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13-103586 4...... ELECTRICAL CITY OF Federal Way PERMIT APPLICATION • �j 5 RECEIVED PERMIT NUMBER - I 0 ✓ 56 - 00 - - - - AUG 152013 b 1 mkt...: .. 5 J � CITY ®6�'F>�7E�¢h�bA LAV SITE ADDRESS: ,S 3 1 v e 1, .-ecc ( 11 (A v° 1,..,. PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE $ ( o""S ` - - - - - PROJECT NAME (Tenant or Homeowner Last Name) LA GDr-.d c\t S c� , c \ ce ,e S S '-tfc:.r�Sr�`,k4ec• 47-<-%, 2k , 't-1,-..:D PROJECT DESCRIPTION 1 e 0-k tar,.- 7C r.1e-- _ Detailed description of work to be included on this permit only NAMEPRIMARY PHONE PROPERTY OWNER T i+ N,e_ Z7 S QS 3).-Z,6-- U.36? .S ING ADDRESS E-MAIL VD LI co/ CITY STATE ZIP FAX Vc, 1 1 k•)e-- Lv R ctZ OL,3 ( ) - N PRIMARY PHONE e re Ole-7'1\e. ( ) - b.S k J FAMING ADDRESS E-MAIL ELECTRICAL -) t"i a)hn ---\)A U CONTRACTOR CITY STATE ZIP FAX pr � ��� �... `l Oo( ( 3C3)') 3 -1-197(- WA RT CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# Cil* 019 K / / ,u-t✓1,i NAME PRIMARY PHONE APPLICANT i'C -( " .,, C (D`�) 75 - (-_ ,3 ` I MAILING ADDRESS C CITY E-MAIL U-1 L)c s\ � 13\ c - ZIP FAX A c..‹:.. Li A "1 Zoo\ ((c3 ) ?5T3- L(.1 NAMEPRIMARY PHO- cyNE PROJECT CONTACT LL„,e__t \ (:) _,L) ‘ 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 thicity as a part pf this application. I SIGNATURE: G:�~ DATE 1H1 PRINT NAME: I O•NN. L.A.D`J(_t ` Bulletin#160-January 1,2013 Page 1 of 2 k:AHandouts\Electrical Permit Application Project Name: LATITUDE CONDOMINIUMS CLUBHOUSE Project Address: 33020 10TH AVE SW Electrical Permit #: 13 -103586 -00 -EL Project Description: Install wireless transmitter to existing fire alarm panel Inspection Request Line: (253) 835-3050 Parcel Number: 420500 0000 Owner AR1211can City of Federal Way LATITUDE CONDO ASSOCIATION Community & Econ. Dev. Services FILE 33325 8th Ave S 107 WASHINGTON BLVD Federal Way, WA 98003 FEDERAL WAY WA 98063 Ph: (253) 835-2607 Fax: (253) 835-2609 107 WASHINGTON BLVD Project Name: LATITUDE CONDOMINIUMS CLUBHOUSE Project Address: 33020 10TH AVE SW Electrical Permit #: 13 -103586 -00 -EL Project Description: Install wireless transmitter to existing fire alarm panel Inspection Request Line: (253) 835-3050 Parcel Number: 420500 0000 Owner AR1211can Contractor LATITUDE CONDO ASSOCIATION FIRE ONE INC FIRE ONE INC PO BOX 4508 107 WASHINGTON BLVD FIREOI*099KW (5/20/15) FEDERAL WAY WA 98063 ALGONA WA 98001 107 WASHINGTON BLVD ALGONA WA 98001 Additional Permit Information Is this an Online or O.T.C. application?.................Yes Service greater than 999 Amps? .............................No Electrical Fixtures Low Voltage - Fire Alarm (Comm( 1 Is Use Educational or Institutional?.......................No PERMIT EXPIRES Sunday, February 16, 2014 Permit Issued on Tuesday, August 20, 2013 1 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 tile City of Federal Way. Owner oragent: See Appucation Date: AUG $ 0 RECD YINALEID CITY OF Federal Way PERMIT #: Project: 40 THIS CARD IS TO MAIN ON-SITE Construction In ection Record INSPECTION REQUE TS: (253) 835-3050 13 -103586 -00 -EL Address: 33020 10TH AVE SW LATITUDE CONDO ASSOCIATION 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. Final - Electrical (4055) Approved Date L �_ C UFER Ground (4295) El Ditch cover (4030) Temporary Power (4275) Slab/Concrete Floor (4255) E] Approved By Approved Approved to place concrete By Date By Date By Date Final - Electrical (4055) Approved Date L �_ C Pool Bonding (4195) Temporary Power (4275) E] Service (4235) By Approved By Approved By Approved By Date By Date By Date Ceiling Cover (4020) Rough Electrical (4225) Feeders/Sub-panels (4045) Approved Approved Approved By Date By Date By Date Final - Electrical (4055) Approved Date L �_ C Rough Electrical Approved Final Electrical Approved Right of Way Approved By Date By Date By Date