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16-105408 • - . w Electrical City of Federal Way ' Permit #•16-105408-00-EL Community Development Dept. 33325 8th Ave S r 23 Federal Way,WA 98003 r Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax:(253)835-2609 Project Name: AMAZING CARE II ADULT FAMILY HOME Project Address: 32614 8TH CT S Parcel Number: 326070 0550 Project Description: Install electrical wiring to add (1)smoke detector Owner Applicant Contractor AMAZING CARE II ADULT FAMILY HOME AMAZING CARE II ADULT FAMILY OWNER IS CONTRACTOR 32614 8TH CT S HOME FEDERAL WAY WA 98003 32614 8TH CT S USA FEDERAL WAY WA 98003 USA Additional Permit Information Is this an Online or O.T.C.application? Yes ,4,12A.;/ . flea Fixt .ures1 1' 1T; 411 Low Voltage-Other(Resident 1 PERMIT EXPIRES Friday, 10 November,2017 Permit Issued on Thursday,November 10,2016 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: rJ/Vci-V,V Date: \\\\ Ft NALED THIS CARD IS TO REMAIN ON-SITE "�"�F Construction Inspection Record Federal Way INSPECTION REQUESTS: (253)835-3050 PERMIT#: 16 105408 00 Address: 32614 8TH CT S Project: AMAZING CARE II ADULT FAMIL FEDERAL WAY WA 98003-5918 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) El 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 ® Feeders/Sub-panels(4045) CI Rough Electrical(4225) 0 Ceiling Cover(4020) Approved Approved Approved By Date By Date By Date IMI Final-Electrical(4055) Approved Eta Date I.L7 ek I�i Ill Rough Electrical 0 Final Electrical0 Right of Way Approved Approved Approved By Date By Date By Date ELECTRICAL CITY OF - Federal Way PERTEINPpLICATION PERMIT NUMBER I CO _ 1 0 5-4 © g _ ©0 NOV 1 0 2016 CITY OF FEDERALWY UITE/UNIT/SPACE# SITE ADDRESS: j� CDS PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE 07 0 0 w� 32 55- 0 PROJECT NAME _ (Tenant or Homeowner Last Name) J\(}Z\ C1;4 �' Z C� . Q (� -P( (j yyl E 5 .,:;A\ \ Seo\ - qP -f ( C PROJECT DESCRIPTION Detailed description of work to be included on this permit only NAME !/ PRIMARY PHONE PROPERTY OWNER �v.c> `�`--i v1 V\_xs ( ) - MAILING ADDRESS E-MAIL CITTYY eSTAATEE ZZI�P /��c� FAX NAME�� ` -` ^) PRIMARY PHONE MAILING ADDRESS E-MAIL ELECTRICAL CONTRACTOR CITY STATE ZIP FAX ( ) WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# NAME PRIMARY PHONE APPLICANT - u\-. �� ( ) MAILING ADDRESS E-MAIL CITY STATE ZIP FAX ( ) NAME PRIMARY PHONE PROJECT CONTACT f ) 6 ( ) 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 application. (� SIGNATURE: �'►� L A DATE .AV- Z� t'l> PRINT NAME: G_,...„„,„ Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application