HomeMy WebLinkAbout15-100660City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003 FILE
Ph: (253) 835-2607 Fax (253) 835-26M
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. Xle trical
Permit #: 15 -100660 -00 -EL
Inspection Request Line: (253) 835-3050
Project Name: LATITUDE CONDOM NIUMS - LEASING OFFICE
Project Address: 33020 10TH AVE SW
Project Description: Electrical for replacing HVAC, Furnace and A/C unit swap.
Parcel Number. 420500 0000
Owner
LATITUDE CONDONIINIUMS
BURRIS ELECTRIC LLC
Contractor
BURRIS ELECTRIC LLC
14917 82ND AVE NW
BURRIEL923DL (3/16/16)
GIG HARBOR WA 98329
14917 82ND AVE NW
GIG HARBOR WA 98329
PERMIT EXPI
Permit Issued o
I hereby certify that the above infor
the occupancy and the use will be
4.
Owner or agent:
Alond , August 10, 2015
do ay, February , 2015
0
that the nstru n the above described property and
it
the laws, rul ulations of the State of Washington
City of Federal
alt:, Date: 2 l�
cffycwv:&�THIS CARD IS TO REMAIN ON-SITE
Federal Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 15 -100660 -00 -EL Address: 33020 10TH AVE SW
Project: LATITUDE CONDOMINIUMS FEDERAL WAY, WA 98023
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)11
Ditch cover ( 30)
Temporary Power (4275)
Slab/Concrete Floor (4 55)
Q
Approved
Service (4235)
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
1:1Approved
Temporary Power (4275)
Q
Right of Way
Service (4235)
Date
Approved
By
Date
Approved
By
Date
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
Final - Electrical (4055)
Approved
By
Date
Rough Electrical
Approved
1:1Approved
Final Electrical
1:1Approved
Right of Way
By
Date
By
Date
By
Date
CITY OF 'A
Federal Way
pXe"eD ELECTRICAL
FEB 112015 PERMIT APPLICATION
CITY OF FEDERAL WAY /
PERMIT NUMBER
SITE ADDRESS: `3 3 0 Z U 10 +LA 4v -f— 5,,j r A,cr,-A- 1 w
SUITE/UNIT/SPACE#
PROJECT VALUATION
ASSESSOR'S TAR/PARCEL #
CURRENT/PROPOSED USE
$ 3>0, —]
`� 2_0 4 U- O G o CD
PROJECT NAME
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(Tenant or Homeowner Last Name)
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PROJECT DESCRIPTION
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Detailed description of work to
be included on this permit only
NAME / `
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PRIMARY PHONE
PROPERTY OWNER
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( ) -
MAILING ADDRESS
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E-MAIL
CITY
�STATE
ZIP
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FAX
( )
NAME
PRIMARY PHONE
MAILING ADDRESS� � � �
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E-MAIL
ELECTRICAL
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CITY� / / /
STATE
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FAX
CONTRACTOR
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
1 21 EG Z3 P& l�o
NAME
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PRIMARY PHONE
( ) -
APPLICANT
MAILING ADDRESS
E-MAIL
J
CITY STATE
ZIP
FAX
( )
PROJECT CONTACT
NAME
PRIMARY PHONE
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 ci art of this application.
SIGNATURE: DATE
PRINT NAME: -5+'e- V`"
Bulletin # 160 — January 1, 2013 Page 1 of 2 k:\I-Iandouts\Electrical Permit Application
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