14-1003356
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0 Electrical
City of Fedeal Way —.v. Permit #: 14 -100335 -00 -EL
Community & Econ. Econ. Dev. Services
33325 8th Ave S j
Federal Way, WA 98003 lJ L__" 'J
Ph: (253) 835-2607 Fax (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: FOREST COVE APARTMENTS
Project Address: 30910 16TH PL SW Parcel Number. 122103 9006
Project Description: Install branch circuits and carport lighting
Owne
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? ................. 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
the City of Federal Way.
Owner or agent Date: 61 2,2 1 L
THIS CARD IS TOIN ON-SITE
CITY OF � Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 14 -100335 -00 -EL Address: 30910 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.
UFEK Ground (4295) ,,,Ditch cover (4030) Slab/Concrete Floor (�
Approved Approve Approved to place concrete
By Date By Date f' ( rBy Date
Pool Bonding (4195)
El
Temporary Power (4275)
0
Service (4235)
By
Approved
By
Approved
By
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
El
Final Electrical
Approved
0
Right of Way
Approved
By
Date
By
Date
By
Date
CITY of VA�
JAN 2 2 Z014
0
ELECTRICA
Federal Way PERMIT APPLICATION
CITY OF FEDERAL WAY
CDS
PERffiIT NumBER I_ I C _ (�e%
SITE ADDRESS: � ®� � /1�
SUITE/UNIT/SP ACE #
C � cJt
PROJECT VALUATION i,1 QCV®Go
ASSESSOR'S TAX/PARCEL $ CU TIPRO/P�OSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
✓ /t Z �g
��.�
R 14-1
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
� /
lid c� �h`• s f
(�1,s') PRIMARY PHONE &7dO- 7yO�
MAILING REss
E-MAII.
CITY
STATE
ZIP
FAX
zl l r V
4 --
NAME
PRIMARYPHONE
ELECTRICAL
MAILING ADDRESS 61
0z"reAl S'lv f%E
E-MAIL
CONTRACTOR
e e
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S
/(f TR�ACCTOR'SS LLIIC�EN7SE # EXPIRATION DATE
1L-[
,- Ti c -� 0 GIq
FEDERAL W BUSINESS LICENSE #
NAME
PRIMARY PHONE
APPLICANT
jil -e_(
)
G ADDRESS
E-*ZT,
CITY
STATE
ZIP
FAX
( )
PROJECT CONTACT
4
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 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
Wormation supplied to the city ^part of thi*,ppplication.
SIGNATURE:
PRINT NAME:
Is
Bulletin # 160 — January 1, 2013 Pagel of 2 k:lHandoutsTlectrical Permit Application
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