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19-100309 I • o,, - .� , • Electrical Community Dept. Permit #:19-100309-00-EL 33325 8th Ave S Federal Way,WA 98003 Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax(253)835-2609FILE Project Name: KHALSA GURMAT CENTER Project Address: 2821 S 336TH ST Parcel Number:614260 3025 Project Description: Relocate electrical power out of walls. • Owner Applicant Contractor TRI POINT HOLDINGS INC DAN MICHELBRINK ELECTRIC LLC BRINK ELECTRIC LLC PO BOX 6229 12104 NE 141ST ST BRINKEL890M6(7/26/19) FEDERAL WAY,WA 98063 KIRKLAND WA 98034 12556 120TH AVE NE SUITE 289 KIRKLAND WA 98034 Additional Permit Information Is this an Online or O.T.C.application Yes PERMIT EXPIRES Thursday, 16 January,2020 Permit Issued on Wednesday,January 16,2019 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 ashington and the ty of Federal Way. /—/C ` 201Owner or agent: Date: 0 THIS CARD IS TO REMAIN ON-SITE urvo4 Construction Ins ection Record '' eraiCoy INSPECTION REQUESTS:(253)835-3050 PERMIT#: 19 100309 00 Address: 2821 S 336TH ST Project: TRI POINT HOLDINGS INC FEDERAL WAY WA 98003 Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections me listed as close to sequential order as possible (read left to right,top to bottom). Please schedule inspections as appropriate. Woric 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 me logged on the back of this card. 1❑ LIFER Ground(4295) El Ditch cover(4030) El Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date El Pool Bonding(4195) • ® Temporary Power(4275) El Service(4235) Approved Approved Approved By Date By Date By Date • El Feeders/Sub-paneb(4045) El Rough Electrical(4225) El Ceiling Cover(4020) Approved Approved • Approved By Date By ,,k Date. ` - o By Date al Final-Electrical(4055) Approved By f,e ..w619 • D Rough Electrical 0 Final Electrical ❑ Right of Way Approved Approved Approved By Date . By Date By Date RECEIVED ELECTRICAL CITY OF ^.� ^019 Federal Way AN 1 L PERMIT APPLICATION coMMUN DEVELOPMENT WAY PERMIT NUMBER 1 _ 1 0 0 3 D 1 - c SITE ADDRESS: )\_,(2)2._ \ C241A. SUITE/UNIT/SPACE# PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE $ Y-, 000 Ce l L+ 2 Ce 0 - 3 0 2 5--- PROJECT NAME (Tenant or Homeowner Last Name) Kk, (5 , 6,,,,( 4 C zc,, PROJECT DESCRIPTION T L .Th s T K k‘e-K) rj 1`L W1 i(s 4 Detailed description of work to pti 4r(,`,�^Q C)N� be included on this permit only � / f ��e r/�-G. G�r(-.A G4,1 Dau-` 0 6t.--Iv-6t.--Iv- d"te ids!/S. NAME ^J© \ ` PRIMARY PH E PROPERTY OWNER I,` c1A-. (2°C2) 6) I34 (S-3D MAILING ADDRESS E-MAIL Po 0,c C2z2Cc CITY STATEZIP FAX r��4.,1 Lit GJ14 • 6063 ( ) - — NAME PRIMARY PHONE 13(i�t< 1.17 -fcc_ ( LAST 7 ,702" MAILING ADDRESS E-MAIL ELECTRICAL /2-70 N i1/C /41 S- f 4— cLw Q6,Kle4. Q C L-4P41 CONTRACTOR CITY//`� frf � STATE ZIP- ��03 f ( ) FAX WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# X 0//7 /2_2_ t -f,-10330_v0-5L NAME � / ` f PRIMARY PHONE APPLICANT C.0.-^_..C.0.-^_.. \ t C'�\ (4 7 0 6- 6'702.- MAILING ADDRESS E-MAIL CITY STATE ZIP FAX ( ) NAMErn� PRIMARY PHONE PROJECT CONTACT 06.,� V J 'j4 \ ((,)- 206 (?'2d2 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 c as a part of this application. / SIGNATURE: .......9.347(-- DATE /*--/ �( q PRINT NAME: I ' ez v,_ Y ` t L k_.e 1 Bulletin#160–April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application