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13-105236 IP ,► Electrical City of Federal Way Community&Econ.Dev.Services - Permit #: 13-105236-00-EL 33325 8th Ave S Federal Way,WA 98003 j Request Inspection Re t Line: (t253 835-3050 Ph:(253)835-2607 Fax:(253)835-2609 p q1 Project Name: AESTHETIC DENTAL Project Address: 34704 11TH PL S Parcel Number: 215470 0030 Project Description: Install low voltage voice/data cable. , Owner Applicant Contractor VC INVESTMENT LLC V A P ELECTRIC V A P ELECTRIC 14349 SE 92ND ST PO BOX 2108 VAPELEI871BJ(1/14/15) NEWCASTLE,WA 98059 KINGSTON WA 98346 PO BOX 2108 KINGSTON WA 98346 • 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, I PERMIT EXPIRES Tuesday, May 20, 2014 Permit Issued on Thursday, November 21, 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 will be in accordance with the laws, rules and regulations of the State of Washington and the City of Federal Way. Owner or agent: Date: {//Z//�.3 - - THIS CARD IS TO MAIN ON-SITE - CITY OF Construction In ection Record Federal Way INSPECTION REQUE TS: (253)835-3050 PERMIT#: 13-105236-00-EL Address: 34704 11TH PL S Project: VC INVESTMENT LLC FEDERAL WAY, WA 98003-6715 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. O UFER Ground (4295) 0 Ditch cover(4030) ❑ Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date O Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235) Approved Approved Approved By Date By Date By Date o Feeders/Sub-panels(4045) 0 Rough Electrical(4225) ❑ Ceiling Cover(4020) Approved Approved Approved By Date By V I Date 17- I it I 13 ` By ,__ Date , _2n y I O Final-Electrical(4055) Approved �y 2. t0 14- By Date t zciiiio‘ ❑ Rough Electrical ❑ Final Electrical ElRight of Way Approved Approved Approved By Date By Date By Date VECEIVE® ., ,:. 1111116, EL2CTRICAL CITY DP NOV 21 2013 Federal Way PERMIT APPLICATION CITY OF FEDERAL WAY CDS PERMIT NUMBER / - / 0 .S 3 6 - E SUITE 6 PACE# SITE ADDRESS: `-I7`- 'SI '�"+-1-‘ P 1 L PROJECT VALUATION ^ASESSOR'SIf l TAX/PARCEL# CURRENT/PROPOSED USE $ 2vo' _ _ PROJECT NAME _ (Tenant or Homeowner Last Name) �� ti (-}-� Rc \L 4 1--,0K N N \f U D j(2 PROJECT DESCRIPTION Lo 1--T F- / 1/1---;_71- D(1L t r0( C e Detailed description of work to LigLoc C 47-1 01\i S be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER VC /1"/V e 'T m JNTF5 LL( (Z53)332-33 C/ MAILING ADDRESS E-MAIL 3H70 11-“‘ P2 S CITY STATE ZIP FAX Fe-d FAL- 1/‘/A-y A 9'3°03 ( ) - _ NAME PRIMARY PHONE \IAP Fl—�c_7? `L.- LIJCJ (. o)z; - 3 De% MAILING ADDRESS r� E-MAIL ELECTRICAL , 0- _(O CONTRACTOR CITY STATE ZIP FAX '40 s WA STATE cQftTRA R SLICENSE C 6 33 76 EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE C / ,.__..-. V N ! �eL � PRIMARY PHONE APPLICANT ( 1-f 2S) - V©O MI^G ADDRESS _'% xE-MAIL A IL (� e/n^•( ri (CITY FAX�� 6/d-/- ,�/ `22o ( ) _ N { PHONE aE PROJECT CONTACT (25 ) 32- 33 Y! 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: ! •�� DATE tI/Z( / 3 PRINT NAME: AU " I Bulletin#160—January 1,2013 Page 1 of 2 k:\I landouts\Electrical Permit Application