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15-105101
' • • Electrical City of Fedeay Community&Econ.ral Dev.Services Permit #: 15-105101-00-EL 33325 8th Ave S Federal Way,axssoo3 Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax:: ecQ(253)835-2609 p Project Name: GB-1 PROPERTIES LLC Project Address: 33047 22ND PL S Parcel Number: 241260 0090 Project Description: Install electrical temp power pole Owner Applicant Contractor GB-1 PROPERTIES LLC ANDREY PANAS PANAS ELECTRIC LLC 12321 NE 149TH ST PANAS ELECTRIC PANASEL867RH(12/8/16) KIRKLAND WA " 26721 119TH AVE SE 27621 119TH AVE SE 98034 KENT WA 98030 KENT WA 98030 Additional Permit Information Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No Electrical Fixtures Temp. Service:61- 100 amps(Res I PERMIT EXPIRES Monday, April 4, 2016 Permit Issued on Wednesday, October 7, 2015 I hereby certify that the above information is correct and that the construction on the above described property and - :- the occupancy and the - ^. .- in accordance with the laws, rules and regulations of the State of Washington ,,/ and the City of Federal Way. Owner or agent Date: iS— Et. 62'7< (PiAtAt. 0 THIS CARD IS TO IN ON-SITE CITY OF • Construction Ins tion Record Federal Way INSPECTION REQUESTS: (253)835-3050 PERMIT#: 15-105101-00-EL Address: 33047 22ND PL S Project: GB-1 PROPERTIES LLC FEDERAL WAY, WA 98003-6856 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. 0 LIFER Ground (4295) ❑ Ditch cover(4030) 0 Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date El Pool Bonding(4195) 0 Temporary Power(4275) El Service(4235) Approved Approved Approved By Date By Date By Date 0 Feeders/Sub-panels(4045) 0 Rough Electrical(4225) ElCeiling Cover(4020) Approved Approved Approved By Date By Date By Date El Final-Electrical(4055) Approved By L 1DateL V i D Rough Electrical ' Final Electrical Right of Way Approved Approved Approved By Date By- Date By Date a., �__ - CITY OF RECEIVED OCT 07 2015 ECTRICAL Federal Way PERMIT APPLICATION CITY OF FEDERAL WAY PERMIT NUMBER \ 5 _ l b 5 D O I SUITE/UNIT/SPACE# SITE ADDRESS: 36(4 PROJECT ©A�TI�OASSESSOR'S � � �TAX/PARCEL# � � - CURRENT/PROPOSED USE ' 0 PROJECT NAME (Tenant or Homeowner Last Name) fti s f ei/1 Q l t'c/.r t / k LA..,/, pc)t-f - )O I-e PROJECT DESCRIPTION v Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER ( ) - MAILING ADDRESS E-MAIL 3302(7 42 `I- P/ CITY STATE ZIP FAX F ce26 / (il,9 7 LV NAME PRIMARY PHONE MND 5 i- C hit� G i P33 ) �33 -635' MAILING ADDRESS E-MAIL ELECTRICAL .2 612 / l l C1. 19v6. S,[— /2a c/e„ctejC CONTRACTOR CITY STATE ZIP FAX 1�ei,1 LtJ/9 4Boj0 ( ) - WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# PfiNlcsEL gbh�Qq (2- ' ? / /6 NAME PRIMARY PHONE APPLICANT s'f�%�`'J /)i¢ ✓ ' , "S (25-3 )33 "-- 6 3 5 MAILING ADD S E-MAIL CITY STATE ZIP / FAX ( ) NAME PRIMARY PHONE PROJECT CONTACT V rioR /�T 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 taws 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 • a part of this application. / SIGNATURE: �' 1 y DATE DG`T, 7. /_5— INDAm/9 r PRINT NAME: ,�F�/ Am/9j Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application