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18-105484FILE Electrical C-tyDeveop--t Permit #:18 -105484 -00 -EL Community Development Dept. 33325 8th Ave S Federal Way, WA 98003 Inspection Request Line: (253) 835-3050 Ph: (253) 835-2607 Fax (253) 635-2609 Project Name: TELECARE RESIDENTIAL TREATMENT FACIUTY Project Address: 33480 13TH PL S Parcel Number: 768190 0020 Project Description: Load bank test Owner Applicant Contractor TELECARE MENTAL HEALTH SERVICE OF BILL LIVINGSTONSEQUOYAH ELECTRIC SEQUOYAH ELECTRIC LLC WA LLC SEQUOEL977S9 (1/30/19) 1080 MARINA VILLAGE PKWY SUITE 100 15135 NE 92ND ST ALAMEDA CA 94501 REDMOND WA 98052 15135 NE 92ND ST REDMOND WA 98052 Additional Permit Information Is this an Online or O.T.C. application? .................. Yes PERMIT EXPIRES Tuesday, 19 November, 2019 Permit Issued on Monday, November 19, 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. c� Owner or agent: akzz Date: t crrr or THIS CARD IS TO REMAIN ON-SITE �N��1 Federal Way Construction Inspection Record INSPECTION REQUESTS: (253) 835-3050 PERMIT #: 18105484 00 Address: 3348013TH PL S Project: TELECARE MENTAL HEALTH SEI 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. U UFER Ground (4295) 0 Ditch cover (4030) 0 Slab/Concrete Floor (4255) Approved ]By Approved PPr Approved to pts concrete By Date By Date By Date ® Pool Bonding (4195) ❑6 Temporary Power (4275) © Service (4235) Approved ]By Approved Approved By Date By Date By Date 0 Feeders/Sub-paneb (4045) Rough Electrical (4225) ® Ceiling Cover (4020) Approved ]By Approved 1By Approved By Date Approved 113y Date Date Date 10 Final - Electrical (4055) Approved By Date E RoughpEEllec cal Final Electrical Right of Way Approved Approved 113y By Date By Date Date CITY OF 1A Federal Way RECEIVED ELECTRICAL Nov 19 2018 PERMIT APPLICATION CITY OF FEDERAL WAY COMMUNfTY DEVELpMaWiF NUMBER L (•� SITE ADDRESS: 3 3 t TN p S SUITE/UNIT/SPACE # PROJECT VALUATION $ -300 ASSESSOR'S TAX PARCEL # �(J 1 V - �i C) 2-0 CURRENT/PROPOSED USE PROJECT NAME (Tenant or Homeowner Last Name) "� L"L A VVl ^ K T4 L- 14 • .f kf PROJECT DESCRIPTION A-1 A-• I '� � Detailed description of work to be included on this permit only PROPERTY OWNER NAME Te t, 6 G«a ` t= L->" 7 4 A L T44 PRIMARY PHONE ( ) - MAILING ADDRESS 33.q-9(5 [ ;` Pt s E-MAIL CITY STATE ZIP FAX NAME PRIMARY PHONE MAILING ADDRESS 1 51 35 �-k C a *40 E-MAIL dA V/ 5 ELECTRICAL CONTRACTOR CITY t= b io STATE I W*- ZIP 4? FAX et - 6003 WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE (?-o ^0047Pv FEDERAL WAY BUSINESS LICENSE # APPLICANT NAME 81 L--(- t v /vu & S 7C /U PRIMARY PHONE (o-73 MAILING ADDRESS 13S At F ('el. 5TP- ee- 7 E-MAIL CITY P, ED Vk o ,u i7 STATE W ZIP FAX - PROJECT CONTACT NAME f T(45)7& PRIMARY PHONE - l 073 I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. 1 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 information supplied to the city as apart of this application. SIGNATURE: PRINT NAME: Tal 4-C Bulletin # 160 — April 14, 2016 Page 1 of 1 k:\Handouts\Electrical Permit Application OC Kni{