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14-102705 • • Electrical City of Federal Way r� w �{ J Community&33325 Econ.8th Dev.Services Permit #: 14- 1 Off.■ 05-00-EL Ave Federal way,WA 98003 Inspection Request Line: Ph:(253)835-2607 Fax:(253)835-2609 p Q (253)835-3050 Project Name: PARK 16 APARTMENTS-BUILDING Q Project Address: 35703 16TH AVE S Bldg Q Parcel Number: 292104 9107 Project Description: Electrical work for a 3-unit apartment building Owner Applicant Contractor PARK 16 LLC EDISON ELECTRIC EDISON ELECTRIC 11100 MAIN ST SUITE 301 PO BOX 44850 EDISOEI044BR(1/19/16) BELLEVUE WA 98004 TACOMA WA 98448 PO BOX 44850 TACOMA WA 98448 Additional Permit Information Is this an Online or O.T.C.application? No Is Use Educational or Institutional? Yes Service greater than 999 Amps'? Yes Electrical Fixtures New Service:0-200 amps(Multi- I PERMIT EXPIRES Sunday, December 7, 2014 Permit Issued on Tuesday, June 10, 2014 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 Wand the City of Federal Way. Owner or agent Date: 6- lD" / [ELNALED 4 DATE INSPECTOR AREA AND TYPE ('-_ INSPECTION /1 C �.oc (. 6\1 E.",VI, \/\ c y�S • THIS CARD IS TO IN ON-SITE t" CITY OF Construction In ection Record Federal Way • INSPECTION REQ TS: (253)835-3050 PERMIT#: 14-102705-00-EL Address: 35703 16TH AVE S Bldg Q Project: PARK 16 LLC 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. O UFER Ground (4295) 0 Ditch cover(4030) El Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date ,i—3 3--1, ' 'By Date O Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235) Approved Approved Approved j Date - 2 -(f—By Date B Date ' ----X---e.. O Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) 0 Ceiling Cover(4020) Approved Approved Approved B "C.a. 7 Date�z�� Date 2 � Date c z 1—f o Final-Electrical(4055) Approved B . Date.—( /r 7 El Rough Electrical El Final Electrical Right of Way Approved Approved Approved By Date By Date By Date 3 . RECEIVED E L CITY CFA, C'TRI CAL Federal Way JUN 10 2014 PERMIT APPLICATION 14 1 0F6 00 ZAL WAY PERMIT NUMBER _ SUITE/UNIT/SPACE# SITE ADDRESS: 3 c 7 0 b ti.1.-- i °a PROJECT VALUATION ASSESSOR'S TAR/PARCEL CURRENT/PROPOSED s $ lo, 0O . 00 ' 0 - ` 7 0 F PROJECT NAME (Tenant or Homeowner Last Name) IL. A p(N-4/v -S PROJECT DESCRIPTION E- C)t,Lq l. 1,4 J f 14- Co r 'EL:41 d r-.) 5 . Detailed description of work to 3 viv/- � `d ;_.4y J be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER p4NY ( 6 / Lc ( t/2 c) q$3 - '5-5 / MAILING ADDRESS E-MAIL l p'9 00 AJE o ft‘ 51,-z S& .4L /Zoo CITY STATE ZIP FAR 8cf/C,v 11•JA VoaV (v75-) tit-3 - 9S6,4, NAME PRIMARY PHONE fiCL1501 �=-1Cct/', L,._ -4A1C-- ( ) - MAILING ADDRESS E-MAIL ELECTRICAL fJ O ADX L/�/ F�5 0 CONTRACTOR CITY STATE ZIP FAX 7-(34 kf4 9 6 YL// ( ) - WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# dr50 ID yu/ja g 1 / i7 /l2d -/4'-ions% oo- 'L NAME11 i PRIMARY PHONE APPLICANT !-it o.r 'H q of C of.);.c-i- .� r c.. r 0/0 (7/2 c) 0_3 - tit MAILING ADDRESS E-MAIL j0 i00 AJt FP- s/--. Su• )2o 0 . v9- d0A-DN fs, ca'' CITY j 17 STATE ZIP , FAX l.7L/Ievtist, kJ-A 9`',g©0 ( ) - NAME PRIMARY PHONE PROJECT CONTACT s.4-e p6 J cu II ;v q.J zQ 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 Iocal, 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: 'h1' DATE PRINT NAME: g''06t'.--l� t S • i4fr/CIC/\J , Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application