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13-102568 r • • Electrical Cityof&Federal Dev.ry Permit #: 13-102568-00-EL Community&Econ.Dev.Services 33325 8th Ave S Federal way,WA 98003 Inspection Request Line: (253)835-3050 Ph:(253)835-2807 Fax:(253)835-2609 l� � Project Name: QUAD PROFESSIONAL BUILDING Project Address: 118 SW 330TH ST Parcel Number: 182104 9045 Project Description: Wiring&thermostats for replacement of(3)water source heat pumps. • Owner Applicant Contractor QUAD PROFESSIONAL BUILDING P S R-HVAC&MECHANICAL SERVICES PSR-HVAC&MECHANICAL SERVICES PO BOX 53290 (GENERAL) (ELECTRICAL) BELLEVUE WA 98015-3290 'PO BOX 27073 PSRHVMS922NJ(4/21/14) SEATTLE WA 98125-1473 PO BOX 27073 SEATTLE WA 98125 • • 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. 3 Thermostat. 3 PERMIT EXPIRES Sunday, December 8, 2013 Permit Issued on Tuesday,June 11, 2013 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 the City of Federal Way. _ If _ I Owner or agent: z . Date: THIS CARD IS TO REMAIN ON SITE FedilA eral Way Construction Infection Record INSPECTION REQTS: (253)835-3050 PERMIT#: 13-102568-00-EL Address: 118 SW 330TH ST Project: QUAD PROFESSIONAL BUILDING FEDERAL WAY, WA 98023-6185 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. ❑ UFER Ground(4295) "❑ Ditch cover(4030) ❑ Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date . By Date Pool Bonding(4195) TemporaryPower(4275) ❑ Approved El 0 Service(4235) Approved Approved By Date By Date By Date Feeders/Sub-panels(4045) Rough Electrical 422 ❑ Approved 0 g ( � ❑ Ceiling Cover(4020) Approved Approved By Date By Date By Date 0 Final-Electrical(4055) Approved By o. .r. Date i 12._( '3 ❑ Rough Electrical El Final Electrical Right of Way Approved Approved ❑ Approved By Date By Date By Date REIVED EL CTRIC AL CITY OF 4A Federal Way JUN 1 1 2013 PERMIT APPLICATION CITY OF FEDERAL WAY PERMIT NUMBER / J - / D( C5& 8 0 0 SUITE/UNIT/SPACE If SITE ADDRESS: / / p 3 3 Q( Ss-P` PROJECT VALUATION ( ASSESSOR'S TAX/PARCEL i CURRENT/PROPOSED USE $ k0VlCA _Lo - `�' ° CIs PROJECT NAME (Tenant or Homeowner Last Name) (/t.C ` 1 e,cc::34 . , , - � e,'s� ,�,ecl co,Ai H n PROJECT DESCRIPTION I ,'.---e_ Ll ~' ( 4-A ri e- ‘.4...i U:it. ✓'o rin 3 v vl: 4-6A, Replace Detailed description of work to 3 h C,4-1J v»p ,,,„,1 ./.,'P Cc)vhr r`i- 6kii59-iN 1i1/f N, t NI be included on this permit only NAME PRIMARY PHONE D PROPERTY OWNER l� r , err W`t 0 e n (Zh�)`$)V - 07 6 'o MAILING I q ADDRESS 5 1iV 3 3 6 e4.v�� E-MAIL CITY !/ ' STATE ZIP FAX F--e Je,t.,, I \nJ ot 3 WA c1 `d d 2.3 ( ) - NAME J PRIMARY PHONE p S K Il e c'iou.i, (zv4, )3 6 7 - 2 ©c7 MAILING ADDRESS _D LH, !(A ELECTRICAL '�I �Z to, 13 3 C--X Sl-Feer`)" J"s d vl . .l ewsc+VI&Mt-ligedtV4,c.t 1.ct)v, CONTRACTOR — Cr" STATE ZIP FAX Sea,`frIC V41 ova LZ ( ) - WA STATE CONTRACTOR'S LICENSE i EXPIRATION DATE FEDERAL WAT BUSINESS LICENSE N / / NAME ,—_ PRIMARY PHONE APPLICANT °' 5 din , `m 4-e i'-‘ ( ) - MAILING ADDRESS I E-MAIL �j i 3Z l�� 137j'' 3 4—V - Saem„ -Sensev,&Psr„ 4gy,:cL, Gom CITYSIVS tel `'EH le W°1 1 i e, ( )IP FAX NAME PRIMARY PHONE PROJECT CONTACT ( ) - I certify under penalty of perjury that I am the property owner or authorised 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 authorised 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. SIGNATURE: LL l DATE ( - ` I I I -5 PRINT NAME: ..S 0160 vi lit)• 5 eL 6 e- Bulletin#160-January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application