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15-100853 '-4s�• ELECTRICAL CITY OF ... Federal Way PERMIT APPWATION PERMIT NUMBER is _ f0 0 353 _ Fe FEB 2421115 — — — — CITY OF FEDERAL WAY CDS SUITE/UNIT/SPACE# SITE ADDRESS: 3s----1( i )) S W (--e41..eca) w I , W A 9g 03 ) L_6- 3 PROJECT VALUATION ASSESSOR'S SSOR'S TAX/PARCEL � O © � � � CURRENT/PROPOSED USE � S Soo .Gv g 5" _ PROJECT NAME (Tenant or Homeowner Last Name) 3co6. -e_ tee., \I'_ r1G`MQS cgo rNr `'�or3 Sind€ car,1 ' new Cs.N,5- tuck cin PROJECT DESCRIPTION 6 Q l.,\id ec5c c7,i-)cA Sec v( Detailed description of work to 6>e\-i \-J t c i tj n be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER Be ac21%s}-I. \--)o,-,- e_S •(S-3 ) 31,3 - \`-)03 MAILING ADDRESS E-MAIL ' - /��1"1 V s - C3)A, lo CITY `" STATE 1 ZIP FAX 1'ea2«, Wu'-\6 h)0‘ Gl`ac7cU` ( ) - NAME PRIMARY PHONE 7 el e CAC'i C. LLC (::, -.3 )3 0) - 93'LL! MAILING ADDRESS E-MAIL ELECTRICAL I tp ) I 3S 4 -p Y e. e 3-,,,..). ed-r;G11 CONTRACTOR _ C)c6/4/.4(pFAX s''' 1 l (0CITY STATE ZIP '1t ( ) - WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# :5 C Le-S-1✓ %to 9 C 1-_ ? /i-- /do i(r? NAME PRIMARY PHONE APPLICANT ''-'^' 4S -ele 6 1 c 1 LC,`-)kaA,-,r ( ) - MAILING ADDRESS E-MAIL CITY STATE ZIP // FAX _ 1 ) NAME PRIMARY PHONE PROJECT CONTACT . Chits \. r L s PS-3 4.3 -O`1$(3 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 Iaws 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 as a part of this application. SIGNATURE: �,it"\`' kl DATE a -o?`"I - 0 )5 PRINT NAME: LA I)-0 1 47-9 t\e"1-- Bulletin Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application Electrical City & Fede. v. S ermit #: 15-100853-00 `E L Way Community 8 Econ. Dev. Senric�s 33325 8th Ave S Federal Way, WA 98003FILE Ins Re Ph: (253) 835-2607 Fax (253) 835-2809 peck Request Line: ( 253 ) 835~3050 Project Name: CROSSPOMT LOT 3 Project Address. 35721 20TH AVE SW Project Description: 200 Amp U/G New resi Owner BROOKSTONE LLC 33516 9TH AVE S SUITE 6 FERAL WAY WA 9MINW Parcel Number: 185340 0030 Contractor 1762135TH AVEWNLECIRICE JJE J JEL(94 ACOMA-WA 176213E T r U'Apl.'application?............ es Is Use Educati or .................W phdima New Service: Resid .......... 0 PERMIT EXPIRES ust 23, 2015 Permit Issued on Tu ry 24, 2015 I he y adfy a above info n is correct and construction on the above t the pancy and the use willbeXtthe ith , rules and regulations of the \ Cityof eras Way. Owner or aaent�„ 9_ 1 �� Date: �1 \CJ I c 0 V CIT Federal Way 15 -100853 -00 -EL THIS CARD IS TCOMAIN Ort -SITE' Construction Inspection Record INSPECTION REQUESTS: (253) 835-3050 Address: 35721 20TH AVE SW Project: BROOKSTONE HOMES 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 UFER Ground(429 Ditch cover (4030) lab/Concrete Floor (4255) Approved Approved Approved to place concrete By V* Date 1141 1,F Date .3 "�c5 Date Final - Electrical (4055) Approved By Date Rough Electrical Approved Final Electrical Approved 1:1Approved Right of Way By Pool Bonding (4195) By Temporary Power (4275) By Service (4235) Approved Approved 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 Final Electrical Approved 1:1Approved Right of Way By Date By Date By Date is 0 TO SCHEDULE OR CANCEL AN INSPECTION, OR TO OBTAIN INSPECTION RESULTS CALL: (253) 835-3050 Be prepared to provide: 10 -Digit Permit Number 4 -Digit Inspection Code (see below) Preferred Date of Inspection Phone Number where you can be reached between 7:00 and 4:00 You will receive a confirmation number at the end of the call. Make a note of the number for reference if a problem occurs with scheduling. If you do not receive a confirmation number, the inspection was not successfully scheduled. The correct inspection code must be used to schedule, cancel or obtain inspection results. The system will only accept codes that are associated with your permit. Please verify that the inspection is included on the card attached to the permit before attempting to schedule. Every effort will be made to perform inspections on the requested day, but it may take up to 48 hours, depending on workload. INSPECTIONS WILL NOT BE PERFORMED (AND YOU MAY BE ASSESSED REINSPECTION FEES) IF: o The work is not complete and ready to be inspected o Approved site copy of permit/plans/inspection card are not on site, available to inspector o Site address is not clearly posted o Inspector does not have access to the site or project. It is the responsibility of whoever is requesting an inspection to provide any special equipment—such as ladders—required to access any aspect of the project. BUILDING INSPECTIONS ELECTRICAL INSPECTIONS Drainage/Downspout/Footing 4040 Ceiling Cover 4020 Fire Stopping/Draft Stops 4095 Ditch Cover 4030 Floor Sheathing 4105 Feeders/Sub-Panels 4045 Footing/Setbacks 4110 Final Electrical 4055 Foundation Wall 4115 Pool Bonding 4295 Framing 4120 Rough Electrical 4225 Gypsum Wallboard Nailing 4130 Service 4235 Insulation 4150 Temporary Power 4275 Reinforcing Steel 4215 Roof Sheathing 4220 SIGN INSPECTIONS Shear Walls 4245 Attachment 4010 Slab/Concrete Floor 4255 Final Sign 4085 Suspended Ceiling Grid 4265 Final Electrical for Signage 4055 Under -floor Framing 4285 Footing/Setback 4110 Under -Slab Groundwork 4295 FINAL INSPECTIONS MANUFACTURED HOME INSPECTIONS Building 4050 Blocking /Tie Downs 4015 Final SWM 4375 Skirting/Final 4250 Fire Department call (253) 946-7318 to schedule Planning call project planner to schedule SURFACE WATER MANAGEMENT INSPECTIONS Public Works call project inspector to schedule Temp Erosion/Sediment Control 4365 Final SWM 4375 MECHANICAL INSPECTIONS PLUMBING INSPECTIONS Final Mechanical 4065 Final Plumbing 4075 Gas Piping 4125 Plumbing Groundwork 4190 Mechanical Rough -In 4165 Rough Plumbing 4230 CITY OF Building Division 33325 Eighth Avenue South Federal Wa Federal Way, 98003-6325 y Phone 253-835-2607 Fax 253-835-2609 CORRECTION NOTICE ADDRESS: 35121 207—'' Ave • Sw . PERMIT#: %S- 1 o b sc;3 -�-�- 1 1 h4eL 11L0.3 L6) - Qlit(4 IAL. tisi-<cA e,[60WS SkII I,,o+ LAStj IVk b�l�(�`6V1Youtidl �N$ l�Ca•�j�oVlC• Ole- -tVb 6G L4,' l I &Uw5 _ • p �w i� . rLg 0q- I - l.i u� v•� d Q Ofwa��;ti l.�.l•,o cw� 1>�dVS 4'v�i Y's pGVwl4�d► ilncll k�devq�o�ha� e��Gf�( Glly�duti }�- IF YOU HAVE QUESTIONS CALL KAG'4-� (253) 835- 2t01-3 WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS. 3 2n 1 e;- ATE INSPECTOR DO NOT REMOVE THIS NOTICE Page of