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16-104911City of Federal Way Community Development Dept. 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835.2607 Fax (253) 835-2609 Electrical Permit #:16 -104911 -00 -EL FILE Ins ection Request Line: 253 835-3050 P q Project Name: CELEBRATION SQUARE SUITE 103 Project Address: 1414 S 324TH ST Project Description: Install new circuit for a motori2ed blind controller Parcel Number: 150050 0080 Owner Applicant Contractor HARSCH INVEST PROPS LLC ROBERT R CHURCHILLR C ELECTRIC CO R C ELECTRIC CO LLC PO BOX 2708 LLC RCELECL021R9 (12/29/16) PORTLAND OR 97208 21010 7TH STREET CT E 21010 7TH STREET CT E BONNEY LAKE WA 98391 LAKE TAPPS WA 98391 Additional Permit Information Is this an Online or O.T.C. application? .................. Yes Circuits - Residential 1 PERMIT EXPIRES Saturday, 7 October, 2017 Permit Issued on Friday, October 7, 2016 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: � APPucMr NA s si t� 00 Py A& C rr CW Federal Way PERNUT #: 1610491100 THIS CARD IS TO REMAIN ON-SITE Construction Inspection Record INSPECTION REQUESTS: (253) 835-3050 Address: 1414 S 324TH ST Project: HARSCH INVEST PROPS LLC FEDERAL WAY WA,98003-8444 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 UFER Ground (4295) ® Ditch cover (4030) Q Slab/Concrete Floor (4255) Approved Approved Approved to place concrete By Date By Date By Date ® Pool Bonding (4195) ® Temporary Power (4275) ® Service (4235) Approved Approved Approved By Date By Date By Date Final- Electrical (4055) Approved 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 Final Electrical Right of Way Approved Approved Approved By Date By Date By Date CITY OF A Federal Way RECEIVED ELECTRICAL DCT 07 2016 PERMIT APPLICATION CW -QF �EDERAL41 AY' CDS PERMIT NUMBER _j(n _ O _ SITE ADDRESS: SUITE/UT/SPACE # L'T PR (WZCT VALUATION ASSESSOR'S ©PRC # 0 _ Q O CIIRRERT/PROPOSED USE PROJECT NAME— (Tenant or Homeowner Last Name) 11QC� 1-�� r S 6 -c -P CV PROJECT DESCRIPTION ��°` f r,_K �_u t '} a 010fz5 ► 2 ec Detailed description of work to be included on this permit only PROPERTY OWNER NAMEPRIMARY p{�+ , PHONE 7q 3ao() MAILING ADDRESS d Hl Asch Inv. 3aa�? ti t "2o S. E-MAIL STATS ZIP FAX NAME �- - � c c PRIMARY PHONE A3) &9 MAILING ADDRESS a e i E MAII rC PPCi Ccs v ELECTRICAL CONTRACTOR C� T � n �� 1 rAX ca��i� -foo WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE 12C.CLC Ccowl (4� i)�a8i�wb FEDERAL WAY BUSINESS LICENSE # lq- _jD7y?8-o6 a NAME PRIMARY PHONE APPLICANT MAILING ADDRESS E -MAD. CITY STATS ZIP FAX PROJECT CONTACT f_ NAMEI�0L �k� R019 �-�� I PRIMARY PHONIC E a53 I cert(/}] under penalty of perfurg that I am the property owner or authorised agent of the property owner. I cert(ffj that to the best of my knowledge, the ir(/ormation submitted in support of this permit application is true and correct. I cert(& that I will comply with all applicable City of Federal Walt regulations pertaining to the work authorised 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 jUrther 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 offioers and employees, upon the accuracy of the ir(/ormation supplied to the city as apart of this application. SIGNATURE: DATE PRINT NAME: PERMIT CENTER + 33325 8th Avenue South + Federal Way, WA 98003-6325 253-835-2607 + FAX 253-835-2609 + permitcenterCn),cityoffederalway.com Bulletin #160 —April 14, 2016 Page 1 of 1 k:\Handouts\Electrical Permit Application