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18-106054City of Federal Way Community Development Dept. 33325 8th Ave S Feaaal Way, WA 98003 Ph: (253) 8352607 Fax (253) 8355-2609 Project Name: CHURCH OF BLESSING Project Address: 1430 S 330TH ST Electrical Permit #:18 -106054 -00 -EL Inspection Request Line: (253) 835-3050 Project Description: Low -voltage wiring for AN system and HVAC controls. Parcel Number: 172104 9045 Owner Applicant Contractor CHURCH OF BLESSING ALEX LUKOMSKYFIVE STAR FIVE STAR ELECTRICAL SERVICE LLC 1430 S 330TH ST ELECTRICAL SERVICE LLC FIVESES941J5 (9/8/20) FEDERAL WAY WA 98003 27744 48TH AVE S 27744 48TH AVE S AUBURN WA 98001 FEDERAL WAY WA 98063 Additional Permit Information Is this an Online or O.T.C. application? .................. Yes Low Voltage - Other (Commel 1 Thermostat 10 PERMIT EXPIRES Friday, 27 December, 2019 Permit Issued on Thursday, December 27, 2018 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 ' accordance with the laws, rules and regulations of the State of Was ' on and the City of Federal Way. Owner or agent: Date: 12-1Z-7 r � CBT OP V&.. Federal Way PERbM #: Project: THIS CARD IS TO REMAIN ON-SITE Construction Inspection Record INSPECTION REQUESTS: (233) 835-3050 18106054 00 Address: 1430 S 330TH ST CHURCH OF BLESSING FEDERAL WAY WA 98003-6302 Scheduled in4pectiom may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to seq =tial 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 unsw a about any of the inspections or the ia4paxion sequence. On-going inspections are logged on the back of this card. 1❑ LIFER Ground (4295) 0 Ditch cover (4030) Service (4235) Slab/Concrete Floor (4255) Approved Approved By Date Approved to Place Crete By Date By Date By Date ® Pool Bonding (4195) © Temporary Power (4275) © Service (4235) Approved Approved Approved By Date By Date By Date 0 Feedawsub-paneb (4045) Rough Electrical (4225) 0 Ceiling Cover (4020) Approved Approved Approved By Date By Date By Date M —Z Final - Electrical (4055) Approved By Q.%6 Date Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date i CITY OF A Federal Way RECEIVED DEC 21 2018 CITY OF FEDERAL WAY COMMUNf1Y DEVELOPMENT ELECTRICAL PERMIT APPLICATION PERMIT NUMBER / ]C _ / J _65Y _ _S4n- SITE ADDRESS: -3,0 S 330*` S* J SUITE/UNIT/SPACE # PROJECT VALUATION $ s,`�� o ASSESSOR'S TAR/PARCEL # � l 0 L/- Y_S CURRENT/PROPOSED USE PROJECT NAME (Tenant or Homeowner Last Name) C PROJECT DESCRIPTION Detailed description of work to be included on this permit only Lam) PROPERTY OWNER NAME 0i 1 LA C -L, PRIMARY PHONE - MAILING ADDRESS J Y3o s :97 C) s E-MAIL CITY Ff a-( W STATE ZIP 3 FAX ( ) - ELECTRICAL CONTRACTOR ` / k_ NAME �)513=L PRIMARY PHONE MAILING ADDRESS 2-71 L( Y 6"`' Av,, E -MAI CITY STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE WA PI: v Srs 9�il 3s� FEDERAL WAY BUSINESS LICENSE # APPLICANT NAME PRIMARY PHONE ( ) MAILING ADDRESS E-MAIL CITY STATE ZIP ( FAX l ) PROJECT CONTACT NAME PRIMARY PHONE 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 authorised 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 flied 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 this application. J Q SIGNATURE: DATE ( Z Z / PRINT NAME: Bulletin #160 —April 14, 2016 Page 1 of 1 k: lIandouts0ectrical Permit Application