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17-101876 • jjjj Electrical City of Federal Way Permit #':17-101876-00-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: SOUTH KING FIRE AND RESCUE STATION 62 Project Address: 31617 1ST AVE S Parcel Number:072104 9210 Project Description: Add(2) 110V outlets,re-install light switch and add(2)low voltage data boxes. **6/20/17 REVISED to include Add(1)and relocate(1)smoke detector** Owner Applicant Contractor SOUTH KING FIRE AND RESCUE DAVE MATAFTINSOUTH KING FIRE AND OWNER IS CONTRACTOR 31617 1ST AVE S RESCUE FEDERAL WAY,WA 98003-5201 31617 1ST AVE S FEDERAL WAY WA 98003 Additional Permit information Is this an Online or O.T.C.application9 Yes PERMIT EXPIRES Wednesday,25 April,2018 Permit Issued on Tuesday,April 25,2017 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: 6 d / `�� /Y�,/♦ Date: (o —.0,1-0 / - •.e Electrical Community Deft. Permit #:17-101876-00-EL 33325 8th Ave S -_ Federal Way,WA 98003 Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax:(253)835-2609 Project Name: SOUTH KING FIRE AND RESCUE STATION 62 Project Address: 31617 1ST AVE S Parcel Number:072104 9210 Project Description: Add(2)110V outlets,re-install light switch and add(2)low voltage data boxes. Owner Applicant Contractor SOUTH KING FIRE AND RESCUE DAVE MATAFTINSOUTH KING FIRE AND OWNER IS CONTRACTOR 31617 1ST AVE S RESCUE FEDERAL WAY,WA 98003-5201 31617 1ST AVE S FEDERAL WAY WA 98003 Additional Permit information Is this an Online or O.T.C.application? Yes s s r PERMIT EXPIRES Wednesday,25 April,2018 Permit Issued on Tuesday,April 25,2017 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: Date: THIS CARD IS TO REMAIN ON-SITE .0?*4Construction Inspection Record Federal Way INSPECTION REQUESTS:(253)835-3050 PERMIT#: 17 101876 00 Address: 31617 1ST AVE S Project: SOUTH KING FIRE AND RESCUE FEDERAL WAY WA 98003-5201 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) 1=1 Ditch cover(4030) • I:1 Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date •By Date ,04 By Date ® Pool Bonding(4195) $❑ 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 612-1!0 By V►�3 Date (017.117 El Final-Electrical(4055) Approved By C:tial 24. Date rt - ��11 0 Rough Electrical 0 Final Electrical El Right of Way Approved Approved Approved By Date By Date By Date RECEIVED ELECTRICAL CITY OF flf Federal Way APR 2 5 2017 PERMIT APPLICATION CITY OF FEDERAL WAY COMMUNITY DEVELOPMENT PERMIT NUMBER l./11 _ 1 b i Sr l� _ ` SITE ADDRESS: 1 C 1 1 S-' SC) SUITE/UNIT/SPACE# sal 41J41k1 q gai PROJECT VALUATION U© ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE $ *ZOO - PROJECT NAME (Tenant or Homeowner Last Name) Soo-rjr 14 t1... -i 1 Eer-r,Gi (_9-L ` PROJECT DESCRIPTION F'hb TLoO NEW 110 Va-T n1/4.71-LETS Detailed description of work to bEL€-SET be included on this permit only 1),E--I i\1 Srft c\ Li GYtTSW t7G1-4 t31 w6 LONA \b-r f. NAME PRIMARY PHONE PROPERTY OWNER SSocs \<L,&G c, ( ) _ MAILING ADDRESS E-MAIL 1 (S/17 ,S7 lk 'CC) CITY STATE ZIPP FAX NAME PRIMARY PHONE 6 K� 1` ( ) - MAILING ADDRESST � E-MAIL ELECTRICAL �j L Un CONTRACTOR yl�jy�//� 1 ' I STAOTE zI/.,r. -1'�b(31� V j \ 1 1 pc"' i (� 3 FAX VWt/v ( ) WA STATE CONTRACTOR'S LICENS # EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# me R N Sv cc\ z %/-3v 41 c3 NAMEPRIMARY PHONE APPLICANT �� \r2- ( ) MAILING ADDRESSSr �� E-MAIL 3 1 6 n I 17..... :12 ST E ZIt. ` ( ) FAX NAMPRIMARY PHONE PROJECT CONTACT I Y�YIVI '3 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 envir: mental laws. I further agree told harmless the •"y • Federal Way as to arty claim(including costs, expenses, and attorneys'fees incurred in the investigation an• •: ense of such cl• ich may be made by any person,including the undersigned,and filed against the city, but only where such •im arises out o chance of the city, including its officers and employees, upon the accuracy of the information supplied . city as a part .`is application. SIGNATURE. ii4 DATE 17#1 PRINT NAME: itn /9 / Bulletin#160-April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application