14-1003343
r Electrical
City of Federal way -Pe>I"I;�it #: 14-100334-00—E L
Community � Econ. ev. Services
33325 8th Ave S . � , ; '
Federal Way, WA 98003 -- Inspection Request Line: 253 835-3050
Ph: (253) 835-2607 Fax (253) 835-2609 ,� P Q
Project Name: FOREST COVE APARTMENTS
Project Address: 31002 16TH PL SW Parcel Number: 122103 9006
Project Description: Install branch circuits and carport lighting
Owner
ARRlican
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?.................Yes 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 wil a in accords ce with the laws, rules and regulations of the State of Washington
X150 Od the City of Federal Way.
Owner or agent: Date:
TRIS CARD IS TO ON-SITE
CITY OF x,:� w Construction In ection Record
Federal INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 14 -100334 -00 -EL Address: 31002 16TH PL SW
Project: FOREST COVE -388 LLC FEDERAL WAY, WA 98023-4389
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.
Ditch cover (4030)
0 Rough Electrical (4225)
Ceiling Cover (4020)
-f1 cpproave�d
Approved
Approved
By Date
By Date
By Date
0 Final - Electrical (4055)
Approved
By - Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CfffoF ` ELECTRICAL
Federal Way JAN 2 2 2014 PERMIT APPLICATION
CITY OF FEDERAL WAY
PERMIT NIIMBCDS � _ � � � _�
SITE ADDRESS: 3 / r) /6' ��. (�
SUITE/UNIT/SPACE #
PROJECT VALUATION OC)ASSESSOR'S
TAR/PARCEL # C T/PROPOSED USE
—
PROJECT NAME
(Tenant or Homeowner Last Name)/t
/
,;
` �J.� ✓ e
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
�j
�%"j � �%lh � � s. � t • t
PRIMARY PHONE
. (�1� t')
MAILING A136RESS
�-r— /vl/4'1 erg c �/> -f PKJ
E-N:AIL
7.r
CITY
STATE
ZIP
FAX
NAME 100,
PRIMARY PHONE
s-p
ELECTRICAL
MAILING ADDRESS 01
E-MAIL,
CONTRACTOR
CITY
STATE
ZIP
FAX
6
/
I1
( ) Z�IZAI
WA STATE CONTRACTOR'S LICENSE f ERPIRATION DATE
C- f6c 3/
FEDERAL W& BUSINESS LICENSE #
NAME
PRIMARY PHONE
APPLICANT
jyj -e-t
)
MAILING ADDRESS
E-MWL
CITY
STATE
ZIP
FAX
t )
PROJECT CONTACTa
PRIMARY PHONE
-o
. w -r
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 wUl comply with
all applicable City of Federal Wary 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 citL�,gs�ajpart of tht;-Mplication.
SIGNATURE:
PRINT NAME:
Ir
Bulletin # 160 -January I, 2013 Page 1 of 2 k: lflandoutsTlectrical Permit Application
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