14-100339City of Federal Way
Commugity & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609 i
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Project Name: FOREST COVE APARTMENTS
Project Address: 31008 16TH PL SW
Project Description: Install branch circuits and carport lighting
Electrical
Permit #: 14 -100339 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 122103 9006
Owner
AR lid
Contractor
FOREST COVE LLC
A A A C ELECTRIC CORP
A A A C ELECTRIC CORP
12000 NE STH 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 Pormit to#ormation
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 ill be in accor ante with the laws, rules and regulations of the State of Washington
nd the Ci of Federal Way.
Owner or agent: Date: t/ z z
r'THIS CARD IS TO MAIN ON-SITE
CITY OF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 14 -100339 -00 -EL Address: 31008 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.
UFER Ground (4295)
❑ Ditch cover (4030)
Slab/Concrete Floor (4255)
Approved.a�
,Approved
�1 -}
Approved to place concrete
By Date
.S`
By e Date '4—' _/�
By Date
Pool Bonding (4195)
0
Temporary Power (4275)
1:1Approved
Right of Way
By
Service (4235)
Approved
Date
Approved
Date
Approved
By
Date
By
Date
By
Date
Feeders/Sub-panels (4045)
0
Rough Electrical (4225)
0
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By
Date ea
Rough Electrical
Approved
1:1Approved
Final Electrical
1:1Approved
Right of Way
By
Date
By
Date
By
Date
RECEIVED 0
CITY OF JAN 2 2 2014 ELECTRICAL
Federal Way CITY OF FEDERAL 1MRMIT APPLICATION
CDS
PERMIT NUMBER _ L 31
-
SITE ADDRESS:
0,5P,/6' Pe, P
SUITE/UNIT/SPACEi
-710
UN
4
PROJECT VALUATION
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ASSESSOR'S TAR/PARCEL # CU T/PROPOSED USE
/A//
PROJE NAME
Homeowner
/
(Tenant or Last Name)/f
ell1 a / �,�.�- J
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PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
je! 1 d / 19h s5 ' /Y% C
PRIMARY PHONE
(. .5') �� �P - %
MAILING AEdRESS
E-MAIL
Al el�C C-
7J'
CITY
STATE
I ZIP
FAX
�(� �J
/
NAME
Cb1C_11hdCe1 corpWK'
PRIMARY PHONE
ELECTRICAL
MAILING ADDRESS 01
0,1'J'aAl fltl j7E
E-MAIL
eC
CONTRACTOR
CITY
STATE
ZIP
FAR
WA STATE CONTRACTOR'S LICENSE F EXPIRATION DATE
L EeC qo 0.— 03 o
FEDERAL WAt BUSINESS LICENSE 9
NAME
PRIMARY PHONE
APPLICANT
�
( )
ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
()
PROJECT CONTACT
N
� •y/
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 clave), 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 curl gs_jpart of thi"pplication.
SIGNATURE:
PRINT NAME -
Bulletin 4160 — January 1, 2013 Page 1 of 2 k:TlandoutsTlectrical Permit Application
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