14-100338t ' �
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
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Electrical
Permit #: 14 -100338 -00 -EL
Inspection Request Line: (253) 835-3050
Project Name: FOREST COVE APARTMENTS'
Project Address: 30921 16TH PL SW
Project Description: Install branch circuits and carport lighting
53 5 1'
Parcel Number: 122103 9006
Owner
ARRllcan
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 wi be in accordance with the laws, rules and regulations of the State of Washington
he ederal Way.
Owner or agent: Date:
THIS, CARD IS TO JaMAIN ON-SITE
CITY OF Construction Inection Record
Federal Way INSPECTION REQUE TS: (253) 535-3050
PERMIT #: 14 -100338 -00 -EL Address: 30921 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.
0 UFER Ground (4295) Ditch cover (4030) Slab/Concrete Floor (
Approved Approved Approved to place concrete
cam..... S.�u
By Date By Date _ _ By Date
Pool Bonding (4195)
0
Temporary Power (4275)13
1:1Approved
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
0
0
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
0
Final - Electrical (4055)
Approved
By
Date �a
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date
M
CITY OF 014 ELECTRICAL
CITY OF FEDERAL Federal Way SAN 2 RAL WAY PERMIT APPLICATION
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PERMIT NUMBER'��t' _(4 _ 0 `L 3
SITE ADDRESS: rr
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SUITE/UNIT/SPACE#
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PROJECT VALUATION p'
ASSESSOR'S TAR/PARCEL ti Cu T/PROPOSED USE
PROJECT NAME—
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
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PRIMARY PHONE
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MAILING AEffRESSE-MAIL
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CITY
STATE
ZIP
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NAME
PRIMARY PHONE
ELECTRICAL
MAILING ADDRESS
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CONTRACTOR
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WA STATE CONTRACTOR'S LICENSE 9 ERPIRATION DATE
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FEDERAL WA BUSINESS LICENSE #
NAME
PRIMARY PHONE
APPLICANT
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ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
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PROJECT CONTACT
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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 certify that I wi11 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 ci"jalpart of th4-Application.
SIGNATURE:
PRINT NAME -
0
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Bulletin # 160 - January 1, 2013 Page 1 of 2 k:Wandouts\Electrical Permit Application