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19-100649City of Federal Way Community Development Dept. 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax: (253) 835-2609 Project Name: LAKE FOREST CONDOMINIUMS - POOL HOUSE Project Address: 1003 S 308TH ST Electrical Permit #:19 -100649 -00 -EL Inspection Request Line: (253) 835-3050 Project Description: Replace 100A panel, exterior receptacle and install new flood light. Parcel Number: 259590 0000 Owner Applicant Contractor HELEN KUBIK, TREASURERFOREST LAKE LAUREN REDMONDCHARLES DEAN CHARLES DEAN ELECTRIC LLC HOME OWNERS ASSOCIATION ELECTRIC CHARLDE930LQ (6/18/19) 1003 S 308TH ST UNIT 33 19319 SE 243RD PL FEDERAL WAY, WA 98003 COVINGTON WA 98042 28107 20TH AVE S FEDERAL WAY WA 98003 Additional Permit Information Is this an Online or O.T.C. application? .................. Yes Alt. Srvc / Feeder 0 to 200 aml PERMIT EXPIRES Saturday, 8 February, 2020 Permit Issued on Friday, February 8, 2019 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 on a City of Federal Way. Owner or agent: Date: CR► Op 4 A� i� Federal Way PERMIT #: 19100649 00 THIS CARD IS TO REMAIN ON-SITE Construction Inspection Record INSPECTION REQUESTS: (253) 835-3050 Address: 1003 S 308TH ST Project: HELEN KUBIK, TREASURER FEDERAL WAY WA 98003-4752 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)Fil ® Ditch cover (4030) El Slab/Concrete Floor (4255) Approved Approved IBY Approved to place concrete By Date By Date By Date Pool Bonding (4195) 0 Temporary Power (4275) ® Service (4235) Approved Approved Approved LBy Date A By Date A By Date I ® Feeders/Sub-panels (4045) ® Rough Electrical (4225) E Ceiling Cover (4020) Approved Approved Approved By Date By Date By Date Final - Electrical (4055) Approved:J By C Date `� Rough Electrical Final Electrical Right of Way ApprovedJ I Approved Approved By Date By Date By Date DECEIVED CITY 0 F FEB 0 8 2019 ELECTRICAL Federal Way CITY OF FEDERAL WAY PERMIT APPLICATION COMMUNFiY DEVELOPMENT PERMIT NUMBER (�0��1%_ I certify under penalty of per}ary 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 suoniied to for citu as a wart of this avoMcati9w., SIGNATURE: PRINT Bulletin # 160 — April 14, 2016 Page 1 of 1 k:\Handouts\Electrical Permit Application .00µ SUITE/UNIT/SPACE # SITE ADDRESS: L6o 5 305f -1 -14 S •�- PROJECT VALUATION 0100Z ASSESSOR'S TAR/PARCEL # 5 9 5 n_ U C G CURRENT/PROPOSED USE o©. PROJECT NAME �+ (Tenant or Homeowner Last Name) x e, � S � G PROJECT DESCRIPTION A Pa t Q 4' 9 hk L - Detailed description of work to be included on this permit only TA ruc � FL PROPERTY OWNER NAMPRIMARY 0 SGS i Za,1<C PHONE (zS3 ) ZS7 - 07-33 MAILING ADDRESS 5 3 o i-L%.S E-MAIL flGvro t-rw�+s t-� ,mss CITY STATE ZIP FAX 1 (Ja. I Ck Stud *3 ( ) - NAME 14-m-ne-s iNe.,ro - Ce'c 7 (;C PRIMARY PHONE ( 'J) )0-qS941. MAILING ADDRESS E-MAIL s C 4orte S A a Le c ELECTRICAL D 7 00 1 -% c uc S eV t- , A. CITY STATE ZIP FAX CONTRACTOR J 'Qt 4C�0 ( ) - WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE G� FEDERAL WAY BUSINESS LICENSE # y-oo-�c arc � of � � o •1033 NAME PRIMARY PHONE y12 7� APPLICANT MAILING ADDRESS E-MAIL 319 ITY C STATE LJR ZIP q To V Z FAX ( ) PROJECT CONTACT NAME � PRIMARY PHONE (4ft) /7 -Z YVL I certify under penalty of per}ary 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 suoniied to for citu as a wart of this avoMcati9w., SIGNATURE: PRINT Bulletin # 160 — April 14, 2016 Page 1 of 1 k:\Handouts\Electrical Permit Application .00µ