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17-102149 Electrical City of Federal Way Permit #:17-102149-00-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: ONE MAIN FINANCIAL Project Address: 34512 16TH AVE S Parcel Number:250090 0050 Project Description: Relocate 20A 120V circuits and add(4)new 20A 120V. ***5/24/17 ADD:Low voltage data cabling*** • Owner Applicant Contractor JEFFREY OLIPHANTFEDWAY CHARLES T RAY C T R ELECTRIC INC MARKETPLACE INVESTORS,LLC CTR ELECTIC INC CTRELI*077009/22/17 5743 CORSA AVE SUITE 216 p0 BOX 7475 ( ) WESTLAKE VILLAGE CA 91362 PO BOX 7475 KENT WA 98042 � T WA 98042-0043 Additional Permit Information ',i Is this an Online or O.T.C.application? Yes Circuits-Commercial l 0 PERMIT EXPIRES Thursday,10 May,2018 Permit Issued on Wednesday,May 10,2017 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 a d the City of Federal Way. Owner or agent: � �,��i , , � i � .. ./ Date: Electrical City of Federal 5t .�. Permit #:17-102149-00-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: ONE MAIN FINANCIAL Project Address: 34512 16TH AVE S Parcel Number:250090 0050 Project Description: Relocate 20A 120V circuits and add(4)new 20A 120V. Owner Applicant Contractor JEFFREY OLIPHANTFEDWAY CHARLES T RAY C T R ELECTRIC INC MARKETPLACE INVESTORS,LLC CTR ELECTIC INC CTRELI*07700(9/22/17) 5743 CORSA AVE SUITE 216 p0 BOX 7475 WESTLAKE VILLAGE CA 91362 KENT WA 98()42 PO BOX 7475 KENT WA 98042-0043 Additional Permit Information Is this an Online or O.T.C.application? Yes , °,.. �d€€ %✓ �,rr'� �`��� `�' l �L� �� € f� € Circuits-Commercial 10 PERMIT EXPIRES Thursday, 10 May,2018 Permit Issued on Wednesday,May 10,2017 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 a' ington and the City of Federal Way. Owner or agent: Date: r/ / / • DATE INSPECTOR AREA AND APE OF INSPECTION S-/7- (7 o Ac4 a* . THIS CARD IS TO REMAIN ON-SITE � � Construction Inspection Record Federal Way INSPECTION REQUESTS:(253)835-3050 PERMIT#: 17 102149 00 Address: 34512 16TH AVE S Unit B Project: JEFFREY OLIPHANT 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. UFER Ground(4295) ® Ditch cover(4030) 12 Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date • ® Pool Bonding(4195) El Temporary Power(4275) ® Service(4235) Approved Approved Approved By Date By Date By Date ® Feeders/Sub-panels(4045) ® Rough Electrical(4225)1 ® Ceiling Cover(4020) Approved Approved Approved By Date 4By P4 Date 5'( (l'1 By VW) Date e42 4I h , El Final-Electrical(4055) Approved By Vi Date le fs-I il El Rough Electrical El Final Electrical 0 Right of Way Approved Approved Approved By Date By Date By Date RECEIVED CITY OF ELECTRICAL MAY 1 2017 Federal Way CITY OF FEDERAL WAY PERMIT APPLICATION COMMUNITY DEVELOPMENT PERMIT NUMBER ( 1 _ j 0 2 I ( - L� C SUITE/UNIT/SPACE# SITE ADDRESS: 3 °1/ iZ '/c ,.(lc PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE $ 3 ?,,cicy c 0 6 - a c) PROJECT NAME �/J (Tenant or Homeowner Last Name) / / -/ XP/X` /1-1X. /(/C% 777; DESCRIPTION / • f C 7! - eat-my)r" i 1/©L/ 62/Ream- PROJECT Detailed description of work to / 0 ("( ) �' G,� / C CJ / j be included on this permit only /e_10 \i , 7>k /G- NAME ,,//�� �fjJ� /� �� ) / PRIMARY PHONE PROPERTY OWNER f/-� Amy J',l iaer-) L , LC L�G C ( 3./0) 079 O VC MAILING ADDRESS E-MAIL CITY STATE ZIP ( FAX NAME PRIMARY PHONE LeC'C,g/C LLXfe ( ) - MAILING ADDRESS E-MAIL ELECTRICAL �OX 7 � e 7r/ /j(t/ecieye', CONTRACTOR CITY/� f s,`7 ( ) FAX WA STATE CONTRACTOR'S LICENSE# �/ EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# C T12t col -700 ZD i/i5 NAME PRIMARY PHONE APPLICANT ; / -71-774V V (Z53).5 S(� o?G MAI jN,G ADDRESS 7 7 E-MAIL CITY ZIP FAX NAME PRIMARY PHONE PROJECT CONTACT 7.C/ y (,55 356 '?c 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 a lication. SIGNATURE: D Q r—/ ATE PRINT NAME: // - —.1sr dir Bulletin#160-January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application