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13-100149City of Federal Way Community & Econ. Dev. Services 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835 -2607 Fax: (253) 835 -2609 0 Vlectrical Permit #: 13- 100149 -00 -EL Project Name: GROUP HEALTH CLINIC - IT ROOM UPGRADE Project Address: 301 S 320TH ST Inspection Request Line: (253) 835 -3050 Parcel Number. 172104 9105 Project Description: Install low voltage for HVAC energy management controls for associated tenant improvement Owner Annlicant Contractor GROUP HEALTH COOP EPIC ELECTRIC INC EPIC ELECTRIC INC 12501 E MARGINAL WAY S PO BOX 357 EPICEI *033LF (6/6/13) TUKWILA WA 98168 SNOHOMISH WA 98291 PO BOX 357 SNOHOMISH WA 98291 Additional Permit Information Is this an Online or O.T.C. application ? .................Yes Service greater than 999 Amps? .............................No Low Voltage - Other (Commercial 1 Is Use Educational or Institutional?, ...................... No PERMIT EXPIRES Tuesday, July 9, 2013 Permit Issued on Thursday, January 10, 2013 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the u be in accordanc laws, rules and regulations of the State of Washington e of Federal Way. Owner or agent: Date: O 1 1 o t `l7 �r , c / THIS CARD IS TO .MAIN ON -SITE CITY OF • Federal Way Construction In ection Record y INSPECTION REQ TS: (253) 835 -3050 PERMIT #: 13- 100149 -00 -EL Address: 301 S 320TH ST Project: GROUP HEALTH COOP FEDERAL WAY, WA 98003 -5200 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. LIFER Ground (4295) 0 Ditch cover (4030) Final Electrical Approved lab /Concrete Floor (42 5) Approved By Approved Approved to place concrete By Date By Date By Date Pool Bonding (4195) Temporary Power (4275) Final Electrical Approved Service (4235) By Approved Approved 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 Date _5T Rough Electrical Approved Final Electrical Approved Right of Way —� Approved By Date By Date By Date CITY OF Federal Way ELECTRICAL PERMIT gf�JFATION Prmur Numm 1.3 - (0014q-co JAN 10 2013 f'"TTV (W 9;Gr%r -DA1 WAV SITE ADDRESS: 69hi/UNIT/SPACE # VVj��E� PROJECT VALUATIOl- ASSESSOR'S TAX/PARCEL i CURRENT /PROPOSED USE PROJECT NAME GRou Q F�'PrL� CcioPFzJ�T� (Tenant or Homeowner Last Name) Lo t-� J a — RVA- C �- PROJECT DESCRIPTION Detailed description of work to,tiiZ(Le](„S be included on this permit only PROPERTY OWNER NAME & (2c)v P PRIMARY PHONE E ) - WAILING ADDRESS -- E -MAD. 30 s©L),>-c 3245-- s-n CITY FEVEVA-L- w �y STATE u-)A ZIP FAR NAME f—:-Pt C C 1 PRIMARY PHONE GZS - SR S- MAILING ADDRESS P o (3c X 2 �S E ,NAIL ELECTRICAL < tCL�CG�ri CITY STATE L Jr A z>P ` 8 29 FAB (3 ) 5-4.S - �?8 5- CONTRACTOR WA STATE CONTRACTOR'S LICENSE i EIIPUUTION DATE e� P a. C a Z 33 Ls::`7 i FEDERAL WAY SIISU SS LICENSE � NAME .S-TAE .�� w rJ PRIMARY PHONE (i{2S) 3q 3 - Gk S APPLICANT MAILING ADDRESS Ro. god 35-7 ic��e �� @gol.0 CITY .5�so►(ar�iS( -E STATE I WA ZIP GI `821 I 11A% ( 366 ) 5$- Sz?$S PROJECT CONTACT NAME t5"l'�j F= � � (4j5) --3143- Y Px 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- cilyAs a part of this apjWcattwL SIGNATURE: PRINT NAME: eE-13 011 (3 (Z6UQ$ r-j o (o t3 Bulletin # 160 — January 1, 2013 Page i of 2 k:\Jiandouts\Electrical Permit Application