19-102774 iy
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Electrical
City of Federal Way Permit #:19-102774-00-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: THE UNION APARTMENTS BUILDING 3 UNIT 93
Project Address: 2111 SW 352ND ST Parcel Number:252103 9053
Project Description: Change out electrical panel boxes wire.Install new outlets,switches and all fixtures.
Owner Applicant Contractor
GELT VENTURES LLS SCOTT OLSONS 0 ELECTRIC LLC S 0 ELECTRIC LLC
2111 SW 352ND ST 6132 56TH PL NE SOELEOE863DI(3/21/20)
FEDERAL WAY WA 98023 MARYSVILLE WA 98270
6132 56TH PL NE
MARYSVILLE WA 98270
Additional Permit Information
Is this an Online or O.T.C.application') Yes
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Alt.Serv./Feeder:0 to 200 am] 1
PERMIT EXPIRES Tuesday,9 June,2020
Permit Issued on Monday,June 10,2019
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
Washington and the City of Federal Way. /
Owner or agent: Date: e;;;;;--/0 ✓ / /a
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THIS CARD IS TO REMAIN ON-SITE
"�� Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 102774 00 Address: 2111 SW 352ND ST Bldg 3
Project: GELT VENTURES LLS 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.
0 UFER Ground(4295) z❑ Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
4❑ Pool Bonding(4195) 0 Temporary Power(4275) #1-3 Service(4235)
Approved Approved Approved
By Date By Date By Date
.a Feeders/Sub-panels(4045) •I ® Rough Electrical(4225) ® Ceiling Cover(4020)
Approved Approved Approved
By ieir Date 6 --/1/- /ct kByi� Date (p"/9 4 ..By Date
3 Final-Electrical(4055) 1
O vl Approved
By ///! Date, fi g
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0 Rough Electrical 0 Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVEDELECTRICAL
C,>~of +.... �...� JUN 19 2019
Federal Way PERMIT APPLICATION
CITY OF FEE;-:RAL 4 '`r
COMMUNITY DEVE!Cr,,;E<<r
PERMIT NUMBER / q _ 10 - 7 7 / _ 0 D
SITE ADDRESS: SUITE/UNIT/SPACE#
Z//( S!ij 3 52 ' 5+
gk4 3 1.//7,-)1- 5.3
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ lo00 252 ! C) 3 . 965- 3
PROJECT NAME
(Tenant or Homeowner Last Name) -C----e� I; I v iia il-- s
PROJECT DESCRIPTION T `,,,-e_ U fr"` C O v e4 k-r .c_c,..- \
Detailed description of work to PQt V'.- 0 )44-5. j1 _ ;f--L
be included on this permit only V •
ex c.--: X --ems
NAME (.J •D V-1 (-LC__ PRIMARY PHONE
PROPERTY OWNER ' ilt< <c ( ) -
MAILING ADDRESS r
E-MAIL
1I sc,_ 3, ate - �-
CI �/ STATE /Lid �� FAX
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NAME`/ kV,,c L Li‘..�r ( !�./ )OJ 1 -PHONE
9
ELECTRICAL G �(,1 it_ /V G S Dies KRIIL Q C 6Q1•vi
CONTRACTOR CITY STATE ZIPFAX I
WA STATE ONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
S0EL&QE Ss(,3D 1
PRIMARY PHONE
NAME o Q ISO 03 ) d17- 1/
APPLICANT
MAILING ADDRESSL
7(3 ) S� pi /I/ soR�C- 40t. Cow'
CITY STATEZIP FAX
,G-Il it A/0' 1�-a 7 ( `)
PROJECT CONTACT ME -0--tt-
oPRIMARY PHONE O1OUN (1b6)235'- o31f9
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.
SIGNATURE: DATE ` 10 ' `
PRINT NAME: 6 . -t-f- Ol Ov
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application