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17-100144 Electrical City of Federal Way Permit #:17-100144-00=EL Community Development Dept. 33325 8th Ave S Federal Way,WA 98003 Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax:(253)835-2609 Project Name: BROOKLAKE COMMUNITY CE E LE Project Address: 726 S 356TH ST Parcel Number:292104 9010 Project Description: Adding smoke detector,adding(7)tamper proof receptacles,(4)exit signs,(1)circuit for domestic range,install GFI for(6)bathroom sinks. Repair and replace exterior lighting.Move projector screen Owner Applicant Contractor CITY OF FEDERAL WAY-PARKS J G M TECHNICAL SERVICES INC J G M TECHNICAL SERVICES INC 33530 1ST WAY S 4742 42ND AVE SW 169 JGMTETS956KJ(5/15/17) FEDERAL WAY WA SEATTLE WA 98116 4742 42ND AVE SW 169 98003-6210 SEATTLE WA 98116 Additional Permit Information Is this an Online or O.T.C.applications Yes �� ,�� €�r ',��='�� s ,fit,✓_� � ��F E �"t ,t ��rT ' �. ..✓'i.4` f.,ts,F.�u „sfl.:.:✓,;+✓, ,.(fit,{lE�,a„�"ia.�,.rhea...�S �� -,..., Mir.«, m -...� ' ✓/,._✓.,;..._' �,.,o. k__ -. .,, ,�.✓ 4, .dS Circuits-Commercial 6 PERMIT EXPIRES Saturday, 13 January,2018 Permit Issued on Tuesday,January 10,2017 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: f \ v`..cL fAilry t + Date: 1 l 71 1 P/ A/ THIS CARD IS TO REMAIN ON-SITE ` i `ernr�. Construction Inspection Record Fein Vvay INSPECTION REQUESTS:(253)835-3050 PERMIT#: 17 100144 00 Address: 726 S 356TH ST Project: CITY OF FEDERAL WAY-PARKS 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. O UFER Ground(4295) © Ditch cover(4030) © Slab/Conerete Floor(4255) Approved i Approved Approved to place concrete By Date . By Date : By Date O Pool Bonding(4195) ' © Temporary Power(4275) 0 Service(4235) Approved Approved Approved By Date 1 By Date By Date © Feeders/Sub-panels(4045) a Rough Electrical(4225) j [1 Ceiling Cover(4020) Approved j Approved ! Approved By Date I By Date By Date 10 F'$al-Electrical(4055) Approved Date R. 0 Rough Electrical 0 Electrical Right of Way Approved Approved Approved By Date By Date By Date CITY OF ELECTRICAL Federal Way PERMIT APPLION KICEIVED PERMIT NUMBER 1 _ 1 00 1 . _ JAN 10 2017 CITY WV&)644' SITE ADDRESS: 72 S PROJECT VALUATION A SESSOR'S TAX/PARCEL# 0 CURRENT/PROPOSED USE $ 292I 0 - 6' Ot PROJECT NAME (Tenant or Homeowner Last Name) e e / L--/,/ ,e o-4 7.1 Z- e s" 6,� d T AL-Do 7 >' PROJECT DESCRIPTION / f A / r l sL7.r.vsz �6T /Detailed description of work to te✓ , s -. A j ;#if/( Z.-• � be included on this permit only aft 1:1 _s-�� e---)0, ,6E i*- 1-4_, NAME PRIMARY PHONE PROPERTY OWNER (e7 ( ) - MAILING ADD SS et"'t > rJ 5 E-MAIL �'7 r GW'l/Vi�l�/ ,Fs 52c or CITY STATE ZIP FAX _ 12't4 7ga'3 ( ) - NAME PRIMARY PHONE MAILING ADDRESS // E-MAIL ELECTRICAL f l `'2 %'2 '-" ri-uZ--5 / CONTRACTOR CITY STATE ZI FAX f-Tll 11-'14- L // ( ) - WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# --7-‘' , * 9/ /J_//7 1Z-/cY.:7 '9 NAME PRIMARY PHONE 5,14-(1-r APPLICANT r-.:"-- ( ) MAILING ADDRESS E-MAIL CITY STATE ZIP FAX ( ) - NAME PRIMARY PHONE PROJECT CONTACT ( ) - 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 •rises out of he reliance of the city, including its officers and employees, upon the accuracy of the information supplied to th • a p. Alf this application. l/// /_lo SIGNATURE. / I DATE ! < � PRINT NAME: ' • r /_4( CC° - Bulletin#160-January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application