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13-104329
1 Electrical City of Federal Way F • Community&Econ.Dev.Services Permit #: 13-104329-00-EL 33325 8th Ave S Federal Way,WA 98003 L-EL.3 Inspection Ph:(253)835-2607 Fax:(253)835-2609 p ction Request Line: (253)835-3050 Project Name: TICOR Project Address: 33400 9TH AVE S Unit 102 Parcel Number: 926501 0060 Project Description: Electrical work including outlets,switches and lighting for tenant. • • Owner Applicant Contractor GOLDEN STONE PROPERTIES LLC EMERALD ELECTRIC NW EMERALD ELECTRIC NW 33400 9TH AVE S SUITE 114 9830 220TH PL SE EMERAEN902DT(3/30/14) FEDERAL WAY WA 98003 SNOHOMISH WA 98296 9830 220TH PL SE SNOHOMISH WA 98296 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 Circuits-Commercial 6 PERMIT EXPIRES Saturday, March 29, 2014 Permit Issued on Monday, September 30, 2013 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the use in accordance with the laws, rules and regulations of the State of Washington the City of Federal Way. Owner or agent: /1 �� Date: 7 3 A 3 r ► 1 % Nit. c }CITY OF • THIS CARD IS TO IN ON-SITE Federal WayConstruction In ection Record INSPECTION REQUE TS: (253)835-3050 ` PERMIT#: 13-104329-00-EL Address: 33400 9TH AVE S Unit 102 Project: GOLDEN STONE PROPERTIES LL' 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. CI UFER Ground (4295) ❑ Ditch cover(4030) EI Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date 0 Pool Bonding(4195) El Temporary Power(4275) 0 Service(4235) Approved Approved Approved By Date By Date By Date o Feeders/Sub-panels(4045) 0 Rough Electrical(4225) El Ceiling Cover(4020) Approved Approved Approved By Date By • ►-44 Date 11 (i; ( By 0.x43 Date 1,74 6 `0 El Final-Electrical(4055) Approved By IMfb Date t2-116 ( .?1 0 Rough ElectricalEl Final Electrical Right of Way Approved Approved Approved By Date By Date By Date RWEIVED " • [gip �] ELECTRICAL CITY OF `ar �... SEP o �a�J Federal Way crry Of FEDERAL WAY PERMIT APPLICATION CDS PERMIT NUMBER / 3 - C 3 a - ®6 SUITE/UNIT/SPACE SITE ADDRESS: 3 goo ^ ( 7\ Ave 9 ( ® � m✓ PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE $ tm©&tw - PROJECT NAME � C. �n is (Tenant or Homeowner Last Name) err PROJECT DESCRIPTION I �.+" 1Q<Jy 5 Detailed description of work to be included on this permit only (-16f:1 N E PRIMARY PHONE PROPERTY OWNER Cc K„ /14"'".s^�,cam.- ( ) - MAILING ADDRESS E-MAIL CITY STATE ZIP FAX F•Q G('.e i`ci. CA ( � { ) -PHONE PRIMARY N i�.e-V-a.(o( '�S�G6 —• v T{yZr) c c - [ r MAILING ADDRESS E-MAIL-ELECTRICAL ft 30 — ? x o'` ° If( CONTRACTOR CpY WATE ZIP FAX ) WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# NAMEPRIMARY PHONE edCCP >7111 ) APPLICANT MAILING ADDRESS E-MAIL CITY STATE ZIP ( FAX ) NAME PRIMARY PHONE PROJECT CONTACT 6, { Yrs) vuG- ( 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 c' as a part of this application. q''SIGNATURE: DATE 4 �(� PRINT NAM Bulletin#160—January 1,2013 Page 1 of 2 k:\I landouts\Electrical Permit Application