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15-102632 0 • Electrical City of Federal Way Permit #: 15-102632-00-EL Community&Econ.n.Dev.Services 33325 8th Ave S Federal Way,WA 98003 Inspection Request Line: (253)835-3050 cf F ii 1.„E h:(253)835-2607 Fax:(253)835-2609 Project Name: PARKLANE BUILDING SUITE 105 Project Address: 31620 23RD AVE S Parcel Number: 092104 9051 Project Description: Relocate existing outlets,switches and troffer lights Owner Applicant Contractor BALLI ROAD LLC FUTURE ELECTRIC FUTURE ELECTRIC 31620 23RD AVE S UNIT 218 10219 13TH AVENUE CTS FUTURE*933Q6(12/12/15) FEDERAL WAY WA 98003-5049 TACOMA WA 98445 10219 13TH AVENUE CT S TACOMA WA 98445 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 4 PERMIT EXPIRES Sunday, November 29, 2015 Permit Issued on Tuesday, June 2, 2015 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the u e will be in accordance with the laws,rules and regulations of the State of Washington and t e City of Federal Way. Owner or agent: ,(�,c .� , , � Date: (Q -1,51 --- • 1$- Check 'Fey i•tt 4i4f pit,44 CotatGA Stuif-C,1/1 11( . Nok 5IA.V4 U114a4 S10tl-c,4,l•% W;L 1 gt. yO VIX‘%1 . - THIS CARD IS TO IN ON-SITE r i CITY OF • Federal WayConstruction In ection Record INSPECTION REQUE TS: (253)835-3050 PERMIT#: 15-102632-00-EL Address: 31620 23RD AVE S Project: BALL! ROAD LLC FEDERAL WAY, WA 98003-5049 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 �0 Pool Bonding(4195) ❑ Temporary Power(4275) ❑ 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 tit. Date V 14 (1 r By Date ❑ Final-Electrical(4055) Approved By V Date glcgl ( s El Rough ElectricalEl Final Electrical Right of Way Approved Approved Approved By Date By Date By Date aof 0�5 EL C'TRICAL n JUN 0 2 2 Federal Way OF FEDERAL WAY PERMIT APPLICATION //� CDS ^/5� C PERMIT NUMBER J - ) _ / o ,/ /^ _ / 6- 3 /61(20 ��O �� u�� SUITE/UNIT/SPACE# SITE ADDRESS: �^t / 0 PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE $ fl - / o V- _9O s"/ PROJECT NAME (Tenant or Homeowner Last Name) AL �.©c�;q-)-� x lei! (/b/, C�c4i-.4 S� S,1-1 4ff5� PROJECT DESCRIPTION b x AA -rFF,L i/ i( S Detailed description of work to be included on this permit only NAME „ PRIMARY PHONE PROPERTY OWNER 5 25v6 SScx_1.01?'- 1' ( ) - MAILING ADDRESS E-MAIL �fCe 2® 11,UE 5 C..1/6"&-ACC, CITY STATE ZIP FAX NAME PRIMARY PHONE FI.A L u iE EL.E A -' ( ) - MAILING ADDRESS ` E-MAIL ELECTRICAL 1 C22 f rt I C1 CONTRACTOR CITY STATE ZIP FAX t.t,frk f5 ti5 ( ) - WA STATE� ON^RA�O�SLICENSE� � �EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# NAME XC Q. PRIMARY PHONE APPLICANT C1�04f O' PETTY ( ) - MAILING ADDRESS E-MAIL (G•RIct AvE cl ' G CITY STATE ZIP FAX NAME PRIMARY PHONE PROJECT CONTACT ( ) 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 a part of this application. ' M SIGNATURE: %Vic DATE 69 pZ 15 PRINT NAME: Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application