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18-100197Electrical co�,tyn� oM�DepL Permit #:18 -100197 -00 -EL 33325 8th Ave S FeaendWay, WA 98003 Inspection Request Line: (253) 8353050 Ph: (253) 8352607 Fmc (253) 8352609 Project Name: TREND HOMES (SCARBOROUGH LOT 2) Project Address: 27924 21ST AVE S Parcel Number: 757562 0620 Project Description: Service and wiring for new single family residence. Owner Applicant Contractor TREND HOME LLC OMEGA ELECTRIC OMEGA ELECTRIC 27807 16TH PL S 29643 126TH AVE SE 0MEGAE*855W (7/6/19) DES MOINES WA 98198 AUBURN WA 98092 29643 126TH AVE SE AUBURN WA 98092 Additional Permit Information New Service: Residential 1 PERMIT EXPIRES Saturday, 12 January, 2019 Permit Issued on Friday, January 12, 2018 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 Washi and the City of Federal Way. Owner or agent: Date: r THIS CARD IS TO REMAIN ON-SITE FeConstruction Inspection Record Federal Way INSPECTION REQUESTS: (253) 835-3050 PERAM #: 18100197 00 Address: 27924 21ST AVE S Project: TREND HOME LLC FEDERAL WAY WA 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. 0 UFER Ground (4295) 0 Ditch cover (4030) ® Slab/Concrete Floor (4255) Approved Approved Approved to place concrete By Date By Date d -16 By Date ® Pool Bonding (4195)$❑ ® Temporary Power (4275) © Service (4235) Approved Approved Approved By Date By Date By Vtc, Date 1 ISP IqL- 0 Feeders/Sub-panels (4045) ® Rough Electrical (4225) ® Ceiling Cover (4020) Approved Approved Approved By Date By Vlq, Date 1 1 f 1 e' By V* Date 1 0�- !7 10 Final - Electrical (4055) Approved Date CV Rough Electrical El Final Electrical Right of Way Approved Approved Approved By Date By Date By Date CITY OFA Federal Way��E�V�® UAN 12 2018 UNITY DD�LO SENT ELEC'T'RICAL PERMIT APPLICATION PERMIT NUMBER —/ 9 _ –Z 6 –a I '? I _ E / SITE ADDRESS' Z j y 'Z 1 -'N 4 V 6 -S ` SUITE/UNIT/SPACE # PROJECT VALUATION ASSESSOR'S TAX/PARCEL # CURRENT/PROPOSED USE $ 1, zoo- 00 7 J 7 5 e Z- O ( 2 PROJECT NAME (Tenant or Homeowner Last Name) L e4 Awa it 1–G PROJECT DESCRIPTION Ale uO Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER MAILING ADDRESS E-MAIL 7–L Z c,/ 2T Sd h✓� CITY Fe el" f Way STATE wq ZIP FAX NAME �YI-e , % e- u4 t-, PRIMARY PHONE ELECTRICAL MAILING ADDRESS_ Z� G t -S 1064" AV I= Sf- E-MAIL CONTRACTOR CITY Au 6" vry STATE W114 I ZIP 9JIL12 2 FAX ( ) - WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE dirl * FEDERAL WAY BUSINESS LICENSE # e (� e (q SS H PRIMARY PHONE APPLICANT MAILING ADDRESS 296%3 126 '' AVE E-MAIL tae az3ie-eow?e-4sJ. CITY STATE (Alp ZIP 910qz FAX PROJECT CONTACT NAMEVL d PRIMARY PHONE (Zol 71d" - 1%g41 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 the city as apart of this application. SIGNATURE: DATE 11� PRINT NAME: i Y►?' Bulletin 4160 —April 14, 2016 Page I of 1 k:\Handouts\Electrical Permit Application