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16-105800City of Federal Way Community Development Dept. 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax (253) 835-2609 Project Name: VILLAGE GREEN BUILDING G Project Address: 35415 1ST AVE S Project Description: Relocate (2) thermostats. P- f Electrical Permit #:16 -105800 -00 -EL Inspection Request Line: (253) 835-3050 Parcel Number: 302104 9024 Owner Applicant Contractor VILLAGE GREEN LLC FIVE STAR MECHANICAL (GENERAL) FIVE STAR MECHANICAL 35419 1ST AVE S 109 WASHINGTON BLVD SUITE B (ELECTRICAL) FEDERAL WAY WA 98003 ALGONA WA 98001 FIVESM•006C3 (4/12/18) 109 WASHINGTON BLVD SUITE B ALGONA WA 98001 Additional Permit Information Is this an Online or O.T.C. application? .................. Yes PERMIT EXPIRES Thu rsd 7 Permit Issued on Wednesd . , D I hereby certify that the above information is correct and tha and the occupancy and the use will be in accordance the an th ty of Fe Owner or ag t. ' 41 MN,; 44 x!2017 ,2016 !401T -above described property nd regulations of the State of Date: �� THIS CARD IS TO REMAIN ON-SITE crrr or ��w! Federal Way Construction Inspection Record INSPECTION REQUESTS: (253) 835-3050 PERAW #: 16105800 00 Address: 354151ST AVE S Project: VILLAGE GREEN LLC FEDERAL WAY WA 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. 0 UFER Ground (4295) ® 0 Ditch cover (4030) 0 Slab/Concrete Floor (4255) Approved Approved Approved 1By Approved By Approved to place concrete By Date By By Date By Date ® Pool Bonding (4195) ® Temporary Power (4275) © Service (4235) Approved 1By Approved 1By Approved By Date . Date By Date El Feeders/Sub-panels (4045) Rough Electrical (4225) ® Ceiling Cover (4020) Approved [By Approved Approved By Date W4 Date Iti 1-9 Iy By Date IO Final - Electrical (4055) Approved By Date Rough Electrical 0 Final Electrical Right of Way Approved Approved Approved By Date By Date By Date CITY OF Federal Way RECEIVE® DEC 07 2016 CITY OF FEDERAL WAY CDS ELECTRICAL PERMIT APPLICATION PERMIT NUMBER SITE ADDRESS: 3 5 (, f /�d 1 S l/fjC / ��///✓✓✓ Ulf/ A R✓jl�S !U8 PROJECT VALUATION %��v $ off, VU ASSESSOR'S TAR/PAARCEEL # 3- a -0 y - I o ?,- �- CURRENT/PROPOSED PROJECT NAME (Tenant or Homeowner Last Name) r V 1 r PROJECT DESCRIPTION Detailed description of work to be included on this permit only PROPERTY OWNER NAMEPRIMARY V 1, 1 c� �� F PHONE (U3) 8 38 -3 7a0 3-S i •KAMINOADDRm l T ; EMAIL CITY P,44J STATIC ZIP FAX - NAME vE ,� PRIMARY PHONE (S ,Y MAILING ADD 8 _ 10 S l S Z-KAIL ELECTRICAL CONTRACTORC 19 u ►�� STATE ZIP �4- gel FAX ) -_ WA STA / RADTOR'8 LICENSE �EXpi/RA/ / 7� FEDERALOO AY^I LI/Elig'EL APPLICANT NAI$--`- Y1� "-4<-d PRULARY PHONE �) 7?d - vZ 7 MAII.ING ADDRESS j� � U lam) l E-MAIL f'+,�I.J r ✓`C -'S Z�'sOO ( ) FAX PROJECT CONTACT NAME ./ O�v�- PRIMAR PHONE (20 %#Z- b,27,f I cert(y under penalty of perjury that I am the property owner or authorised 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 filed against the city, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accur of the information suppii the city as a part of this application. SIGNA -AX-�Z�-eZ- �� DATE PRINT NAME: -— PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325 253-835-2607 + FAX 253-835-2609 + permitcente acityoffederalway.com Bulletin #160 - April 14, 2016 Page 1 of 1 k:\Handouts\Electrical Permit Application ?L Jit