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13-103076 CITY OF A. ELECTRICAL Federal Way PERMIT APPLICATION RECEIVED PERMIT NUMBER 1 10 3o7.60O --- -- - - — -- JUL 11 2013 SITE ADDRESS: oZ 7 rflp,1, /Ct-e r'• `C i+�'�[�.--1 E. I � i2AL WAY CDS PROJECT VALUATION 1 ASSESSOR'S TAX/PARCEL M CURRENT/PROPOSED USE $ � S°1 4 0 a O - ® © l 1 Pe s,deaee - PROJECT NAME id ci i'/ - &Au/`6.e C e.,t Ge-, . (Tenant or Homeowner Last Name) e'er a/t e U-p- 'i le L /0,2,c- ,4 r PROJECT DESCRIPTION _ �,. / �_ � Detailed description of work to #/o .e,' • /ca Jet t^ V t A// Pr`b 17`'Cc7 a2?3/7/ ,o-C AV Si be included on this permit only / / f J /03 Neve , NAME PRIMARY PRONE' PROPERTY OWNERWe,/ Ge - £e�'cs1`ae feu--rlT (21:3) x'38- 6 $ Jo L MAILING ADDRESS ? C_ p EMAIL } ©o Ss J�tra J C Ir er G /K.dC Ell c Cr`°jeeli9iCC° eE x CITY STATE I ZIP FAX 'eh-1e./ Yty- tall_ 7003 (,Zs3) 8- 7e3 NAMEPRIMARY PHONE 7?c- Elle �s r<C• ( '3) 333- //20 MAILING ADDRESS. - E-MAIL ELECTRICAL o c�4 /1,,e, S, t`&e c�<< ',4,...-a„...1,6-53,4- CONTRACTOR ,4,... r�6-5e+4r CONTRACTOR CITY 1 STATE I ZR' FAX ,'1Jt,If- 1(4'4, I [©Oof ( ) WA STATE CONTRACTOR'S LICENSE 0 EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# Te`u -r 0 3 )%' . 3 i/fes I/vr `18/05.?4. 12occv,/ $4 1 NAME PRIMARY PHONE APPLICANT g/e' L' e:1 (2,0)3.13 - 11?o MARLARG ADDRESS E-MAIL 3 103 1 b:`k tili/c. S, 7C,r t&teeT /e Vgau- /, CITY i STATE ZIP PAX AYtyi fi'ft. 6180e) ( ) - PHONE PROJECT CONTACT NAME (1. _s e l�7/e t l (d f3)SP MARRIY r Tab 7 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 I 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 information supplied to the city as a part of this application. f SIGNATURE: f 1 jd�'K •e DATE -7-`/ - /3 I PRINT NAME: ,',C l[ Jam' /(e, / Bulletin#160-January 1,2013 Page 1 of 2 k:`HandoutslElectrical Permit Application Electrical City of Federal Way Community & Econ. Dev. Services Permit #: 13 -103076 -00 -EL 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2807 Fax (253) 835-2809 Inspection Request Line: (253) 835-3050 Project Name: MULTI SERVICE CENTER Project Address: 29404 PACIFIC HWY S Project Description: Service upgrade to 125 amp Parcel Number. 304020 0079 Owner BWW REAL ESTATE LLC AQnlicant T C M ELECTRIC Contractor T C M ELECTRIC 29404 PACIFIC HWY S 31034 55TH AVE S TCMEL•'033DF (3/6/15) FEDERAL WAY WA 98003 AUBURN WA 98001 31034 55TH AVE S AUBURN WA 98001 Additional Permit Information Is this an Online or O.T.C. application? ................. es Is Use Educational or Institutional? ............ ......... No Electrical Fixtures Alt. Serv./Feeder: 0 to 200 amps (F 1 6t 0'001� PERMIT EXPIRES Tuesday, Permit Issued on Thursday I hereby certify that the above information is correct and71s, ons the occupancy and the use will be in accordance with ulesand the Cityl WZ Owner or agent 6nL pf7, 2014 1, 2013 on on the above described property and regulations of the State of Washington Date: C1'ff OF Federal Way Building Divisiop 33325 Eighth Avenue South Federal Way, WA 98003-6325 Phone 253-835-2607 Fax 253-835-2609 CORRECTION NOTICE ADDRESS: ,<746 �i �I�C PERMIT#: F' C� ��- � �,.� >r � ►7�--� Citi �. �� IF YOU HAVE QUESTIONS (253) 835- 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. ?_ �2----1 DA DO NOT RE SPECTOR THIS NOTICE Page of CITY CW V;bt�, Federal Way PERMIT #: THIS CARD IS TO REMAIN ON-SITE Construction Inspection Record INSPECTION REQUESTS: (253) 835-3050 13 -103076 -00 -EL Address: 29404 PACIFIC HWY S Project: BWW REAL ESTATE LLC FEDERAL WAY, WA 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 (40 0) Final Electrical Approved Slab/Concrete Floor (4255) 1:1Approved Approved By Approved Approved to place concrete By Date By Date By Date Pool Bonding (4195) Temporary Power (4275) Final Electrical Approved Service (4235) 1:1Approved Approved By Approved Approved By Date By Date Dat!:y ❑ 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