVRCURRENT/PROPOSED USE
0 0
PROJECT NAME � �i
(Tenant or Homeowner Last Name) /'1 S /1 ,=;-,2 J r l T/A(P
( S ) 7-- 5 r-sx A"O Q l/
) CC) /
PROJECT DESCRIPTION //"^^ ' b S FN S O/ . • EAI
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER � rE 4, D b 5 / 8-C ( 2 S3) 95-2_- Z Sf o 3
MAILING ADDRESS E-MAIL
213 / 5L4-J
CITY STATE ZIP FAX
o �1�.• I.. ,F)/ U Z 5 ( ) -
NAME PRIMARY PHONE �-•
E A - T� C���,..,� , c_ , Aetl c. ( -25)) 172- - SSS3
MAILING ADDRESS E-MAIL
ELECTRICAL '7 o $ . Z 20 r" S
CONTRACTOR CITY STATE ZIP FAX
v.1 — 9 0 (2c ) 97 - £4 12
WA STATE CONTRACTOR'S LICENSE r EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE N!
ce- 3 - 7-7 Rv✓ 12/ o . / Zot3 2o-ot-/00376-oo klz.
NAME PRIMARY PHONE
APPLICANT /4-A• gip"'"""�'g ( 7 ) Yo6-
MAILING ADDRESS E-MAIL
cA-.-,.. 74-r
CITY STATE ZIP FAX
NAME
PROJECT CONTACNAMEPRIMARY PHONE
�usT
S ( 2S3) a6.7 - Z3r7
I certify 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 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 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: �y< � i DATE 2 Zd 3
PRINT NAME:
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application