14-102058 411) ReCEME
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CITY OF MAY 06 2014 EL CTRICAL
Federal WaycmrO ��RALWA PERMIT APPLICATION
CDS
PERMIT NUMBER / L-/ _ / 0 /S r 1 -
SUITE/UNIT/SPACE#
SITE ADDRESS: 33345 Um") (Iv -30,Lirh
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
65 c a - 0 3 (71. 0
PROJECT NAME l-etiNA
(Tenant or Homeowner Last Name) R
PROJECT DESCRIPTION f1s�� 1l 1/4sYV DerrNA a--1
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER ( )
MAILING ADDRESS E-MAIL
CITY STATE ZIP // FAX
l )
NAME • PRIMARY�,)f�, + /� (
tJ -
(AAA CiV �t 11 trLK (7553) clo_PHONE`7
MAILING ADDRESS +� /L E-MAIL
ELECTRICAL ti`JjZ � - r `J
CONTRACTOR CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME q, PRIMARY PHONE
APPLICANT MAILING ADDRESS E-MAIL
ax 3t )
CITY STATE ZIP FAX
PROJECT CONTACT NAME PRIMARY PHONE
1�,.�yx - 1-VA3YY-,e-s (243)
17 - j ryA t ?i)
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 •rises • t •, the eliance of the city, including its officers and employees, upon the accuracy of the
information supplied to th- it • a p• o is a••lica ' n.
SIGNATURE: DATE /.1.0/ /4-
PRINT NAME: e 5\r‘ LS
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application
N
0 _ Ele,ctrieal
City of Federal Way
Permit #: 14-102058-00-EL
Community&Econ.Dev.Services
33325 8th Ave SFILE
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
Project Name: LENNAR HOMES
Project Address: 33455 6TH AVE S Unit 1-B Parcel Number: 926500 0340
Project Description: Low-voltage data cabling.
Owner Applicant Contractor
LENNAR NORTHWEST INC PREMIER CABLING LLC PREMIER CABLING LLC
12815 CANYON RD E SUITE F PO BOX 358 PREMICL879J3(4/23/15)
PUYALLUP WA 98373 EATONVILLE WA 98328 PO BOX 358
EATONVILLE WA 98328
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
Low Voltage-Other(Commercial 1
PERMIT EXPIRES Sunday, November 2, 2014
Permit Issued on Tuesday, May 6, 2014
I hereby certify that the above information ' •rrect and that the construction on the above described property and
the occupancy and the u _f ill be i a • •ance with the laws, rules and regulations of the State of Washington
A - d the City of Federal Way.
Owner or agent: '- ' Date: s 7/‘-7
FINALE
THIS CARD IS TO MAIN QN-SI TE
CITY OF
AIL
' . 0 Construction In ection Record ' '
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 14-102058-00-EL Address: 33455 6TH AVE S Unit 1-B
Project: LENNAR NORTHWEST INC 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) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
O Pool Bonding(4195) ❑ Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
o Feeders/Sub-panels(4045) CI Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Q ,� Date S y` l v
❑ Final-Electrical(4055)
Approved
By w-V, Date SI 2..5 It.‘
Rough Electrical
Final Electrical
Right of Way
ElApproved ElRoughE] Approved
By Date By Date By Date