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Home My WebLink About15-106416 • I Electrical ' C &EFco .alD Way Permit #: 15 106416 00= L Community&Econ.Dev.Services 33325 8th Ave S Federal Way,WA 98003 Inspection Request Line: Ph:(253)835-2607 Fax:(253)835-2609 p q (253)835-3050 Project Name: DAVITA REDONDO HEIGHTS Project Address: 27320 PACIFIC HWY S Parcel Number: 872992 0020 Project Description: Install low voltage emergency call system Owner Applicant Contractor KARL EDMARK JOSEPH STEVENSON STEVENSON TECHNOLOGIES INC 2701 CALIFORNIA AVE SW SUITE 124 STEVENSON TECHNOLOGIES INC STEVETI850KE(5/5/17) SEATTLE,WA 98116 2538 N NE EVERETT ST 2538 N NE EVERETT ST CAMAS WA 98607 CAMAS WA 98607 Additional Permit Information Electrical Work Valuation? 4500 Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No Service greater than 999 Amps? No Electrical Fixtures Low Voltage-Other(Commercial 1 PERMIT EXPIRES Sunday, June 26, 2016 Permit Issued on Tuesday, December 29, 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: I2"Z 9- l t iiL, /44) Es rt 4416.. • THIS CARD IS TO REIN ON-SITE CITY OF Construction Inspection Record r Federal Way INSPECTION REQUESTS: (253)835-3050 PERMIT#: 15-106416-00-EL Address: 27320 PACIFIC HWY S Project: KARL EDMARK 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) CI Ditch cover(4030) 0 Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date . . . CI Pool Bonding(4195) `0 Temporary Power(4275) CI Service(4235) Approved Approved Approved By Date By Date By Date 0 Feeders/Sub-panels(4045) 0 Rough Electrical(4225) 0 Ceiling Cover(4020) Approved Approved Approved By Date By Date By Date , Final-Electrical(4055) • Approved 1 BL.c3---------- Date v___(34/\ 0 Rough ElectricalEl Final Electrical El Right of Way Approved Approved Approved By Date By Date By Date • i RECEIVED CITY OF DEC 2 9 2015 LECTRICAL Federal Way CITY OF FEDERAL WAY PERMIT APPLICATION CDS PERMIT NUMBER ts _ l O ct I _ Q 0 l SUITE/UNIT/SPACE# SITE ADDRESS: 2:7 2.0 pAtpt ,me- sourt± PROJECT VALUATION ASSESSOR'S TAN/PARCEL# CURRENT/PROPOSED USE $ )S c)O. C)C7 Z _ O 0 PROJECT NAME S7A\ (4 (Tenant or Homeowner Last Name) Q' (Sl S PROJECT DESCRIPTION L1( tt' s/Ste`1n CN s- C o< ``vo t- t.) Detailed description of work to -i��,, v p t.,7•Ac Ca er PM G Q-Cn i✓NC y PcLL sy s TE—Ark !-ms TALL_ be included on this permit only '9F New sycmrn � l PMJ-e'1,J NAME PRIMARY PHONE PROPERTY OWNER k-ARL eptvkA42-1L ( 2-CG) 611J,j- Si MAILING ADDRESS . E-MAIL 2104 ckut F-0Q4.s1 eN SQL) I Z`- CITY STATE ZIP FAX w,A- 9R11 NAME PRIMARY PHONE CTE E /vSb.N- WOOL- /i�S c ( 3b6 )‘. - 2f2.3 MAILING ADDRESS E-MAIL pQ� ELECTRICAL �5 �� Sicv2 nu' h+lJic�J°h s�+he,A•0-1° CONTRACTOR CITY STATE ZIP FAX (MM/cs wA- ?&601 ( )— - WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# NAME `` PRIMARY PHONE APPLICANT Jp E fkAtrvsdS A-) (N6 )6;,5 5_- Z 3 MAILING ADDRESS E-MAIL 2.;373 `Il;(' `� S"� falsJ AAA IAZS M!IS CITY STATE ZIP FAX CAMAS WA– "18(,0- ( ) - NAME PRIMARY PHONE PROJECT CONTACT J67 V`.NS U (%('- )1 - 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 taws 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: DATE 121 21/1 5 PRINT NAME: ,O Z STX- Bulletin#160-January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application