14-100319 . +
�' � Electrica�
City of Federal Way + �/ j� (
Communi,y&Econ.Dev.Services ,,.� ,. PerlYl I i. �. ��'F-1 Q0319�O V��L
33325 8th Ave S �a�`-"" � '�!
Federal Way,WA 98003 4 E --� �nS ection Re U@
Ph:(253)835-2607 Fax:(253)835-2609 �� -� . p q st Line: (253)835-3050
a1 :;�":-- .�
Project Name: FOREST COVE APARTMENTS
Project Address: 1742 SW 308TH PL ' Parcel Number: 122103 9142
Project Description: Install branch circuits and carport lighting
pwner Apnlicant Contractor
FOREST COVE LLC HOLLEY SMITH A A A C ELECTRIC CORP
1200Q NE 8TH ST SUITE 200 A A A C ELECTRIC CORP AAACEEC902KQ(5/18/14)
BELLEVtJE WA 98005 9480 OLSON PL SW SUITE I 9480 OLSON PL SW SUITE I
SEATTLE WA 98106 SEATTLE WA 98106
Additional Permit In#ormation '
Is this an Online or O.T.C.application?.................Yes Is Use Educational or Institutional?.......................No
Service greater than 999 Amps?.............................No
Etectrical fixtures
Circuits-Multi-family................... 1
PERMIT EXPIRES Monday, July 21, 2014
Permit Issued on Wednesday, January 22, 2014
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use w be in accor ce with the laws, rules and regulations of the State of Washington
a i o Federal Way.
Owner or agent: Date: � Z -2 �
� .9-��
• ' • T��iS Cr��D IS TO AIN ON-SITE •
"�'�F Construction In ection Record
FeC�eCa� �ay INSPECTION REQtiE TS: (253)83�30�0
PERMIT#: 14-100319-00-EL Address: 1742 SW 308TH PL
Project: FOREST COVE LLC 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.
� ' h cover(4030) � Rough Electrical(422� � Ceiling Cover(4020)
Approved ��v/ Approved Approved
�
By Date ►a „ �y, By Date By Date
� Final-Electrical(4055)
Approved
By Date �` �,' �
�� �-�' C� �Uv�� �v �� �S �� � � - `� � '�1- 3 �-- ,'��
� �- �- � '�
� Rough Electrical � Final Electrical � Ri�ht of Way -�
Approved Approved Approved
By Date By Date By Date
, �I1tED� ' ` - , . .
nTMOF ` JAN 2 2 2014 ELECT'RICAL
Federal Way �z.� o� �EOEw��wAv PERMIT APPLICATION
CDS
PERMIT NIIMBER �� _ I O � ,� � � �
�� SUITE/UI1IT/SPACE i
SITE ADDRESS: � � �� �. ,• � ��� �� �
I�v ��
PROJECT VALUATION �D O Gt,C)� A��SOR'S TAR/PARCEL 1� CU T/PROPOSED USE
� — — — — — — — — — — �/ /�/`
PROJE NAME
(Tenant or Homeowner Last NameJ ��.� ���h� f. � d ��,�.1 ; ��.
� � C� l,cJ �.,�
PROJECT DESCRIPTION
Detailed description of work to �
be included on this permit only
��E � / �` PRIMARY PHONE
PROPERTY OWNER �!"i r,J .�..- /7�h�;� � l�,t- t" �.�.�'.�)c���'- 7Y0 c.�
MAILDOG RESS E-DtAIL
,? ` -7� `r r, � Co 1►-��►er� t �i. --Tr,� 7�"'
. CITY STATE ZIP FAX
wsr�� � ��}��J � ) -
NAME PRIMARY PHONE
�' G �� �� G � �or� (�0°6 )o?3S-__S" I'�'
MAILING ADDRESS ��L
ELECTRICAL �, �L,.I'O/� 1 �Lt/ J��L� ..� � � � . � .. c 6�f
CONTRACTOR �� STATE z,p
Fex
� � � �'/O� ( )�
WA STATE CONTRACPOR'S LICENSE M EXPIRATIOH DATE FEDERAL W BUSINF.SS LTCENSE N
Cr- ,L E G q0 .� L�'- O.S"/o �/
NAME PRIMARY PHONE
APPLICANT �,��nxEss � ) -
E-1N`AIL
C� STATE ZIp p�
N � �
PROJECT CONTACT • / P��RY pHONE
� �- ��/ f h (�(�C").7.3J= �.t'�.1`�C�
I certify under penalty oj perfury that I am!he property uumer ar authorized agent of the property owner.I certify that to the best
of my knou�iedge, the information submitted in support of this permit application is true and correct I certify that I wtiI compiy with
all applicable GYty of Federal Way regulaiions perta;ning to the work authorized by the issunnce of a perntit. I understacnd that the
issuance oj this perneit does not remove the owner's responsibility jor corripliance with Iocal, state, or jederal laws regultzting
constructlon or envtronmental iaws.
I further agree to hold harmless ihe City of Federal Way as to any claim(fncluding costs, expenses,and attorneys'jees incurred in
the tnvestigah'on and defense of such clai�, which may be made by any person,including the undersigned,and fiied against the city,
but only where such claim arises out of the reliance of the city, �ncluding its officers and employees, upon the accuracy of the
tnformatiort supplied to Lhe cf art of t ' pplication.
SIGNATURE: �� � � 2 L
n DATE
PRINT NAME: � �! ' t
Bulletin#160—January I,2013 Page 1 of 2 k:U-landouts�f;lectrical Pennit Application