19-100793City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 935-2607 Fax: (253) 835-2609
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EIectrical
Permit #:19 -100793 -00 -EL
Inspection Request Line: (253) 835-3050
Project Name: LAKESIDE VILLAGE CONDOS
Project Address: 1006 S 312TH ST Parcel Number: 414260 0190
Project Description: Inspection to re-establish electrical service based on contractor's report.
Owner
Applicant
Contractor
BRECKENRIDGE PROPERTY FUND LLC
ARIAL ELECTRIC INC
ARIAL ELECTRIC INC
2015 MANHATTAN BEACH BLVD
14146 124TH PL NE
ARIALEI906.19 (4/24/20)
REDONDO BEACH CA 90278
KIRKLAND WA 98034
14146 124TH PL NE
KIRKLAND WA 98034
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Alt. Serv./Feeder: 0 to 200 aml 1
PERMIT EXPIRES Wednesday, 19 February, 2020
Permit Issued on Tuesday, February 19, 2019
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy a the use will be in accordance with the laws, rules and regulations of the State of
Wa ington and the City of Federal Way.
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Owner or agent: "� Date*2, 19-
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Federal Way
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 19100793 00 Address: 1006 S 312TH ST Unit 211
Project: BRECKENRIDGE PROPERTY FUN) FEDERAL WAY WA 98003-4779
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. Worm 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. tin -going inspections are logged on the back of this card.
El
UFER Ground (4295)
0
Ditch cover (4030)
D
Slab/Concrete Floor (4255)
Ceiling Cover (4020)
Approved
IBY
Approved
113Y
Approved to place concrete
By
Date
By
Date
By
Date
0 Final - Electrical (4055)
Approved
By Date
Pool Beading (4195)
0
Temporary Power (4275)
®
Service (4235)
Ceiling Cover (4020)
Approved
Approved
Approved
Ift
Approved
By
Date
By
Date
By
Date
0 Final - Electrical (4055)
Approved
By Date
FeederwSub-panels (4045)
®
Rough Electrical (4225)
Final Electrical
9❑
Ceiling Cover (4020)
Right 6f Way
Approved
Approved
Approved
113Y
Approved
Approved
By
Date
By
Date
By
Date
0 Final - Electrical (4055)
Approved
By Date
Rough Electrical
El
Final Electrical
Right 6f Way
IBY
Approved
Approved
Approved
Date
By
Date
By
. Date
CITY OF
Federal Way
RECEIVED
FEB 19 2019
CITY OF FEDERAL WAY
COMMUNf1Y DEVELOPMENT
ELECTRICAL
PERMIT APPLICATION
PERMIT NUMBER _ D _
1 SITE ADDRESS: 5-f
1*2Z�
PROJECT VALUATION
$ 50(o
ASSESSOR'S TAR/PARCEL M
`f -y '6 �' e
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
'
L �-cs i de V
(f ond p -s
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
recl�ev, ► d15 (`.
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NAME/
'� c- e '1�g` 000 � ZL C�
PRIMARY PHONE
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MAILIN CAD/ • ` �. 4 `s I \ � �.�L( -
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S/T/Ar�T�E�
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( FAX
ELECTRICAL
CONTRACTOR
NAME ��
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PRIMARY PHONE
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MAILING ADDRESS Q %
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E-MAIL
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WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
-
APPLICANT
77EW
1/ D
PRIMARY PHONE
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MAILING ADDRESS
E-MAIL
5�r�
FAX
PROJECT CONTACT
NAME
PN i
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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 W
AW -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 7�-
art of this application.
SIGNATURE: /� DATE
PRINT NAME:
Bulletin # 160 — April 14, 2016 Page 1 of 1 k:\I-Iandouts\Electrical Permit Application