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16-105730Eleectliical City of Federal Way Permit #:16 -105730 -00 -EL Community Development Dept. • 33325 8th Ave S Federal way, wA 98003 Inspection Request Line: (253) 835-3050 Ph: (253) 835-2807 Fax: (253) 835-2809 F1 E Project Name: SALINDING Project Address: 31909 14TH WAY SW Parcel Number: 416795 0080 Project Description: Install (5) outlets, (2) lights, (2) switches all on one arc fault circuit. Owner Applicant Contractor SEM SALINDING ZACHARY GARDNERB B ELECTRIC B B ELECTRIC 3190914TH WAY SW 2807 S 282ND ST BBELEBE950P1(10/22/17) FEDERAL WAY WA 980234727 FEDERAL WAY WA 98003 17404 S MERIDIAN PUYALLUP WA 98375 Additional Permit Information Is this an Online or O.T.C. application? .................. Yes Circuits - Residential PERMIT EXPIRES Saturday, 2 December, 2017 Permit Issued on Friday, December 2, 2016 I hereby certify that the above information is correct and that the construction on the above described properly and the occupancy and the use will be in accordance with the laws, rules and regulations of the State of CMEINS f Federal Way. Owner or agent: Date: THIS CARD IS TO REMAIN ON-SITE rycr V Construction Inspection Record f ' rAl way INSPECTION REQUESTS -(253) 835-3850 PERMIT #: 16105730 00 Address: 3190914TH WAY SW Project: SEM SALINDING FEDERAL WAY WA 98023-4727 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) r2l Ditch cover (4030) 0 © Slab/Concrete Floor (4255) Approved Approved 1By Approved Approved By Approved to place concrete By Date By Date By Date ® Pool Bonding (4195) n Temporary Power (4275) 0 © Service (4235) Approved Approved 1By Approved Approved By Approved By Date By Date By Date ® Feeders/Sub-panels (4045)® Rough Electrical (4225) 0 0 Ceiling Cover (4020) Approved Approved Approved Approved By Date Date Approved By Date Fol Final - Electrical (4055) Approved By C Date .. • SQA UVU) LA) CiU4 'Ne -V - Rough Electrical 0 Final Electrical Right of Way Approved Approved Approved By Date By Date By Date cirY of :§ 4 RECEIVE® Federal Way DEC 0 2 2016 CITY OF FEDERAL WAY CDS ELECTRICAL PERMIT APPLICATION PERMIT NUMBER I (_ I V 5 -7 S D _ (2, L- SITE ADDRESS: 3101o,7 (1%v,7 (,1u5s SUITE/UNIT/SPACE# PROJECT VALUATION ASSESSOR'S TAR/PARCEL# CURRENT/PROPOSED USE $ 4i (� 5- o L PROJECT NAME (Tenant or Homeowner Last Name) �jt. .5" 2�1' 17fS Z id 'r PROJECT DESCRIPTION Detailed description of work to be included on this permit only PROPERTY OWNER NAME (PRIMARY S P rh, Sa < f n,41' Kj PHONE 2y z MAILING ADDRESS 31 qLD q I y�. �✓� Sw E-MAIL CITY F:eJe"A wOt- STATE ZIP FAX NAME 1313 rii �-� PRIMARY PHONE (ZS3) 20 - _61,76 MAILL1NG ADDRESS F r I H--- E-MAIL ELECTRICAL / Z J fi CONTRACTOR C1r L ST TTE/ ZIP FAX ( ) WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE 3F (b/ FEDERAL WAY BUSINESS LICENSE # AL1_ /(? NAME za tet'' 61 �+-d- PRIMARY PHONE ( 206) y9 = l g APPLICANT MAILING ADDRESS E-MAIL 2 7 s z z s� a�, /3 AC(tG; AV& �.�,. CITY WC STATE ZIP FAX PROJECT CONTACT NAE j o v „� a �'�'2✓ ✓tom a rw. PRIMARY PHONE ( 2 i') f 7e -3q I certify under penalty of perfury 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 part of this a p ation. SIGNATURE: DATE 1 — PRINT NAME: Bulletin # 160 —April 14, 2016 Page I of 1 k:\Handouts\Electrical Permit Application