14-100336a 11 0
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
•
Electrical
Permit #: 14 -100336 -00 -EL
Inspection Request Line: (253) 835-3050
Project Name: FOREST COVE APARTMENTS
Project Address: 30912 17TH AVE SW �' Parcel Number: 122103 9006
Project Description: Install branch circuits and carport lighting - "
Owne
ARRIican
Contractor
FOREST COVE LLC
A A A C ELECTRIC CORP
A A A C ELECTRIC CORP
12000 NE 8TH ST SUITE 200
9480 OLSON PL SW SUITE I
AAACEEC902KQ (5/18/14)
BELLEVUE WA 98005
SEATTLE WA 98106
9480 OLSON PL SW SUITE I
SEATTLE WA 98106
Additional Permit Information
Is this an Online or O.T.C. application? ................. es Is Use Educational or Institutional? ....................... No
Service greater than 999 Amps? .............................No
Electrical Fixtures
Circuits - Multi -family ................... 5
PERMIT EXPIRES Monday, July 21, 2014
Permit Issued on Wednesday, January 22, 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
q*he City of Federal Way.
Owner or agent Date:
THIS CARD IS TO JLMALN ON-SITE
CITY OF � Construction In ection Record
Feder INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 14 -100336 -00 -EL Address: 30912 17TH AVE SW
Project: FOREST COVE 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.
LIFER Ground (4295)
Ditch cover (4030)
0 Slab/Concrete Floor (4255)
Approved
Approved _ /
Approved to place concrete
By Date
Date �r
By Date
Pool Bonding (4195)
1:1Approved
Temporary Power (4275)Service
n
Right of Way
Approved
(4235)
Date
Approved
By
Date
Approved
By
Date
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
Rough Electrical
Approved
1:1Approved
Final Electrical
n
Right of Way
Approved
By
Date
By
Date
By
Date
&L
CITY OF
JAN 2 2 2014
0
ELECTRICAL
Federal Way PERMIT APPLICATION
CITY OF FEDERAL WAY
/ CDS
PERmT Nuri m /
______LLL — l� 5�—
SITE ADDRESS: � a GY � / 7 ��� it./�.
SUITE/UNIT/SPACE b
PROJECT VALUATION
0 0 0 0, ao
A38E i6WS TAX/PARCEL b CU T/PROPOSED USE
PROJECT NAME
Homeowner
/
(Tenant or Last Name)/i
V h < d f
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
-f
19!'/ q4 .— Am 0. A 40:;0 -
PRIMARY PHONE
MAILING
MAILING REBS
E MAA
CITY
STATE
ZIP
FAX
Lllri'-
(�
NAME
PRIMARY PHONE
s�
ELECTRICAL
MAmINO ADDRESS
17� J'4/j/ Slv
E-MAIL
.. C
CONTRACTOR
CITY
STATE
ZIP
FAX
sev��jj
/
/J
n
d lab
/X a
WA STA/TE CONTRACTOR'S LICENSE b E%PIRATION DATE
_C %1�
FEDERAL W BUSINESS LICENSE b
NAME
PRIMARY PHONE
APPLICANT
ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
(
PROJECT CONTACT
PRIMARY PHONE
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 certifythat I wtiI 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-aypart of this application.
SIGNATURE:
PRINT NAME:
If
Bulletin # 160 — January 1, 2013 Pagel of 2 k:�Handouts\Electrical Permit Application