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19-101846 Electrical City of Federal Way Permit #:19-101846-00-EL Community Development Dept 33325 8th Ave S Federal Way,WA 98003 Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax:(253)835-2609 Project Name: CITY OF FEDERAL WAY-SAFE ROOM Project Address: 33325 8TH AVE S Parcel Number:926500 0290 Project Description: Electrical to add(5)outlet locations,no VAC. Owner Applicant Contractor CITY OF FEDERAL WAY JIM MONSONJ G M TECHNICAL J G M TECHNICAL SERVICES INC 33325 8TH AVE S SERVICES INC JGMTETS956KJ(5/15/19) FEDERAL WAY WA 98003 4742 42ND AVE SW UNIT 169 SEATTLE WA 98116 4742 42ND AVE SW SUITE 169 SEATTLE WA 98116 Additional Permit Information Is this an Online or O.T.C.application') Yes t .. sY ..., .,;•• .r. . ::.0 r!%. ;1; •; "• Zz.��. "";.f:•. r,•K•r3 = Circuits-Commercial 5 PERMIT EXPIRES Friday, 17 April,2020 Permit Issued on Thursday,April 18,2019 I hereby certify that the above inf. mation is correct and that the construction on the above described property and the occupancy and the • be i r accordance with the laws, rules and regulations of the State of / /, ,f 1 rl •e o f Federal Way. Owner or agent: Adr Jt� //eDate: r / _40F`r 1 C/-711 al THIS CARD IS TO REMAIN ON-SITE ,44111&• Construction Inspection Record Federal Way INSPECTION REQUESTS: (253)835-3050 PERMIT#: 19 101846 00 Address: 33325 8TH AVE S Project: CITY OF FEDERAL WAY FEDERAL WAY WA 98003-6325 Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections art 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) El Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date ® Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235) Approved Approved Approved By Date By Date By Date 0 Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020) Approved Approved Approved By Date By Date By Date ® Final-Electrical(4055) Approved By lie Date g-/7../7 0 Rough Electrical 0 Final Electrical 0 Right of Way Approved Approved Approved By Date By Date By Date RECEIVED ELECTRICAL CITY OF 411111 Federal Way APR 18 2019 PERMIT APPLICATION CITY OF FEDERAL WAY COMMUNITY DEVELOPME PERMIT NUMBER 0 I - sr b _ c_ SUITE/UNIT/SPACE# SITE ADDRESS: 3.3.� Z 6 ( v& PROJECT VALUATION, ASSESSOR'S> ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE $ (r1j2%. 2 c 5 o v o 2._ q C PROJECT NAME (Tenant or Homeowner Last Name) COFc, S;� t.ele--( PROJECT DESCRIPTION /d,0 $ OV( f , / /2e, v L_ Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER C©rl (157 )S5c - 25r2- MAILING ADDRESS 3 3 2 5 gE S E-MAIL CITY 3 STATE ZIP FAX �� 9So � ( ) __- NAME PRIMARY PHONE - 2'Z'K 7 /- el('C' -- ( ) - MAILING ADDRESS E-MAIL ELECTRICAL 1-/F Z 1.1.0i . 'e 'c CONTRACTOR ..-5.— STATEzip� FAX /(6 ( ) WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# .,7��-t 1E.73 9.S7 r�- 7r----- NAME PRIMARY PHONE APPLICANT MAILING ADDRESS ( ) E-MAIL CITY STATE ZIP FAX ( ) NAMEPRIMARY PHONE PROJECT CONTACT ig�h[�/9 ( 153 ) 5', c Z$:'7_ i. 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 it he/� �a part of this application. r SIGNATURE: . ANY — DATE 18 r ©` l PRINT NAME: 7.--(••4( O 9,,----) Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application