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16-101763C -A of Federal way community & Econ. Dev. Services 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax: (253) 835-2609 . G Electrical FILEPermit #: 16 -101763 -00 -EL Inspection Request Line: (253) 835-3050 Project Name: GREYSTONE MEADOWS APARTMENTS - OFFICE BUILDING Project Address: 31500 IST AVE S Parcel Number: 082104.9106 . Project Description: Add receptacles, recessed can lights, carbon monoxide detectors, smoke detectors and adding (3) paddle fans in existing gym/fitness room. Owner ApIalicant Contractor GREYSTONE MEADOWS APARTMENTS BILL WADE SONS ELECTRIC INC 2800 ELLIOTT AVE #A SONS ELECTRIC INC SONSEEI942MC (7/3/16) SEATTLE WA 98121 3701 HARRISON AVE 3701 HARRISON AVE CENTRALIA WA 98531 CENTRALIA WA 98531 Additional Permit Information Electrical Work Valuation?....................................7500 Is this an Online or O.T.C. application? ................. Yes Is Use Educational or Institutional? ....................... No Service greater than 999 Amps? ............................. No Electrical F14u'res' Circuits - Commercial .................... 7 PERMIT EXPIRES Tuesday, April 11, 2017 Permit Issued on Monday, April 11, 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: Date: b RjNq�Fo THIS CARD IS TO REMAIN ON-SITE, CITY Or. Construction Inspection Record -- - - - Federal Way INSPECTION REQUESTS: (253) 835-3050 PERMIT #: 16 -101763 -00 -EL Address: 31500 1 ST AVE S Project: GREYSTONE MEADOWS APARTM FEDERAL WAY, WA 98003-5269 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. Final - Electrical (4055) Approved By Date UFER Ground (4295) 0 Ditch cover (4030) ❑ Slab/Concrete Floor (4255) Service (4235) Approved Approved Approved By Approved to place concrete By Date By Date By Date Final - Electrical (4055) Approved By Date 0 Final Electrical Approved 0 Service (4235) Approved Temporary Power (4275) Pool Bonding (4195) By Approved By Approved By Date By Date By Date By Date ❑ Ceiling Cover (4020) Approved ❑ Rough Electrical (4225) Feeders/Sub-panels (4045) Approved Approved By Date By Date rj_ r g, _I By Date Final - Electrical (4055) Approved By Date Final Electrical Approved Right of Way Approved Rough Electrical Approved By Date By Date By Date cITY OF 'A Federal Way PERMIT NUMBER ' W _ RCE" ECTRICAL APR 11 2016 PERMIT APPLICATION CITY OF FEDERAL WAY SITE ADDRESS: 3) 5- ©O / ST Vc�003 SUITE/UNIT/SPACE # 6Ym PROJECT VALUATION ASSESSOR'S TAX/PARCEL # � � � CURRENT/PROPOSED USE - O PROJECT NAME (Tenant or Homeowner Last Name) IeEu�g m &A Do w -5 fj-Phi-�rr��T� 'C47d La G fl 73; fl&Tdc7-p ef' PROJECT DESCRIPTION Detailed description of work to be included on this permit only PROPERTY OWNER NAME (i(eq m y ad doj ,ay�Id PRIMARY PHONE ( ) - MAILING AbDRESS E-MAIL l Nei CITY STATE it, ZIP q�l z f FAX ( ) - NAME PRIMARY PHONE MAILING ADDRESS 370) A ,er- gopd 4V9- E-MAIL CrRTc, , ELECTRICAL CITY Cei47 Q+tx-,4 ST TE �' ZIP 9,'s'3 1 FAX (360 )eo7 -66 oa CONTRACTOR WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE # X(�)_) i SVC v v -50AIS LC, EY 4 m e 0-7 /30 io�6 NAME B -r: , V,) A I,)� PRIMARY PHONE (��0 )63Z - 65'a Z> APPLICANT MAILING ADDRESS E-MAIL 3 i 01 WA ASO ,I) )4 /,r )ji llv� sans pec riL. ari. CITY CeW7?eAL-XO4 STATE W,4 ZIP 98S"31 FAX (360 )Soy -66 n;, PROJECT CONTACT NAME PRIMARY PHONE ( ) 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 apart ofthis /application. SIGNATURE: ����-/ (O DATE 16 P*MT NAME: Bulletin # 160 — January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application