17-103037 t . ..y
Electrical
City of Federal Way FILE Permit #:17-103037-00-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: COVE EAST APARTMENTS-CABANA BUILDING
Project Address: 33030 1ST AVE S Parcel Number: 172104 9121
Project Description: Install(1)circuit for mini split ductless and one energy recovery ventilator
Owner Applicant Contractor
K C HOUSING AUTHORITY JESSICA BRUCEAIR SYSTEMS AIR SYSTEMS ENGINEERING INC
600 ANDOVER PARK W ENGINEERING (ELECTRICAL)
TUKWILA WA 98188 3602 S PINE ST AIRSYEI009KS(5/10/18)
TACOMA WA 98409 3602 S PINE ST
TACOMA WA 98409
Additional Permit Information
Is this an Online or O.T.C.application? Yes
Circuits-Commercial 1
PERMIT EXPIRES Saturday,23 June,2018
Permit Issued on Friday,June 23,2017
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: I.... I Date:
CONTrA'C DR H�s I T; COPY
oro RECEIVED ELECTRICAL
CITY OF
Federal Way JUN 2 3 2017 PERMIT APPLICATION
CITY NOFI FEDERALWAY I 7 I LI —' 3 7 b0
COMMUNITY DEVELELOPN T NU�aR lJ
SUITE/UNIT/SPACE If
SITE ADDRESS: 33ON' 19T mb FecesaA VJAL( 01/4 1r,oO3
PROJECT VALUATION ASSESSOR'S TAX/PARCEL II CURRENT/PROPOSED USE
$ a6o 1 1 2 1 v 4 _ (__ t Z I
PROJECT NAME tt�., A4 ,_'
(Tenant or Homeowner Last Name) W11i £ i A''Ai r/� 6- 7 012410
tt.11-/-t1 pr 3 ti t *pIirs INcrlc55 Mo 606Cry
PROJECT DESCRIPTION n coveter vaotiit 12 / t,l5 4 i?,c “pitr 61Ea9-iGk1 Sesibc -
Detailed description of work to ;""�/V 0 I I tjV
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER VIitr Cabiiiblii lr11c AtArviolo ( )
MAILING ADDRESS E-MAIL
21030 Or Aj .o
CITY STATE ZIP FAX
rb \00)&1( WA- Ayli0`? ( 1 -
NAME PRIMARY PHONE
Etta Y5'i-e-Mr-o44 0€er2-W,c- ( y3 ) 5f2 - VIM
ADDRESSMAILING
ELECTRICAL %,02' ,6Oa- . r W1llGlrOc4 v5
CONTRACTOR CITY STATE ZIP FAS
.1.-kU'Mk- W WA 4V`[°1 (W) 1) - 647
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY EUSINESS LICENSE#
AtR6YE-I oo9145 e. / 10 / 1e
NAME PRIMARY PHONE
APPLICANT
MAILING ADDRESS ( ) E-MAIL
CITY STATE ZIP FAX
75tClutfc klift otot ( 1 -
NAME PRIMARY PHONE
PROJECT CONTACT12,14kf✓ 12iu-VtAd9
I certify under penalty of perjury that I am the property owner or authorised 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 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 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 sub ed to the city as a part of this application.
-47x-#Thiv\-----
SIGNATURE: G;� QDATE 17
PRINT NAME: VJtt 9Z
PERMIT CENTER+33325 8th Avenue South+ Federal Way,WA 98003-6325
253-835-2607+ FAX 253-835-2609 +permitcenter@cityoffederalway.com
Bulletin#160–April 14,2016 Page 1 of 1 k:\Ilandouts\Electrical Permit Application
THIS CARD IS TO REMAIN ON-SITE
`""� Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 103037 00 Address: 33030 1ST AVE S
Project: K C HOUSING AUTHORITY FEDERAL WAY WA 98003-6363
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.
El
UFER Ground(4295) „® Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
.By Date ' By Date By Date
® Pool Bonding(4195) ti Temporary Power(4275) ® Service(4235)
Approved Approved 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
.•
ii Final-Electrical(4055)
Approved
Byate — (—( 7
f
El Rough Electrical ❑ Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date •