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14-101293 • • Electrical City ofEcPermit #: 14-101293-00-EL Community 8 Ecoon..Dev.Services S 33325 8th Ave S Federal Way,WA 98003 Ph:(253)835-2607 Fax:(253)835-2609 FILE Inspection Request Line: (253)835-3050 Project Name: LIFE CARE CENTER Project Address: 1045 S 308TH ST Parcel Number: 082104 9042 Project Description: Install low voltage AES transmitter Owner Applicant Contractor FEDERAL WAY CONVALESCENT CENTER FARMERS ELECTRIC DESIGN& FARMERS ELECTRIC DESIGN& 3001 KEITH ST NW CONSTRUCTION LLC CONSTRUCTION LLC CLEVELAND TN 37312 2020 MALTBY RD SUITE 102 FARMEED904B1(1/21/16) BOTHELL WA 98021 2020 MALTBY RD SUITE 102 BOTHELL WA 98021 Additional Permit Information Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? Yes Service greater than 999 Amps? No Electrical Fixtures Low Voltage-Other(Commercial 1 PERMIT EXPIRES Sunday, September 28, 2014 Permit Issued on Tuesday, April 1, 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: � ti Date: ( /-7 THIS CARD IS TO EMAIN ON-SITE CITY OF ``II--'' II Construction In ection Record Federal Way INSPECTION REQUE TS: (253)835-3050 PERMIT#: 14-101293-00-EL Address: 1045 S 308TH ST Project: FEDERAL WAY CONVALESCENT ( FEDERAL WAY, WA 98003-4706 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. El LIFER 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) El Temporary Power(4275) Service(4235) Approved Approved Approved By Date By Date By Date Feeders/Sub-panels(4045) Rough Electrical(4225) Ceiling Cover(4020) Approved Approved Approved By Date By Date By Date 0 Final-Electrical(4055) Approved ByDate �kk._ "i — .11 — ice. t ❑ Rough ElectricalID Final Electrical 111 Right of Way Approved Approved Approved By Date By Date By Date 03/17/2014 MON 15: 56 FAX 1Z1,1001/0 01 • RECEIVED GD 0 r CITY OP I & MAR 21 2014 ELECTRICAL Federal Wayc OF FEDERAL WAY PERMIT APPLICATION CDS PERMIT NUMBER ` 4 l /�� _ 1 0 ` z ci 3_ 0 0 SUITE/UNIT/SPACE 4 BITE ADDRESS: /D J I05F11 , PROJECT VALUATION Am9E®90 TAX/PARCEL i! 6 ,1_, - /7 0 �/z- CN'T/PRS'6'D�VBE 3)6ro - l !tel J PROJECT NAME (.r�� e_ Cr,,_ _ . Co,Lis T r Q 'c->'c,l , (t -�1/ (Tenant or Homeowner Last Name) „,,,),,i(, 64 ,2D,A 0_,I i LA e•;t..._-Ly< Pte' - PROJECT DESCRIPTION 6 L_ / f (1 4 / ",_ ''i' Detailed de,ccription of work to be included on this permit only 1�9 ,,nn NAME /� PRIMARY PHONE PROPERTY OWNER L-1t (Ap (.v ZI t T.ededvJ ( )q% -22? 3 - MAILING ADDRESS E-MAIL /041'5 SO -3 �? .54- CITY ['TATE ZIP PAX �=_ecra-( 0 w 4 q 5.., ( )99 6 - /c% NAME LLC. PRIMARY PHONE 4'19 fl—� r,. r\ ( .3(4) ) -68'- 951+b MAILING ADDREAO n EMAIL ELECTRICAL 2-07-0 i_\AA, RJ 42)- i i0-56,.__.{ t,Ael— CONTRACTOR CITY ['TATE ZIP WAX 33 JI w/- °1)1..1 (360 ) 66,5-1161 WA 9 ATic�pN�T CTOR'6 OEN$E II EXPIRATION DATE FEDERAL WAY Huang/tea LICENSE N 1� 1 E.D'ttZ / /7_-1 /4 2©-At-Z,03(-Ey i_ NAME PRIMARY PHONE, APPLICANT / ' Q- .57 ( lk \ C9f/ R L`t-c ( ) 605 - q5 tv MAILING ADDRESS 1 l E-MAIL rr --() ,(1) lea---\ri�I R:2_sTA z,D -,y� „,lv-�*- nei- CITYY 1FAX NAME PRIMARY PHONE PROJECT CONTACT ' 11 I certify under penalty of perfury that 1 am the property owner or authorised agent of the property°toner. f oart(fy that to the beet of my knowledge, the information submitted in support of this permit application is true and correct, 1 cert{fy that I will comply with all appltcabls 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 rerponsibiUty for compliance with local, state, or federal laws regulating construction or environmental laws. I further agree to holo harmless th City of federal Way as to any claim(including costs, expenses, and attorneys'feu incurred In the investigation and defense of suchaim), whic• may be made by any parson, including the undersigned, and filed against the city, but only where such claim arises of of the 1 once of thepity, including its officers and employees, upon the accuracy of the information supplied to the city as a of . applicatlo,/ SIGNATURE: A DATE ' — /-7._ I PRINT NAME: ,)OD 5\r _ Oar. Bulletin 0160-January 1,2013 Page 1 of 2 k\1-Iandouts\Electrical Pcrmit Appll atio2