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16-1003884 ! Electrical City of Federal Way Permit #: 16 -100388 -00 -EL Community &Econ. Dev. Services 33325 8th Ave S Federal Way, wa 98003 Inspection Request Line: 253 835-3050 Ph: (253) 835-2607 Fax: (253) 835-2609 p Q Project Name: COSMA Project Address: 111 SW 307TH ST Parcel Number: 5560001080 Project Description: 100 AMP LIKE FOR LIKE PANEL CHANGE Owner A11 lid Contractor ANGIE COSMA CRIMSON ELECTRIC LLC CRIMSON ELECTRIC LLC 111 SW 307TH ST 1226 LOUISE CT CRIMSEL938C2(2/22/17) FEDERAL WAYVA 98023 ENUMCLAW WA 98022 1226 LOUISE CT ENUMCLAW WA 98022 Additional Permit Information Electrical Work Valuation?....................................1500 Is this an Online or O.T.C. application? ................. Yes Is Use Educational or Institutional?.......................No Electrical Fixtures Alt. Serv./Feeder: 0 to 200 amps (F 1 PERMIT EXPIRES Sunday, July 24, 2016 Permit Issued on Tuesday, January 26, 2016 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 /j Qand the City of Federal Way. Owner or agent: �%� ��=✓� Date: / Z CITY OF Federal Way 0 THIS CARD IS TO RE ON-SITE . Construction Inspe ion Record INSPECTION REQUESTS: (253) 835-3050 PERMIT #: 16 -100388 -00 -EL Address: 111 SW 307TH ST Project: ANGIE COSMA FEDERAL WAY, WA 98023-3978 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 itis -"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. E] LIFER Ground (4295) Ditch cover (4030) 0 Slab/Concrete Floor (4255) Approved Temporary Power (4275) Approved Approved to place concrete By Date By Date By Date i EJ Pool Bonding (4195) E] Final Electrical Approved Right of Way Approved Temporary Power (4275) Service (4235) Approved Date Approved Date Approved By Date By Date By Date r Feeders/Sub-panels (4045) E] Rough Electrical (4225)Ceiling Cover (4020) Approved Approved Approved By Date By Date By Date Final - Electrical (4055) Approved By Date i EJ Rough Electrical Approved Final Electrical Approved Right of Way Approved By Date By Date By Date PLECTRICA l way PEI lfV#YPLICA TON AMMT NUMBER 9 _ N_ JAN 2 6 2016 rrry OF FFI)FRAL WAY SI ADfiRESS � ' f - CDS 1MI SPAbE # T V UATl01V ASSIiSSOR'S TAR/PARCnt p� d � C�iRRE OSED USE 0 _ — — — — — PR NAME iii of t/t.e, nen Last Nance) ©j�/'►'l PROJFX*DE816Ma ION Detailed description of work to bchtded on thicspermit only At PROPERTY OWNER NAME 1" l N 6 IE If O S'/%r AF Y PHONE E �/2� )` 8�t?- OY/ MAMING ADDRESS CITY - STATE ZIP NAME Cr ► ttry • - e-r�c c e- PRIIKARY MONS, ( o) j2 7 ' MAILING ADDRESS E -YAM ELECTRICAL 2212 1.,0 vlf �E-GT r��ntsa7ne:/tcr%4 L/o `. CONTRACTOR Crry s�rE ZIP FAx WA -STATE CONTRACTOR'S LICENSE # ManRATION DATE FEDERAL WA1r BUSINESS LICENSE # Cf :.. NA= Q PRIMARY PHONE o APPLICANT MAMING ADDRESS ,gp Z �.. v vi jib /vI CITY ® ,p STATE ZIP / FAX r PROJECT CONTACT N"'� d�+be ul®� PRIMARY PHONE 1 7A� I cert under penalty of perjury that I am the property owner or authorised agent of the property owner. I certVy that to the best fm my kr}owledge, the injbrnuation submitted in support of this permit application is true and correct I cert(& that I will compW with all applicable City of Federal Wait regulations pertaining to the work authorised by the issuance of a permit I understand that the issuance of this permit does not rwnove 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 anyolaim (including costs, expenses, and attorneys' fees incurred in the investigation and defense of such claine), which may be made by any persoa, including the undersigned, and filed against the city, but only where such claim arises out of the reliance of the city, including its gfiteera and employees, upon the accuracy Rf the bVbrmation supplied to the city as a part of this application. SIGNATURE: PRINT NAMM Bulletin #160 — 3anuary 1, 2013 Page 1 of 2 kAHandoutsTlectrical Permit Application