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15-103994 RECEIVED 44,,,.. AUG 10 2015 ELECTRICAL CITY OF Federal Way CITY OF FEDERAL WAY PERMIT APPLICATION CDS PERMIT NUMBER 15 _ k 0 1 c q _ E SUITE/UNIT/SPACE# SITE ADDRESS: 53939 &--1-K ao� S +QA. 7‘D uUY - 575i0 PROJECT VALUATION J l t ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE S 5-e-) '7-) (v 0 9 LI 3 0 - 0 0 0 0 PROJECT NAME (Tenant or Homeowner Last Name) 1 5v 1 Tv f (s Jra I� 7 vo. Co,A4- ct.eiS T� e_i1CfS4i V ) 1abX -n PROJECT DESCRIPTION Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER ( ) - /� MAILING ADDRESS E-MAIL i/� n O 0( CITY STATE ZIP / FAX l �/ �I ( ) - NAME .--- i PRIMARY PHONE L-.E.:'v 6 <c vy ( et"oi aS,`QS (ac ) 70d, did-3 MAILING ADDRESS E-MAIL ELECTRICAL ,5-3,,,e-, Qvt cr q V L S OsGcA.,40 ea 4 to y,,cv ell CONTRACTOR CITY STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# / / N` �� PRIMARY PHONE APPLICANT /<� L3v ✓'R«ti (`'2b( )`IS - C1 �y`1. ��MAIIILIING ADDRESS E-MAIL J 3 i 1 Q 4l2e✓' G L) . S eC ,Af c.m...c (ovIS .Cc.N'1 %> ;,-1L C CITY STATE ZIP FAX 50.i{-le w« ci$iG2e ( ) - NAME PRIMARYPHONE PROJECT CONTACT 4, Gr...,A0 f„„, (,..0) L } 7 -`!? 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 city as a part of this application. SIGNATURE: ' DATE �(1 I c 5 PRINT NAME: /eel W GU ci) s Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application 0 • Electrical City Federal Way F ILEPermit #: 15-103994-00-EL Commurli &Econ.Dev.Services 33325 8th Ave S Federal Way,WA 98003 Request Inspection Re t Line: Ph:(253)835-2607 Fax:(253)835-2609 p q (253)835-3050 Project Name: 9TH AVENUE PAVILION ' Project Address: 33434 8TH AVE S Parcel Number: 609430 0000 Project Description: Install(7)valve controlers to existing boxes. Owner Applicant Contractor 8TH&9TH LLC RON GOUDREAU LONG BUILDING TECHNOLOGY 11•100•NE 8TH SUITE 380 LONG BUILDING TECHNOLOGY LONGBBT868PT (2/9/17) BELLEVUE WA 98004 5300 DENVER AVE S 5300 DENVER AVE S SEATTLE WA 98108 SEATTLE WA 98108 Additional Permit Information Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional'? No Service greater than 999 Amps? No Electrical Fixtures Low Voltage-Other(Commercial 7 PERMIT EXPIRES Saturday, February 6, 2016 Permit Issued on Monday, August 10, 2015 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the u will be in accor•, ce ' - the laws, rules and regulations of the State of Washington an. - 'ity of Federal Way. Owner or agent: ✓ G4 Date: Sffa7 • THIS CARD IS TO WIN ON-SITE y "TM Construction Inspection Record Federal Way INSPECTION REQUESTS: (253)835-3050 PERMIT#: 15-103994-00-EL Address: 33434 8TH AVE S Project: 8TH & 9TH LLC FEDERAL WAY, WA 98003-6323 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 LIFER Ground (4295) El Ditch cover(4030) 0 Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date 13 Pool Bonding(4195) 0 Temporary Power(4275) El Service(4235) Approved Approved Approved By Date By Date By Date 13 Feeders/Sub-panels(4045) ElRough Electrical(4225) *El Ceiling Cover(4020) Approved Approved Approved By Date By Date Bit ? Date v.._ t-z_/c o Final-Electrical(4055) Approved By L Date q s ` 1,S ❑ Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date