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20-100454 Electrical City of Federal Way Permit #:20-100454-00-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: HALLMARK MANOR Project Address: 32300 1ST AVE S Parcel Number: 172104 9073 Project Description: Install(3)24V magnetic door holders. Owner Applicant Contractor • HALLMARK CARE CENTER GAROLD LARGEGREG'S ELECTRIC INC. GREG'S ELECTRIC INC 3001 KEITH ST NW 12834 LK KATHLEEN RD SE GREGSEI265KA(9/30/20) CLEVELAND,TN 37312 RENTON WA 98059 12834 LAKE KATHLEEN RD SE RENTON WA 98059 Additional Permit Information Is this an Online or O.T.C.application? Yes PERMIT EXPIRES Wednesday,10 February,2021 Permit Issued on Tuesday,February 11,2020 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: ,�f//l�lc Date: Z. .0 a-2 THIS CARD IS TO REMAIN ON-SITE . Federal Wa Construction Inspection Record y INSPECTION REQUESTS:(253)835-3050 PERMIT#: 20 100454 00 Address: 32300 1ST AVE S Project: HALLMARK CARE CENTER FEDERAL WAY WA 98003-5762 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. ti UFER Ground(4295) + ® Ditch cover(4030) i ❑ Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date ❑ Pool Bonding(4195) • 0 Temporary Power(4275) • 6 Po ry ❑ Service(4235) Approved Approved Approved , By Date •By DateBy Date El Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020) Approved ? Approved Approved By Date py Date j.By Date El Final-Electrical(4055) ee {�f Mywt oved By ikDate y-I.ap ❑ Rough Electrical ❑ Final ElectricalRight By Date By Date By Date ..•1,...._ _.-4 i k RECEIVED ELECTRICAL CITY OF Federal Way FEB 0 4 2020 PERMIT APPLICATION CITY OF COMMUNITY DEV 0 RAL WAY PERMIT NUMBER/ V _ / 0 0 11 5 "/ _ E- SITE ADDRESS: 3 2 30 0 15 T nut SUITE/UNIT/SPACE# PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE $ 14 5°P—_. ) `7 z I 0 ci - 1 o '7 .3 PROJECT NAME (Tenant or Homeowner Last Name) /17441/'nal^,C /n,r h(:),- ..Zi-,1-01/7 J.... f,-,1-01// 3 "R...41 v6lt frr►Ce :I14-![ 04Y 1-2p41/;/s PROJECT DESCRIPTION Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER /167/4-2D.,-A` /724 lifi, ( z5„)97e'- 35-eb MAILING ADDRESS E-MAIL 3;;30z, fir ,& /11G/e- , 5 CITY STATE ZIP FAX 1.--.315"1-0/ 114 l'" - 9ri)a 3 ( ) - NAME PRIMARY PHONE • Gj^e9 s -/EC74r!L_ (tal-) 229- t 7'7 MAILING JODDRESS E-MAIL ELECTRICAL /v293'/ ke /17 – 54' CONTRACTOR CITY STATE ZIP FAX Reh �h /147 7,4S' 9' ( ) - WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# 6(?.G 5. .., 3.4.s kiV NAME PRIMARY PHONE APPLICANT 6j'.eo,.S �ly:' /..'Y Z-. ( S)22$ -2.q 29 MAILING ADDRESS E-MAIL /2vi/e)--, /Ce lca71 /6,e' Xi 5 --- CITY STATE ZIP FAX R, l-t �g©.�'9 ( ) - NAME PRIMARY PHONE PROJECT CONTACT !'re_ ( . 5---)Z2 -7-..q2 f 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: / 6 /'Y/ it �y DATE 2— / 0 PRINT NAME: A AK II /!'' 4e Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application