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15-101681 • • ` Electrical City Convnunity �ay &EPermit #: 15-101681-00-EL 33325 8th Ave S Federal way'a,c 98003 Inspection Request Line: (253) Ph:(253)835-2807 Fax.(253)835-2609 p Q835-3050 Project Name: THE QUAD MEDICAL OFFICE-UNIT 301 Project Address: 118 SW 330TH ST Unit 301 Parcel Number: 182104 9045 Project Description: Altering(1)circuit for like for like replacement of existing water source heat pump Owner Applicant Contractor QUAD PROFESSIONAL BUILDING P S R-HVAC&MECHANICAL SERVICES P S R-HVAC&MECHANICAL SERVICES PO BOX 53290 (GENERAL) (ELECTRICAL) BELLEVUE WA 98015-3290 PO BOX 27073 PSRHVMS922NJ(4/21/16) SEATTLE WA 98125-1473 PO BOX 27073 SEATTLE WA 98125-1473 • Additional Permit Information Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No Service greater than 999 Amps? No Electrical Fixtures Circuits-Commercial 1 PERMIT EXPIRES Sunday, October 4, 2015 Permit Issued on Tuesday,April 7, 2015 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 Washington and ity of Federal Way. Owner or agent: Date: 7 t�� FINALED -.44A THIS CARD IS TO MAIN ON-SITF . • f Federal Wa 0 Construction In ection Record y INSPECTION REQ TS: (253)835-3050 PERMIT#: 15-101681-00-EL Address: 118 SW 330TH ST Unit 301 Project: QUAD PROFESSIONAL BUILDING FEDERAL WAY, WA 98023 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. LIFER Ground(4295) Ditch cover 0 A roves CI (4030) ❑ Slab/Concrete Floor(4255) pp Approved Approved to place concrete By Date By Date By Date ❑ Pool Bonding(4195) Temporary Power(4275) Approved 00 ServiceA (4235) � ApprovedyApproved By Date By Date BY Date Feeders/Sub-panels(4045) Rough Electrical 4225 O Approved 0 g ( ) ❑ Ceiling Cover(4020) Approved Approved By Date By Date By Date O Final-Electrical(4055) Approved B Date b,. ....--- . 0 Rough Electrical El Final Electrical El Right of Way Approved Approved Approved By Date By Date By Date • CITY OF EPECTRICAL Federal Way PERMIT APPTION PERMIT NUMBER 1 0 1 `V ( APR 0 7 2015 CITY OF FEDERAL WAY SITE ADDRESS: j'80 Z3 SUITE��SPACE/ 1 Sly '3 ©-t v1 AL w,al ,,ccc) PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE 1 eco= I Z © - I a _ tucptc,4t._ °FFt PROJECT NAME P--e---.1"6440449--401" (Tenant or Homeowner Last Name) �u�� QG Sv t'f(f 300 U e 3�I !.tir'Lr co(. LlI -& QL1)c444 r d f L5TjNU i),JS4P PROJECT DESCRIPTION l/b" 4- as L.A.:4:r 1& it II,I Val 0-3‘ Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER -- -Lie-121/ WIALL.LW ( ) - MAILING ADDRESS E-MAIL CITY STATE ZIP FAX at�I1#04'L- t)IAy- 00 ?go z3 ( ) NAME PRIMARY PHONE 7 - M a-t l ociu)CJ4 L. ( ) - MAILING ADDRESS E-MAIL ELECTRICAL 1.3L (S W'0 ST CONTRACTOR CITY STATE ZIP FAX S 64Tr LCL t>v14 98/z c ( ) - WA STATE CONTRACTOR'S LICENSE M EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# FS a. lAVmSzic\ z� 110 7009. to/ 5.40_00_g NAMEr,�/ PRIMARY PHONE APPLICANT IP A VI 0 14.40-12/�-cv 7 COS (7f 30C>- 771.125 MAILING ADDRESS S E 1A�1 LT 13 L 7,Ail rAnytem e_Dse_ 5 Awl '7 /I �v v- IZ o s 1-104'0/L/4L.a1 CITY STATE ZIP / FAX ( ) PROJECT CONTACT NAME s A✓i.V S A �� ( )PRIMARY PHONE 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 Iaws. 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 th- as • •art of is a plication. SIGNATURE: / DATE /17// PRINT NAME: A4(O 1/1A.0 ' -O 1-D Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application