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19-101451 f , a / T Electrical City of Federal Way Permit #:19-101451-00-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: LIFE CARE CENTER OF FEDERAL WAY Project Address: 1045 S 308TH ST Parcel Number: 082104 9042 Project Description: Install 10 24V door holders Owner Applicant Contractor FEDERAL WAY CONVALESCENT CENTER GREG'S ELECTRIC INC GREG'S ELECTRIC INC 3001 KEITH ST NW 12834 LAKE KATHLEEN RD SE GREGSEI265KA(9/30/20) CLEVELAND TN 37312 RENTON WA 98059 12834 LAKE KATHLEEN RD SE RENTON WA 98059 Additional Permit Is this an Online or O.T.C.application? Yes PERMIT EXPIRES Friday,27 March,2020 Permit Issued on Thursday,March 28,2019 I 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 in accordance with the laws, rules and regulations of the State of WWashinggt�to��nand the City of Federal Way. Owner or agent: Ap 0 �(/ /�J (� Date: 1 jit Sol4 THIS CARD IS TO REMAIN ON-SITE Federal Way Construction Inspection Record y INSPECTION REQUESTS:(253)835-3050 PERMIT#: 19 101451 00 Address: 1045 S 308TH ST Project: FEDERAL WAY CONVALESCENT i FEDERAL WAY WA 98003-4706 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) 2❑ Ditch cover(4030) 0 Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date ••By Date ® Pool Bonding(4195) El Temporary Power(4275) © Service(4235) Approved Approved Approved By Date By Date By Date Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020) Approved Approved Approved By Date By Date By Date o Final-Electrical(4055) • Approved / By 47, Date if*/6 ") 7 0 Rough Electrical 0 Final Electrical El Right of Way Approved Approved Approved By Date By Date By Date RECEIVED ELECTRICAL CITY OF Federal Way MAR 2 8 2019 PERMIT APPLICATION CITY OF FEDERAL WAY COMMUNITY DEVELOPMENT / / 5"I _ PERMIT NUMBER Li( V `7 SUITE/UNIT/SPACE# SITE ADDRESS: /0 'S $ 3 O y 5 L / - A / 4,/a4„, 9eD©� PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE $ 7/2 s--_cue) - - - - - PROJECT NAME (Tenant or Homeowner Last Name) 2. / 7�L' (�y aL CZoyy 1 p- O f / 41/7 .{hs // /4 a c/u doe,v %,0/6frs PROJECT DESCRIPTION Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER Z,/` ke f*r ( 2.S3 994 2.7 3 MAILING ADDRESS E-MAIL /121/S S. 3 08�- $f CITY STATE ZIP FAX Fe-///_ia./ ti,//aK (//1 NAME PRIMARY qPRIMARY PHONE MAILING ADDRESS /eG 1rr`C-/ Ln c ( y'Z� �..�7? E-MAIL ELECTRICAL /2.g3 y La/rte. 15a 714/gam 52 CONTRACTOR CITY STATE ZIP FAX fi)0/%1 kr-44- F S.- WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# Cfif- 5 I sh--4 9 / A.,a -- NAME )--Na PRIMARY PHONE APPLICANT ' fy ( 251/ )22 f - MAILING AD RESS E-MAIL /2g.fit/ 24/* CIT STATE ZIP FAX l?n ko 4-, STDs'y ( ) - NAME PRIMARY PHONE PROJECT CONTACT / L! L. (4/- 51 22_0- q 7q 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 a part of this application. 7 SIGNATURE: --.-7a��� � - DATE 3 PRINT NAME: a'1%I Bulletin#160-April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application Electrical City of Federal Way Permit #:19-101451-00-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: LIFE CARE CENTER OF FEDERAL WAY Project Address: 1045 S 308TH ST Parcel Number: 082104 9042 Project Description: Install 10 24V door holders • Owner Applicant Contractor FEDERAL WAY CONVALESCENT CENTER GREG'S ELECTRIC INC GREG'S ELECTRIC INC 3001 KEITH ST NW 12834 LAKE KATHLEEN RD SE GREGSEI265KA(9/30/20) CLEVELAND TN 37312 RENTON WA 98059 12834 LAKE KATHLEEN RD SE RENTON WA 98059 Additional Permit Information Is this an Online or O.T.C.application? Yes ' �J' 3��� ,t _ a �'r -. a r fP �s 3x 3 3h� 1633' P ��� 3 f J 3 A E 1,G 3 .^z ? � I? y 6 nth 1kp - ,,.'.. . ,r. �,,,,, A M,". 11 3, Y+_ x.: PERMIT EXPIRES Friday,27 March,2020 Permit Issued on Thursday,March 28,2019 I 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 int accordance with the laws, rules and regulations of the State of Washington and the Cityof Federal Way. Owner or agent: /�.tc, Date: 3 l 1�� .... THIS CARD IS TO REMAIN ON-SITE Federal 111/a Construction Inspection Record y INSPECTION REQUESTS:(253)835-3050 PERMIT#: 19 101451 00 Address: 1045 S 308TH ST Project: FEDERAL WAY CONVALESCENT 4 FEDERAL WAY WA 98003-4706 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 te+ight tep to bottom). Please schedule inspections as app.up pate. 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 Ditch cover(4030) 0 UFER Ground(4295) ,�� Slab/Concrete Floor(4255) ' Approved Approved Approved to place concrete By Date By Date By Date • 0 Pool Bonding(4195) ® Temporary Power(4275) ® Service(4235) Approved Approved ! Approved By Date By Date t By Date ® Feeders/Sub-panels(4045) 0 Rough Electrical(4225) 0 Ceiling Cover(4020) Approved Approved Approved By Date By Date By Date 0 Final-Electrical(4055) By rrApproved Date 51 '/6 .-/ • 0 Rough Electrical El Final Electrical 0 Right of Way Approved Approved Approved By Date By Date By Date