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17-104257 • Electrical City of Federal Way Permit #:17-104257-00-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: MARINE HILLS DENTISTRY-DENNIS HAHN DDS Project Address: 1500 S DASH POINT RD Parcel Number:052104 9027 Project Description: Adding(9)circuits for new outlets and equipment for associated tenant improvement Owner Applicant Contractor DENNIS J HAHN HOLBROOKS ELECTRIC CO HOLBROOKS ELECTRIC CO 1500 S DASH POINT RD 10002 AURORA AVE N SUITE 36 HOLBREC859C5(2/25/19) FEDERAL WAY,WA 98023 SEATTLE WA 98133 10002 AURORA AVE N SUITE 36 SEATTLE WA 98133 Additional Permit Information Is this an Online or O.T.C.application? Yes Circuits-Commercial 9 PERMIT EXPIRES Wednesday,5 September,2018 Permit Issued on Tuesday,September 5,2017 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. �►1 Owner or agent: Date: 9 S— ,- ' - z THIS CARD IS TO REMAIN ON-SITE f ' Federal Wa Construction Inspection Record INSPECTION REQUESTS:(253)835-3050 PERMIT#: 17 104257 00 Address: 1500 S DASH POINT RD Project: DENNIS J HAHN FEDERAL WAY WA 98003-3753 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 ' `• ® Pool Bonding(4195) ® Temporary Power(4275) El Service(4235) ' Approved Approved Approved By Date By Date By Date ® Feeders/Sub-panels(4045) ® Rough Electrical(4225) El Ceiling Cover(4020) Approved Approved Approved By Datei.By Date By Date .E . Final Electrical(4055) Approved Byl' Date / 4-1- 7 E Rough Electrical 0 Final Electrical 0 Right of Way Approved Approved Approved By Date By Date By Date iA„ , RECEIVED ELECTRICAL crnr OF Federal Way SEP 0 5 2012 PERMIT APPLICATION CITY NI FEDERAL PWAY ME ( - / O ����- rJ�--� COMMUNITY DEVELOPMENT PERMIT NUMBER 00 SITE ADDRESS: 'S00 5 ' " 1:""1.v/1. T 444/ 'T^'«� tj L WA 98 003 SUITE/UNIT/$PACE# PROJECT VALUATION ASS SOR'S TAX/PARCEL# CURRENT/PROPOSED USE $ 12000 , '• O5Zt O — _ � oZ -- PROJECT NAME (Tenant or Homeowner Last Name) PGhv1i S i44,1ny\ POs 1 PROJECT DESCRIPTIONI q 2,,,,....„)--5 Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER Den nt, 144.6v. 2)D5 (253) S3t- 26'0o MAILING ADDRESS E-MAIL 1500 S . D.41t. ?ow- ( , CITY STATE ZIP FAX Fd .t �� � 9#00 3 ( ) - V NAME PRIMARY PHONE /40/400.46 1444-Ptak' 0_0,7m i, (3G° ) 52`1 -1.0 2-S MAILING ADDRESS E-MAIL ELECTRICAL PO &ioe 301(16. .kiM»pi G k•/.10.QCs ett.oly PC.ei CONTRACTOR CITY STATE ZIP FAX 4. 781o3 ( ) - WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# g.a"RecgS1 C. 5 2 /z5 /PM NAME PRIMARY PHONE APPLICANT MAILING ADDRESS ( ) E-MAIL CITY STATE ZIP FAX ( ) NAME PRIMARY PHONE PROJECT CONTACT J nn �'1 to J ( 3&O ) Sud - Cd 2.5 s) 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. SIGNATU DATE 5 6c."3- Z'1-1 PRINT NAME: J�.,� Ale d gg PERMIT CENTER+33325 8th Avenue South+ Federal Way,WA 98003-6325 253-835-2607+ FAX 253-835-2609 +permitcenter@cityoffederalway.com Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application