18-101524 Ele trical
City of Federal Way Permit #:18-101524- 0-EL
Community Development Dept. ;5 yr
33325 8th Ave S
Federal Way,WA 98003 4 " - Inspection Request Line: (253) 835 3050
Ph:(253)835-2607 Fax (253)835-2609
Project Name: AVERY AT THE RESERVE APARTMENT BLDG 14 UNIT 101
Project Address: 125 SW CAMPUS DR Parcel Number: 192104 9017
Project Description: Replace dishwasher,lights, range hood and kitchen& bath GFCI.
Owner Applicant Contractor
CA RESERVICE OWNER LLC SCOTT INGERSOLLCONAM CONAM MANAGEMENT CORPORATION
3990 RUFFIN RD SUITE 100 MANAGEMENT CORP CONAMMC830KT(5/31/19)
SAN DIEGO CA 92123 21201 SE 260TH ST 3990 RUFFIN RD SUITE 100
MAPLE VALLEY WA 98038
SAN DIEGO CA 92123
Additional Permit Information
Is this an Online or O.T.C.application? Yes
No Fixtures Associated With This Permit!1
PERMIT EXPIRES Tuesday,9 April,2019
Permit Issued on Monday,April 9,2018
I hereby certify that the above informati6n is correct and that the construction on the above described property
and the occupancy nd 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 age : 1 Date:
- O THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record -
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 18 101524 00 Address: 125 SW CAMPUS DR Bldg 14
Project: CA RESERVICE OWNER 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) ® Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
.0 Pool Bonding(4195) 0 Temporary Power(4275) ® Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
Final-Electrical(4055)
Approved
By \, ` �' Date ‘,,:.‘_i 1—IA ,
❑ Rough Electrical ❑ Final Electrical ❑ Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
CITY OF ^�- APR 0 9 2018 ELECTRICAL
Federal Way CITY OF FEDERAL WAY PERMIT APPLICATION
COMMUNITY DEVELOPMENT
PERMIT NUMBER 1 _ l 0 1 5 2 (i _ G
SITE ADDRESS: (, . 5 5 J / / ��i SUITE/UNIT/SPACE#
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PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
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PROJECT NAME /\
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PROJECT DESCRIPTION 1G"''4(0-� `-� GG''� (, -(...j- u(1/1- i i-/-10(
Detailed description of work to
be included on this permit only
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NAME PRIMARY PHONE
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CONTRACTOR CITY }�/ (FAlE ZIP 9, ..„ �� ( ) FAX
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WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
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NAM � PRIMARY PHONE
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PROJECT CONTACT 5 <,.fr r-54f 2S J C/ (L/25-1 ZCA- (,39r
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 environme'tal laws.
I further agree to hold armless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in
the investigation and def, se of c claim), which may be made by any person, including the undersigned, and filed against the city,
but only where such cl• m a ses ut of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied t. ' e ci a part of this application.
/ �f— q — /
SIGNATURE: DATE
PRINT NAME: Geo 1 I/
Bulletin#160—April 14,2016 Page 1 of 1 k:AHandouts\Electrical Permit Application