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Home My WebLink About15-101974 Electrical City of&Federal.Dev. y S Permit #: 15-101974-00-EL Community&Econ.Dev.Services 33325 8th Ave S Federal Way,Fax 98003 Inspection Request Line: (253) 835-3050 Ph:(253)835-2607 Fax:(253)835-2609 p q Project Name: LAKEHAVEN UTILITIES-WATER SHOP BUILDING Project Address: 31623 1ST AVE S Parcel Number: 072104 9017 Project Description: Run electrical for(2) readers and (2)operators plus control circuits. Owner Applicant Contractor LAKEHAVEN UTILITY DISTRICT GARY COOK OWNER IS CONTRACTOR PO BOX 4249 LAKEHAVEN UTILITY DISTRICT FEDERAL WAY WA 98063 3203 S DASH POINT RD FEDERAL WAY WA 98023 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 4 PERMIT EXPIRES Tuesday, October 20, 2015 Permit Issued on Thursday, April 23, 2015 I hereby certify that the above information is correct ..,„that the construction on the above described property and the occupancy and the use will be in accordanc= he laws, rules and regulations of the State of Washington a = 'i •f Federal Way. Owner or agent: �� Date: t i r DATE INSPECTOI ) AREA AND TYPE (INSPECTION aU ..m.,, .,'"-41A4,. THIS CARD IS TO .MAIN ON-SITE "TM OF 110 Construction In ection Record Federal Way INSPECTION REQUE TS: (253) 835-3050 PERMIT#: 15-101974-00-EL Address: 31623 1ST AVE S Project: LAKEHAVEN UTILITY DISTRICT 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) ❑ Ditch cover(4030) ❑ Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date '1. I ZZ I IS By Date o Pool Bonding(4195) ❑ Temporary Power(4275) ❑ Service(4235) Approved Approved Approved By Date By Date By Date ❑ Feeders/Sub-panels(4045) ❑ Rough Electrical (4225) ❑ Ceiling Cover(4020) Approved Approved Approved By Date By Date By Date o Final-Electrical(4055) Approved B 5. _ Date ck _ l— I S— ❑ Rough ElectricalCI Final Electrical El Right of Way Approved Approved Approved By Date By Date By Date , •EIVED • CITY OF 1‘,P.- 2 3 2015 ELECTRICAL Federal Way CITY OF FEDERAL WAY PERMIT APPLICATION CDS C - 10 ( 97 - �- PERMIT NUMBER 1 SUITE/UNIT/SPACE# SITE ADDRESS: 3,6 / S� „4-/_/i-_ PROJECT VALUATION ASSESSOR'S TAX/PARCEL# ( CURRENT/PROPOSED USE $ 3),0z2 02 A ( - d ( PROJECT NAME (Tenant or Homeowner Last Name) e1,1)4.-/�� f 2'' PROJECT DESCRIPTION 2 cAg',2.---7!�� ,-,e9.4‘.<5 Ce9/1/17e'`it.:-' Detailed description of work to (-7.4 v?C r/s i7 be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER Z-V)164/141-v2v 77‘-, ,7y 9/Si (Z)-39y/-/576i MAILING ADDRESS E-MAIL z'v 67akje CITY STATE ZIP FAX G✓4- ilece5 ( ) NAME PRIMARY PHONE MAILING ADDRESS E-MAIL ELECTRICAL CONTRACTOR CITY STATE ZIP FAX ( ) WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# ._.. NAME PRIMARY PHONE APPLICANT < `` (2) 9rf r rMAILING ADD S E-MAIL 3 5 ;v � 1� CITY STATE ZIP FAX 6J ' 61,9- �/�023 ( S)f>%2-�"7 NAME PRIMARY PHONE PROJECT CONTACT ,n «lam (2-F3) -6665 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 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 ••rt •f this application. SIGNATURE: �-.1d /L DATE PRINT NAME: / %� C'eXEC., Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application