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18-100687 , ► Electrical City of Federal Way Permit #:18-100687-00-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: L T C A,LLC Project Address: 30854 PACIFIC HWY S Parcel Number: 785360 0145 Project Description: Low-voltage wiring for new addressable fire alarm system. • Owner Applicant Contractor LTCA LLC 16D LLC 16D LLC 29727 49TH PL S PO BOX 804 16DLLL•882JT(5/14/18) AUBURN WA VASHON WA 98070 PO BOX 804 VASHON WA 98070 Additional Permit Information Is this an Online or O.T.C.application? Yes Low Voltage-Fire Alarm(Co 1 PERMIT EXPIRES Tuesday,12 February,2019 Permit Issued on Monday,February 12,2018 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the use wil 'r accordance with the laws, rules and regulations of the State of W- the City of Federal Way. o �� Owner or agent 48111111116, Date: Z 1 Z ' t ' / *1 .. ,. . • • 4& THIS CARD IS TO REMAIN ON-SITE crr Construction Inspection Record F r or ra INSPECTION REQUESTS:(253)835-3050 PERMIT#: 18 100687 00 Address: 30854 PACIFIC HWY S Project: LTCA LLC FEDERAL WAY WA 98003-4908 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 my 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 to place concrete By Date By Date By Date Q Pool Bonding(4195) ® Temporary Power(4275) © Service(4235) Approved Approved Approved By Date By Date By Date CI Feeders/Sub-panels(4045) ® Rough Electrical(4225) El Ceiling Cover(4020) Approved Approved Approved By Date l Date (e7 By fr ter." —I El Final-Electrical(4055) ee Approved /�By Date, C �/9 0 Rough Electrical El Final Electrical Right of Way Approved Approved Approved By Date By Date By Date ELECTRICAL CITY OF 111111 RECEIVED Federal Way PERMIT APPLICATION FEB 12 2018 CITY OF FEDERAL WAY PERMIT NUMBER /S _ ! 7 O 6 i? �_ E COMMUNITY DEVELOPMENT — — — SUITE/UNIT/SPACE# SITE ADDRESS: 30Q)';'4 �G u uwM/ PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE -,225o 7 e S 3 ' a - 0 2 2- 0 v/=1 us PROJECT NAME (Tenant or Homeowner Last Name) LT- CA fi I L7 1.f E1v.1 fh'-D''Z i Le* (LE A-011/14 PROJECT DESCRIPTION Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER L--FCA i LLC, ( ) - MAILING ADDRESS E-MAIL 2_9 72-1 �{� P c.frz� S , CITY STATE ZIP FAX /�-tJ���SY1 rJ Jk C(800 t -.—_ NAME PRIMARY PHONE MAILING ADDRESS E-MAIL ELECTRICAL Q o g0,< 2o1 Gd c-& I(*o'D LL Q CONTRACTOR CITY STATE ZIP FAX V tcc tv ocJ cuik '1'dC I O ( ) - WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# C in 44632- -i- OS IL( /Z019 NAME ------PRIMARY PHONE APPLICANT I gg 11.4 > (z- 3 )2ZS - 6cZc MAILING DADDRESSS E-MAIL Ga,, 80,4 0,/c.-v.G I671)l1 c- . CITY STATE ZIP FAX V A4,colJ vJh X07 ( ) - PROJECT CONTACT NAME PRIMARY PHONE LWAN-) (2- g g kr-c ( 3 ) 11S- - ( G zr 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 arty 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 reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the city as a p lication. SIGNATURE: 2 T •_ DATE 17— 1 ZA e PRINT NAME: v/� ("i Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application