16-104916 fI. . it
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Electrical
City of Federal Way Permit #:16-104916-00-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: CELEBRATION SQUARE SUITE 108
Project Address: 1320 S 324TH ST Parcel Number: 150050 0070
Project Description: Wire 20AMP circuit for exterior house panel across back of building into back of suite to pump
Owner Applicant Contractor
HARSCH INVESTMENT PROPERTIES LLC CLOVER CREEK ELECTRIC CLOVER CREEK ELECTRIC
PO BOX 2708 1413 CENTER ST CLOVECE293LA(4/30/18)
PORTLAND OR 97208 TACOMA WA 98409 1413 CENTER ST
TACOMA WA 98409
Additional Permit Information
Is this an Online or O.T.C.application? Yes
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Circuits-Commercial 1
PERMIT EXPIRES Saturday,7 October,2017
Permit Issued on Friday,October 7,2016
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: 94-044"-'`---” Date: /U P 1 — /é
e - . 1
THIS CARD IS TO REMAIN ON-SITE
`�'� Construction Inspection Record
-e eral Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 16 104916 00 Address: 1320 S 324TH ST
Project: HARSCH INVESTMENT PROPERTI FEDERAL WAY WA 98003-8445
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) ,. 2❑ Ditch cover(4030) "3❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
�
® Pool Bonding(4195) ® Temporary Power(4275) ® Service(4235)
Approved Approved Approved
By Date By Date By Date
,
0 Feeders/Sub-panels(4045) ® Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
` � .
By Date By Date �By Date
0 Final-Electrical(4055)
Approved
By 11* Date iii 301(1.
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
3665
RECEIVED
. OCTELECTRICAL
CITY ;::�..,. 4 7 2015
FederalW y cmoFFEDERALWqy PERMIT APPLICATION
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PERMIT NUMBER I `F� _ To t 1 ( _ OD
SITE ADDRESS: � SUITE/UNIT/SPACE#
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PROJ ECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
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PROJECT NAME W "--� 0,,t, Ski G+
(Tenant or Homeowner Last Name) 1 ,.•�" �J
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P R O J ECT DESCRIPTION ccC e0515 12ekc k r/
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Detailed description of work to —jd
\ .
be included on this permit only
NAME ,., PRIMARY PHONE jj�f
PROPERTY OWNER T►a'S('-h1<� �ru,� �1�J�` iej (5 5)(193- 6,: -/yr
MAILING ADDRESS `� E-MAIL
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CITY STATE ZIP FAX
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NA
NAV, PRIMARY PHONE
c�v�r Cr-c4-t Etc Pi X253 )6 ,-) - 44,44
MAILING ADORE S C E-MAIL
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CONTRACTOR CITY STATE ZIP FAX X11+
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nWA STATES� CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
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NAME �" e
� PRIMARY PHONE
APPLICANT _jCirik• . (7,1 C Le rirae1 OC-77',C---/ ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP // FAX
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NAM - PRIMARY PHONE
PROJ ECT CONTACT �,"Vt - ‘, 0 653)73-- 6076
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 p. t of this application.�,,l /�/J f
SIGNATURE: "i' -'A /J ?Jr4 DATE / `& —�'/
PRINT NAME-72(14r)(Ci,v) �A Af'(t.4/�/'oe� 101
PERMIT CENTER L033325 80, Avenue South ®Federal Way, WA 98003-6325
253-835-2607 LFAX 253-835-2609 Lpermitcenter cc ityoffederalway.com
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application