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HomeMy WebLinkAbout15-101248 i r • 41Ik - 4 Electrical City of Federal Way Permit #: 15-101248-00-EL Community&Econ.Dev.Services 33325 8th Ave S F I LE Federal Way,WA 98003 Inspection Request Line: 253 Ph:(253)835-2607 Fax:(253)835-2609 p q ( )835-3050 Project Name: DR MEYERS-POWELL Project Address: 33915 1ST WAY S Unit 204 Parcel Number: 926504 0150 Project Description: Electrical demo to remove all circuits from admin office and intall new 100amp 208v subpanel. All lighting to remain. Owner Applicant Contractor CUNA MUTUAL INVESTMENT CORP Superior HVAC&Electrical SUPERIOR HVAC&ELECTRICAL 5910 MINERAL POINT RD 14900 INTERURBAN AVE S (ELECTRICAL) MADISON WI 53701 SEATTLE WA 98022 SUPERHE869LQ(6/18/16) 14900 INTERURBAN AVE S SEATTLE WA 98168 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 Alt.Srvc/Feeder 0 to 200 amps(C 1 PERMIT EXPIRES Wednesday, September 9, 2015 Permit Issued on Friday, March 13, 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 an City of Federal Way. Owner or agent: Date: 3- 13- 1 9NALED THIS CARD IS TOr.ON-SITE ' f Construction In ection Record Federal Way INSPECTION REQUE TS: (253)835-3050 PERMIT#: 15-101248-00-EL Address: 33915 1ST WAY S Unit 204 Project: CUNA MUTUAL INVESTMENT COF 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. 0 LIFER Ground(4295) El Ditch cover(4030) 0 Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date El Pool Bonding(4195) 0 Temporary Power(4275) ❑ Service(4235) Approved Approved Approved By Date By Date By Date . . 0 Feeders/Sub-panels(4045) ' ❑ Rough Electrical(4225) 0 Ceiling Cover(4020) Approved Approved Approved B2, Date 4_Cyl_(�, By Vol) Date 3 I I 1 s $y��� Date L�,_k_ El Final-Electrical(4055) Approved Bye Date _ O—(„c.------- 0 Rough ElectricalEl Final Electrical Right of Way Approved Approved Approved By Date By Date By Date fRECEIVED E CTRICAL CITY OF Federal Way MAR 13 2015 PERMIT APPLICATION CITY OF FEDERAL WAY r PERMIT NUMBER 1 5. _ / _65ilj v r7 _ E-L___ �+^ 'sr ll� 5. ep L, 1 4806 SUITE/UNIT/SPACE# SITE ADDRESS: 3'�g J b`r 1J� A/ ao ti PROJECT VALUATION/ ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED� USE 'T IO, OOV.4 _ cF I C. - PROJECT NAME 'DX(Tenant or Homeowner Last Name) DPtVEl?-15"'P000'ELL... .2 - At t-s V,t-n' J L+EC -P. c At_. PROJECT DESCRIPTION c.3 At►t- c RCA,I -5 f: c bpike..E Detailed description of work to . „� � NS lEI Ob A Z04aki Sob p,2„ be included on this permit only A,...L. I.. 4 $N%,_,. +t5 a.ct_k_AiettN1 NAME PRIMARY PHONE PROPERTY OWNER (V°.-j- m 0 TU 01 L _.).�\�h,,?,Ylv4 ( ) MAILING ADDRESS (�r� E-MAIL CITY STATE ZIP FAX ( ) - NAME1 PRIMARY PHONE ir S�p�.r"tOR NvIAC.- EL—. cP4-_ (ZO(p)y57 - wall, MAILING ADDRESS E-MAIL ELECTRICAL 11000 . 4T ,VR,gAN) Au E. S. ISAACT€,.Sup..rlcgUvAC-EL CONTRACTOR CITY STATE ZIP FAX TKw 1(..-ip• tr3A 9$1(0 8 (Z.OV) 67y - 'PM? WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# NAME PRIMARY PHONE -.' S AA f Tsh (is3)(09/ - &7b0 APPLICANT MAILING ADDRESS iL y16O S'SAAC'T•, H �..�-Q.✓)�-SaN A4E.s. ,Ea vac..-ELEC..an CITY STATE ZIP FAX lri.aberA t l...A LIMN wA Pal b 8 _( ) - NAME*+�',C _ L,�(�` .LC PRIMARY PHONE PROJECT CONTACT -• "y7�.j]_ � _ ^ � `r c-�,,,�,5 (T-�) 9103 - 36743 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 Iaws 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 o this application. (---- SIGNATURE: _- '?DATE 1 �/r 1 PRINT NAME: raj Palc._ -17-151--> 151/1 Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application