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15-102508 6 i El ctrical City of Federal Way Community&Econ.Dev.Services Permit #: 15-102508 00-EL 33325 8th Ave S FILE Federal Way,WA 98003 Inspection Request Line: 253 Ph:(253)835-2607 Fax (253)835-2609 l� ques8 5-3050 Project Name: JACOBSON,BRETT H DDS Project Address: 1718 S 288TH ST Parcel Number: 33204 9109 Project Description: Tenant upgrades for facelift and energy efficiency. Owner Applicant Contractor JACOBSON LLC B CARLOTTA RAU R-C TRUE LINE CORP 1718 S 288TH ST R-C TRUE LINE CORP RCTRULC038QG(11/7/15) FEDERAL WAY WA 15321 105TH AVE E 15321 105TH AVENUE CT 98003 PUYALLUP WA 98374 PUYALLUP WA 98374 Additional Permit Information Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No Service greater than 999 Amps9 No Electrical Fixtures Circuits-Commercial 15 PERMIT EXPIRES Tuesday, November 24, 2015 Permit Issued on Thursday, May 28, 2015 I hereby certify that the a•:'- '•formation is cor - n• that t e construction on the above described property's and the occupancy and th= use w' bei =cc• d- i %/he , s, rules and regulations of the State of Washington / . J i• • Federal Way. / / Owner or agent: f /�����i Date: 7 - 2- r'/ !...s"----- _, Ct.) . , fittiLE :,ATE INSPECTOF AREA AND TYPE ( INSPECTION ( r s Pa/4-ik( P-0051 * 0V To Lww ticu4. L41 olt. 4 (114,e -h'm SLvikck Wall . ('et is- 1Moi reutifo Goy I vtkwicnr Watts . V4kck Thi ?o edo..wt s' ve. THIS CARD IS TO IN ON-SITE CITY OF ! Construction In ection Record ; Federal Way INSPECTION REQUE TS: (253)835-3050 PERMIT#: 15-102508-00-EL Address: 1718 S 288TH ST Project: JACOBSON LLC B FEDERAL WAY, WA 98003-3260 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) ' '� Service(4235) Approved Approved Approved By Date By Date By Date . O Feeders/Sub-panels(4045) ' El Rough Electrical(4225) ' '0 Ceiling Cover(4020) Approved Approved Approved By Date By Date By Date • El Final-Electrical(4055) Approved By Ut Date 'j(?,p i 15- . U Rough ElectricalEl Final Electrical Right of Way Approved Approved Approved By Date By Date By Date •RPCEIVIS© I —,-- . ELECTRICALCITY OF , Federal Way MAY 2 8 2015 PERMIT APPLICATION j CITYOF FEDERAL WAY PERMIT NUII[sER 5 _ / D a 'd S- E.L SUITE/UNIT/SPACE S SITE ADDRESS: / .r 7 5. Q� 7` �- 5 J. PROJECT VALUATION ASSESSOR'S TAX/PARCEL C CURRENT/Pjt0 .: . USE $ /f ups..oo a 3 �. ? b - ( d q . �.5 .h; 17 PROJECT NAME / !� (Tenant or Homeowner Last Name) Di.- . d �L /P .....i � A47-e-- PROJECT f' - IS: - 4_ .Q/moi S7`• ' V41 DESCRIPTION c�' ��-�' /V d rt �w C/v Detailed description of work to n h `e K J /d di/17o #1 v i yy�Gs-�: be included on this permit onlyAril /Y�Pw ,��.c•cam eCe„......71.11:// -- i"� i` / litc> Grp ‘ ih-e- ) h �&4) G " ,/NAME Jl MARY PHONE PROPERTY OWNER �L �� C d �j-50 ( ) MAILING ADDRESS �� EMAIL/ 7 /. S . STATE ZIP FAX 4.n.'"( et/ca. v�o d 3 ( ) 53 Lgtqc— 875--- MAILING ADDRESS A X11�� . kg PRIMARY PHONE ELECTRICAL 3 21 /O �1��-/• L/ 71..‘ ,..c.57-vG/ 4.cdt CONTRACTOR c v �`_ STATE ?e,51-, ?C 3? ' 3)✓ 77 16 WA ST CONTRA • =LICENSE S EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE S PRIMARY PHONE APPLICANT 7a �MAILING _ `'1-- l� ��vb'G/7 6V) 3 - 7/1/ FAX NAM 7,, //I///!I (/ 0153 '_!/ .-.0 - PHONE. PROJECT CONTACT /3D A.,,___ „5„)37, 7/1/ 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 m•_ •- •e by arty person,including the undersigned,and filed against the city, but only where such claim arises out of the re. • e of th city, including its officers and employees, upon the accuracy of the information supplied) city , - of' •/ atio AciL SIGNATURE: I� 4/ rAirrI DATE PRINT NAME: a.Milirergir C. _ Bulletin#160-January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application