15-100382 r -- Electrical
City of Federal Way Permit #: 15-100382-00-EL
Community&Econ.Dev.Services Fiiiii.E
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p Q
Project Name: GARAGETOWN UNIT D-10
Project Address: 2010 S 344TH ST Unit D10 Parcel Number: 269330 0660
Project Description: Adding 2 circuits to connect relocated heater
Owner Applicant Contractor
LATONA RENTAL LLC STEVEN D COPENHAUER,PRESIDENT AGC ELECTRIC INC
1611 116TH AVE NE UNIT 119 AGC ELECTRIC INC AGCELI*150JF 12/31/15
BELLEVUE WA 98004-3063 20427 24TH ST 20427 24TH ST
SAMMAMISH WA 98075 SAMMAMISH WA 98075
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
Circuits-Commercial 2
PERMIT EXPIRES Saturday, July 25, 2015
Permit Issued on Monday, January 26, 2015
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
7117an• the City of -deral Way.
Owner or agent: ✓ �%' 4/(x -e1 Date: / - 26 15
THIS CARD IS TO MAIN ON-SITE ,
CITY OF
401111 • Construction In ection Record .
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 15-100382-00-EL Address: 2010 S 344TH ST Unit D10
Project: LATONA RENTAL LLC 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.
0 UFER Ground (4295) 0 Ditch cover(4030) ElSlab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
❑ Pool Bonding(4195) ❑ Temporary Power(4275) ElService(4235)
Approved Approved Approved
By Date By Date By Date
El Feeders/Sub-panels(4045) 0 Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
El Final-Electrical(4055) ,
Approved
By Q....-W` Date :\ $-—
❑ Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
,�J' ►
ELECTRICAL
CITY OF JAN 9, 6 2015
Federal Way PERMIT APPLICATION
CITY OF FEDERAL WAY
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PERMIT NUMBER / 5 _ �j/ 0 3 `V ~_
SUITE/UNIT/SPACE#
SITE ADDRESS: f Q 3 3c/L/ _ / 2n / �10 I
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$
PROJECT NAME C ;
(Tenant or Homeowner Last Name) LS'6L rP �(9.9(./\ )1 i I )�
PROJECT DESCRIPTION Cx9 n e ii ftef 0cid` )
Detailed description of work to
be included on this permit only
NAME �", V r v `J PRIMARY PHONE
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PROPERTY OWNER /(bGJI � c )
MAILING ADDRESS E-MAIL
CITY 6 l //6S1/441 /g-
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NAME PRAIARY PHONE
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WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
qSC e,L /5b F 121 $, /9s 9l-izccsg'W
NAME PRIMARY PHONE
APPLICANT ' r, 17-12- )
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
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NAME PRIMARY PHONE
PROJECT CONTACT -51e�2 2ha ve/2 ) Z.rs Cr?32_,
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, includi its officers and employees, upon the accuracy of the
information supplied to ti•lit as a part of this application.
SIGNATURE: �• / • / p-ei/41C/teit', >� /C( DATE
PRINT NAME: /f( ( 9
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application