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16-104922A - City of Federal Way Community Development Dept. 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax (253) 835-2609 Electrical Permit #:16 -104922 -00 -EL Inspection Request Line: (253) 835-3050 Project Name: MALCOM Project Address: 31702 4TH AVE S Parcel Number: 794180 0050 Project Description: Adding (2) circuits for A/C unit install. Installation of unit by separate contractor. Owner Applicant Contractor PATRICIA MALCOM AFFORDABLE ELECTRICAL LLC AFFORDABLE ELECTRICAL LLC 31702 4TH AVE S 30449 103RD CT SE AFFOREL842132 (01/22/18) FEDERAL WAY WA 98003 AUBURN WA 98092 30449 103RD CT SE AUBURN WA 98092 PERMIT EXPIRES Saturda ^tober 201 Permit Issued on Friday, toter 7, 20 I hereby certify that the above information and the occupancy and the use will be, Owner or agent: V tv F that the on the above described property e with the es and regulations of the State of the City of @*I Way. Date: � � 7 � �O THIS CARD IS TO REMAIN ONSITE crrr ar Federal Way Construction Inspection Record INSPECTION REQUESTS: (253) 835-3050 PERMIT #: 16104922 00 Address: 31702 4TH AVE S Project: ALLAN MALCOM FEDERAL WAY WA 98003-5235 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) ID Ditch cover (4030) 3 Slab/Coocrete Floor (4255) Ceiling Cover (4020) Approved Approved Approved IBY Approved to place concrete By Date By Date By Date ® Pool Bonding (4195) Temporary Power (4275) © Service (4235) Approved Approved Approved By Date By Date By Date Final - Etectrical (4055) Approved Date Feeders/Sub-panels (4045) ® Rough Electrical (4225) Final Electrical ® Ceiling Cover (4020) Right of Way Approved Approved Approved Approved Approved By Date By Date By By Date Final - Etectrical (4055) Approved Date Rough Electrical Final Electrical E] Right of Way Approved Approved Approved By Date By Date By Date 1�CIW OF Federal Way Building Division 33325 Eighth Avenue Soutin Federal Way, WA 98003-6325 Phone 253-835-2607 Fax 253-835-2609 CORRECTION NOTICE ADDRESS: 'R I'-7©2, PERMIT#: 1 Co I D IF YOU HAVE QUESTIONS CALL (253) 835z� WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS. DO NOT REMOVE THIS NOTICE Page k� of 4 CITY OF A Federal Way ELEC'T'RICAL PERMIT APPLICATION PERMIT NUMBER ( (I/ - to 41 9 ZZ - 00 RECEIVED OCT 07 2016 crrY SITE ADDRESS: � �, ?j ' �' v FswT- CDS PROJECT VALUATION A gTARTC�L # Q O j-' D �/ CURRENT/PROPOSED USE > C, 1 - PROJECT NAME /� t CO ( ,I H (Tenant or Homeowner Last Name) 1 �CI.� 'v` PROJECT DESCRIPTION Detailed description of work to be included on this permit only PROPERTY OWNER E (,� f !� 1 C'� � i^(� 1�1 PRIMARY PHONE (2 ��)qy6 - 53 q MAILING ADDRESS E-MAIL ITY STATE ZIP FAX NAMEPRIMARY ,�o vdah(e (.0 ct_l_,c u t_ PHONE - MAILING ADDRESS E-MAIL ELECTRICAL CONTRACTOR ST 14 160qL FAX WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE Zell FEDERAL WAY BUSINESS LICENSE # NAME PRIMARY PHONE (Z53) 2 - 3 2 APPLICANT MAILING ADDRESS ��o E-MAIL CITY ,4 r STATE " ZIP f�� � ¢L FAX ( ) - PROJECT CONTACT NAME COLT F1'Ci'G� 2;>3-q�{(�-�3�1y PRIMARY PHONE ( y3)1�-53�� 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 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 supplied to the city as apart of this application. SIGNATURE: PRINT NAME: C C -,f - -7 - & I6 Bulletin # 160 — January 1, 2013 Page 1 of 2 k:\J-Iandouts\Electrical Permit Application