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12-100691City of Federal Way Community & Econ. Dev. Services • Mectrical Permit #• 12-1 MACH -00-EL 33325 8th S F t,� Federal Way, WA 98003 : L Ph: (253) 833-2257 Fax: Avee S 835-2609 Inspection Request Line: (253) 835-3050 Project Name: SILVER TOWN ADULT FAMILY HOME Project Address: 3829 S 322ND ST Project Description: Install hard wiring for smoke and fire alarms Parcel Number: 236810 0030 Owner Applicant Contractor LINA SOHN LINA SOHN LINA SOHN 32417 8TH AVE SW 32417 8TH AVE SW 32417 8TH AVE SW FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 Is Use Educational or Institutional? ....................... No Circuits - Residential ...................... 4 0 PERMIT EXPIRES Sun K, August 12, 2012 Permit Issued on Tues y, Februa 14, 2012 I hereby certify that the above information is c9 t d that th ons n on the above described property and the occupancy and the use will be in aocor fc ith the laws, regulations of the State of Washington u/ e City of Feder y. Owner or agent: Date: 0?� Z/ b'7 V , tQ �� c� CITY OF Federal Way PERMIT #: THIS CARD IS TO REMAIN ON-SITE , Construction Inspection Record INSPECTION REQUE TS: (253) 835-3050 12 -100691 -00 -EL Address: 3829 S 322ND ST Project: LINA SOHN FEDERAL WAY, WA 98001-9619 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) Temporary Power (4275)Service Slab/Concrete Floor (4255) Approved By Approved Approved to place concrete By Date By Date By Date Final - Electrical (4055) Approved By Date F1 Pool Bonding (4195) E] Temporary Power (4275)Service (4235) By Approved By Approved By Approved By Date By Date By Date 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 F1 Rough Electrical Approved ❑Final Electrical Approved Right of Way Approved By Date By Date By Date 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: `3 lol, -j,,) S, `'3 A -i -L PERMIT#: C W 1 7 L � (fir IF YOU HAVE QUESTIONS CALL (253)835- WHEN 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. 9 I Z, C � '� DATE INSPECTOR DO NOT REMOVE THIS NOTICE Page of (2 - r CITY O!: oxs++,== _ - Federal Way ELECTRICAL RECEIVED PERMIT APPLICATION l= B 14 2012 "Most electrical permits may be obtained on-line at www.cityoffed ** PRO SITE ADDRESS: v SUITE/UNIT/SPACE # ASSESSOR'S TAX/PARCEL# _Z73 CURRENT/PROPOSED USE PRS .dr PROJECT NAME - '^ S, L�/ c)I n �. W (Tenant or Homeowner Last Name) , I ` 1 S /17 O Y e L/4R&A _T/I/STo./ �/o j (n/ -I PROJECT DESCRIPTION o col S av%J Com b -i oma) AiZ . Detailed description of work to be included on this permit only PROPERTY OWNER NAME 1 PRIMARY PHONE MAILING ADDRESS 3 _'Y9 rS 3 ,X)L V) E—MAIL CITY ehyd W aY STATE ZIP 1W 1 FAX NAME V PRIMARY PHONE MAILING ADDRESS E-MAIL, ELECTRICAL CONTRACTOR CITY STATE ZIP WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE # NAME PRIMARY PHONE APPLICANT MAILING ADDRESS ]MAS E -MAH CITY � ^W (',(f )„ S� � ZIP � ( � FAX PROJECT CONTACT NAME L 1 nA. S © h PRIMARY PHONE V9 - 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 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 cit part of this a Lica ' n. SIGNATURE: ' l._ DATE Cly / JAL PRINT NAME: 33325 8`' Avenue South ♦ Federal Way ♦ WA ♦ 98003-6325 ♦ 253-835-2607 ♦ fax: 253-835-2609 ♦ www.cityoffederalway.com Bulletin #160 —January I, 2011 Page I of 2 k:\Handouts\Electrical Permit Application