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18-104966
City of Federal Way Community Development Dept. 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 8352607 Fax (253) 8352609 Project Name: BELMOR PARK SPACE 197 Electrical Permit #:18 -104966 -00 -EL Inspection Request Line: (253) 835-3050 Project Address: 2101 S 324TH ST Parcel Number: 162104 9037 Project Description: Installation of beat pump disconnect and low -voltage wiring. Owner Applicant Contractor BELMOR MOBILE HOME PARK LP MICHAEL L ERICKSON (GENERAL) MICHAEL L ERICKSON (ELECTRICAL) 2101 S 324TH ST 26834 MILITARY RD S MICHAE•837KD (5/4/19) FEDERAL WAY WA 98003 KENT WA 98032 26834 MILITARY RD S KENT WA 98032 Additional Permit Information Is this an Online or O.T.C. application? .................. Yes Circuits - Residential 1 Low Voltage - Other (Residem 1 PERMIT EXPIRES Tuesday, 22 October, 2019 Permit Issued on Monday, October 22, 2018 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 and the City of Federal Way. Owner or agent: in I I J= Date: V I LM LM -ZI—1 drrof V& Federal Way PERMIT #: 18104%600 THIS CARD IS TO REMAIN ON-SITE Construction Inspection Record INSPECTION REQUESTS: (253) 835-3050 Address: 2101 S 324TH ST Space 197 Project: BELMOR MOBILE HOME PARK LP FEDERAL WAY WA 98003 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. El UFER Ground (4295) ID Ditch cover (4030) 3❑ Slab/Concrete Floor (4255) Approved IBY Approved 113y Approved to place concrete By Date Approved Date By Date ® Pool Bonding (4195) ® Temporary Power (4275) © Service (4235) El Approved 113y Approved 1By Approved By Date By Date By Date 0 Feeders/Sub-panels (4045) ® Rough Electrical (4225) 0 Ceiling Cover (4020) El Approved 113y Approved 1By Approved By Date Date By Date © Final - Electrical (4055) Approved By C Date Rough Electrical Final Electrical El Right of Way Approved Approved Approved By Date By Date By Date CITY Of 4A Federal Way RECEIVED OCT 2 2 20ti� CITY OF FE0EFlA1-WAY CpMMUNTN DEVELOPMEW ELECTRICAL PERMIT APPLICATION PERMIT NUMBER / U - U ( / (- - L SITE ADDRESS: 3�Y4 s t- SUITE/UNIT/SPACE a! PROJECT VALUATION ASSESSOR'S TAR/PARCEL # CURRENT/PROPOSED USE PROJECT NAME (Tenant or Homeowner Last Name) `�� a c`? j PROJECT DESCRIPTION Detailed description of work to be included on this permit only L�� ) PROPERTY OWNER NAME PRIMARY PHONE tZ,53 )S3�,- - 0-5/7 MAILING ADDRESS E•*AIL CITY rc Tv -f/ STATE ZIP 5;H061 31 FAX t ) - ELECTRICAL CONTRACTOR NAIM /-W/chcr� L. Li cl�scti PRIMARY PHONE (zc�C )37c� - c,:,z MAILING ADDRESS 2Z[� --," y /-7// Actµ /? E;, S E-MAIL CITY 1414- STATE ZIP FAX - WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE rh/c711rn FEDERAL WAY BUSINESS LICENSE # APPLICANT NAME PRIMARY PHONE t MAILING ADDRESS E-MAIL CITY STATE ZIP FAX t ) _ PROJECT CONTACT NAME PRIMARY PHONE I certqy under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the beat 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 lawn. I jkrther agree to held 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,jlled against the city, but only where such claim arises out of the reliance of the city, including its off eers and employees, upon the accuracy of the injbrmation supplied to the city as apart of this application. 3IGNATIIRE: � DATE �9Z d ct /L PRINT NAME: N'Ii C /ia� / L Bulletin #160 —April 14, 2016 Page 1 of I k:Wandouts\Electrical Permit Application