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14-102517 • Eletztrieal City of Federal Way Community&Econ.Dev.Services Permit #: 14-102517-60-EL 33325 8th Ave S Federal Way,WA 98003 Ph:(253)835-2607 Fax:(2.53)835-2609 Inspection Request Line: (253) 835-3050 Project Name: PARK 16 APARTMENTS-RECREATION CENTER Project Address: 35703 16TH AVE S Parcel Number: 292104 9107 Project Description: Electrical work for new rec 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? Yes Is Use Educational or Institutional? No Service greater than 999 Amps? No Electrical Fixtures New Service:201-400 amps(Con 1 PERMIT EXPIRES Saturday, November 29, 2014 Permit Issued on Monday, June 2, 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 and the City of Federal Way. Owner or agent: �� � Date: G ' 2 — /1 FINALED 44)ATE INSPECTOR- AREA AND TYPE Q'[NSPECTION Q 7-461— ��I s �,� LD .1Ac - s- .e -04 Ce4,0 Z:=9 (9 -2-/4 . mac, \ e L,`p Ovenvz v. CP ts- �-=c1 6 � I����►-s a-,.� vim l s {�G �s I(74. ( 15" L /3 Poe4 F761.,e( - Corwoo 4 'tW WG+ U iatext i=i 0-14rds 6 hs-4-u L t• I - 30-15— �S E t-c(A,. - -C-W.0-e o _ .844111k.,...,, THIS CARD IS TO REMAIN ON-SITE CITY'OF • Construction Infbection Record Federal Way INSPECTION REQUESTS: (253) 835-3050 PERMIT #: 14-102517-00-EL Address: 35703 16TH AVE S Project: PARK 16 LLC FEDERAL WAY, WA 98023 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) El Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By`jS Date ,(ç-( Date LI____\9_ k4; ' 'By Date El Pool Bonding(4195) • ❑ Temporary Power(4275) ❑ Service(4235) Approved Approved Approved By Date By Date By:ITC5 Date `U^c't— t4 - Feeders/Sub-panels(4045) fl Rough Electrical(4225) ❑ Ceiling Cover(4020) Approved Approved Approved By Date By7-c Date lU —' 1—14 • By Date '® Final-Electrical(4055) Approved `E � Date 2_�! ❑ Rough ElectricalEl Final Electrical Right of Way Approved Approved Approved By Date - By Date By Date 41/4. i EICTRICAL. CITY OF '';2 Federal Way PERMIT APPLICATION PERMIT NUMBER / Y_ / / / s ) 7 _ SITE ADDRESS: ) I- n SUITE/UNIT/SPACE]# 3 S 7 O 1 Aii - . � .Acl l ci.ri . PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE PROJECT NAME l` A (Tenant or Homeowner Last Name) Pg' ' IL P(444 Mt i S PROJECT DESCRIPTION r t r, L4 l J r k- ` c r B 4 d 1''.) Detailed description of work to L 6a,)LN2j poo 12kvx. I k be included on this permit only U / / NAME PRIMARY PHONE i� PROPERTY OWNER cll``/ I 6 L-La ( ~f2c) q,-3 - 95-5 / MAILING ADDRESS E-MAIL 1(7 W 0 AJE fit. 51- St-...1-c_ i2oQ CITY STATE ZIP FAX if-3,,,,11 CuL�L___ VA q 00 47/ (V7 c) y3 - X56, NAME ) ,, PRIMARY PHONE 1;3-CI'S0=' j=16c('� I L -I-fvC- ( ) - MAILING ADDRESS E-MAIL ELECTRICALIJ- 12):2 X, W7 3 0 cdo0 ,I,St+�i{etc.i-f`,i•.i a CONTRACTOR CITY STATE ZIP FAX 7x.)c...aM 'KA '16 Vt/Y ( ) - WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# . d r s c) i=1;> L/`/1 / / i /1 20 .-_/Y-i©,9S%-aolL NAME l ] r l PRIMARY PHONE APPLICANT l4-(....o r I 1 ci,„) c7s�1S LL f t O� (2/ZS-) z; - y I MAILING ADDRESS E-MAIL )o 9 00 NE k S . Su.k_ )Lo 0 . “11,`v g- dcapfs. Ca't"' CITY STATE ZIP FAX II V ;�--c.- wA 1`'00 11 ( ) - NAME PRIMARY PHONE PROJECT CONTACT c +'e phi ., lI v 0,) (z,C6 I ) 7�s--- q 5'-3t 7 I certify under penalty ofperjWry 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 PRINT NAME: gv{7 e_i t I . )..4„y A c''\) Bulletin#160—January 1,2013 Page 1 of 2 k:\Iandouts\Electrical Permit Application