15-105356 •
i
• • • Electrical
City of Federal Way Permit #: 15-105356-00-EL
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 LE
Ph:(253)835-2807 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: RITE AID
Project Address: 2131 SW 336TH ST Parcel Number. 873217 0030
Project Description: Rewire electrical service panel for exam rooms by Pharmacy
Owner Applicant Contractor
RITE AID CORPORATION LAUREN THOMAS TANDEM ELECTRIC INC
PO BOX 3165 TANDEM ELECTRIC TANDEEI044DF(3/6/16)
HARRISBURG PA 17105 5836 S 228TH ST 5836 S 228TH ST
KENT WA 98032 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 10
PERMIT EXPIRES Sunday, April 17, 2016
Permit Issued on Tuesday, October 20, 2015
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
11��
and the City of Federal Way.
Owner or agent: •At'tt��----' b I NFO ON 0---Jg Date: 11 /076
oft' ri 421FriaJ
•
• • Electrical
City of Federal Way •
Community&Econ.Dev.Services Permit #: 15-105356-00-EL
33325 8th Ave S `
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2807 Fax:(253)835 2809 p
Project Name: RITE AID
Project Address: 2131 SW 336TH ST Parcel Number: 873217 0030
Project Description: Rewire electrical service panel 4Iy\e4kAts emvu 0.000,4 >
Owner Applicant Contractor
RITE AID CORPORATION LAUREN THOMAS TANDEM ELECTRIC INC
PO BOX 3165 TANDEM ELECTRIC TANDEEI044DF(3/6/16)
HARRISBURG PA 17105 5836 S 228TH ST 5836 S 228TH ST
KENT WA 98032 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 10
PERMIT EXPIRES Sunday, April 17, 2016
Permit Issued on Tuesday, October 20, 2015
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.
Owner or agent: Date:
ONLINE
r
���� THIS CARD IS TO MAIN ON-SITE
CITY OF Construction In ection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 15-105356-00-EL Address: 2131 SW 336TH ST
Project: RITE AID CORPORATION 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.
❑ UFER Ground(4295) 0 Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
❑ Pool Bonding(4195) ❑ Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
'
❑ Feeders/Sub-panels(4045) *❑ Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
ByQJ Date '` . . ( ' .By IA/6 Date ll 12415- By 1- Date 1 'c---
.10 Final-Electrical(4055)
Approved
Date t l,'
Cl Rough ElectricalCI Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
i
RE�IVED
car or ; FEB 07 2013 PERMIT PPLICATION
Federal Way
CITY OF FEDERAL WAY
CDS
PERMIT NUMBER i _ 1. 0 0 (OI. 2 _ o 0
TARGET DATE
SITEEE AJD,DRESSS '/J��(.��) SUITE/UNIT 4
PROTECT .rs t s.,76$4,ZONING .- I /ASSESSOR'S /P"- - ' `r.-3
$ 3/&DO B` _2 I 2 - Q Q 3 Q
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING„RE PREVENTION
NAME OF PROJECT / ,Le i4/ 78'6.
PROJECT DESCRIPTION ``// if
Detailed description of work to it 1i evii ki-- letle do)--landle4Cs
be included on this permit only
NAME rRDetwwRv PHONE
PROPERTY OWNER ( )//O
MAA D ac .3/4,sTAD
cITYi e ZIPl /Q�
NAME .....1.3
1r-es+ t#✓ PHONE '
l 11 335"-IMVS”
MAILING ADDRESS ..---
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CONTRACTOR &7.3/J /S.+golf G. - e CeR,f 0'(� vM-_ '`.1
? AX 40
Mere. 1 i,4.- STATEB ald �rfa0►'- f-014
WA STATE COINTRAC
/ TOR'S LICENSE 4�� a-/EXPIRATION
/4-",DATE
/ICI FEDERAL WAY BUSINESS LICENSE 4
NAMEii0 ..• u )# Z5 z - 3 4l PRIMARY lmom
-38" /
APPLICANT MAILING AD. :: i .
CITY 4004 XL S IGH 9O F All '..eg7. . ` i
N PRIMARY PHONE ��/
PROJECT CONTACT gu4Aki--- yGi‹",ID X54 7/
(T •
•
respond
individual to receive and MAILINDi t.�. '��se , �✓cci_N�,A ` *edit
respond to all correspondence owl/ iii
concerning this application) mu STA ZIP FA7I
•�l�.4s L - 18 S3S-Y76c
NAME
PROJECT FINANCING OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
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
ail 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 clai • arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to tI ity as a part of this application. e�
SIGNATURE: ,ata' elle"%••••
DATE e '-7—/.3
PRINT NAME: fiJ. i 4-----
Bulletin#100-January 1,2013 Page 1 of 3 k:\Handouts\Pernut Application