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15-103851Electrical City & FedeEcon. ev. S Permit #: 15-103851-00-EL Community &Econ. Dev. Services 33325 8th Ave S Federal Way, WA 96003 Inspection Request Line: (253) 835-3050 Ph: (253) 835-2607 Fax: (253) 835-2609 FILE Project Name: HERITAGE CONDOMINIUMS Project Address: 115 S 340TH ST UNIT D Parcel Number: 325945 0560 Project Description: Change out existing FPE panel to 125 amp Owner Annlicant Contractor LISA W ROGERS OLD TIME ELECTRIC INC OLD TIME ELECTRIC INC ADAM BLAINE ROGERS PO BOX 39745 OLDTIEI021LB (6/2/16) 115 S 340TH ST LAKEWOOD WA 98498 PO BOX 39745 FEDERAL WAY WA LAKEWOOD WA 98498 98023 Additional Permit Information Is this an Online or O.T.C. application?.................Yes Electrical Fixtures Alt. Serv./Feeder: 0 to 200 amps (F 1 Is Use Educational or Institutional?.......................No PERMIT EXPIRES Sunday, January 31, 2016 Permit Issued on Tuesday, August 4, 2015 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 ity of Federal Way. Owner or agent: Date: 147 THIS CARD IS TO RE ON-SITE ` CITY OF Construction .Ins ion Record Federal Way INSPECTION REQUESTS: (253) 835-3050 PERMIT #: 15 -103851 -00 -EL Address: 115 S 340TH ST UNIT D Project: LISA W ROGERS FEDERAL WAY, WA 98003-6614 ' 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. Final - Electrical (4055) Approved Date ❑ UFER Ground (4295) Ditch cover (4030) ❑ Slab/Concrete Floor (4255) ® Approved By Approved Approved to place concrete By Date By Date By Date Final - Electrical (4055) Approved Date ❑ Pool Bonding (4195) ❑ Temporary Power (4275) ® Service (4235) By Approved By Approved By Approved By Date By Date By Date E] Ceiling Cover (4020) Rough Electrical (4225) Feeders/Sub-panels (4045) Approved Approved Approved By Date By Date By Date Final - Electrical (4055) Approved Date ❑ Rough Electrical Approved Final Electrical Approved Right of Way Approved By Date By Date By Date a CITY OF 4A Federal Way PERMIT NUMBER ELECTRICAL PER1Vf��&PgU.ICATION _ 103 8 -5 I _ W AUG 04 2015 C -TTY nF FEDERAL WAY SITE ADDRESS: � � 5 5 3 yam JT CDS 8UITE/7SPACE# PROJECT VALUATION $ 1,sLt5 , (e2- ASSESSOR'S TAR CEL # .� a �9 -4 5-. 0 s7 iQ 0 CURRENT/PROPOSED USE CT NAME (Tenant o 1 meoumer Last Name) yT ` �' �X ��/�/!�/ e� �-�✓ �/V PROJECT DESCRIPTION Detailed description of Mork to be included on this permit only PROPERTY OWNDR �aG NAYS AssoU PRIMARY PHONE MAILING ADDRESS S 3050 M paca �:`wu, E-MAIL CITY aL¢arr�Q W d,-� STATE WVN- ZIP 1$"003 FAX ELECTRICAL CONTRACTOR APPLICANT NAME PRIMARY PHONE 599- 3 r� S 3`14 s bby� olh`w� e �cc�n� CITY Lo-' Occ� wit ZIP t$L154 (�s3 ) vis 3a c� g WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE C)L.13T =. E I O aaL. 23 NAME FEDERAL WAY BUSINESS LICENSE # PRIMARY PHONE ( ) MAILING ADDRESS E -MAD, CITY STATE ZIP FAX ( ) PROJECT CONTACT NAME PRIMARY PHONE I certify under penalty of perjury that I am the property owner or authorised agent of the property owner. I certVy 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 4f the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the city as a part 4f this application. SIGNATURE: � DATE Dig / ©Y f l p s PRINT NAME: Bulletin #160 - January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application