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21-102773City of Federal Way Community Development Dept. 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax: (253) 835-2609 Project Name: CRESTVIEW WEST APARTMENTS BLDG 3 Project Address: 27904 PACIFIC IINVY S Electrical Permit #:21-102773-00-EL Inspection Request Line: (253) 835-3050 Parcel Number: 720480 0210 Project Description: Repair carport #3 - Work to include removing existing light fixtures and wire due to fire and replace with new fixtures and wire. Owner Applicant Contractor PATRICIA ING RENEE GARDNERG G ELECTRIC INC G G ELECTRIC INC 1522 ALEWA DR 4902 S SHERIDAN AVE AVE GGELEI*012R3 (12/29/21) HONOLULU HI 96817-1205 TACOMA WA 98408 4902 S SHERIDAN AVE TACOMA WA 98408 Additional Permit Information Is this an Online or O.T.C. application? .................. Yes ... f _ . II:: ` . '. „.a. No Fixtures Associated With This Permit If ; PERMIT EXPIRES Friday, 8 July, 2022 Permit Issued on Thursday, July 8, 2021 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: ��' �''®7' A�. crry or Federal 'VII'ay THIS CARD IS TO REMAIN ON -SITE Construction Inspection Record INSPECTION REQUESTS-. (253) 835-3050 PERMIT #: 21 102773 00 Address: 27904 PACIFIC HWY S Bldg 3 Project: PATRICIA ING FEDERAL WAY WA 98003 Scheduled inspections may be failed if this card is not on -site. DO NOT LOSE T[ I IS 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. Q UFER Ground (4295) Q Ditch cover (4030) Slab/Concrete Floor (4255) Approved Approved Approved to place concrete By Date By Date By Date © Service (4235) ® Pool Bonding (4195) 0 Temporary Power (4275) Approved Approved Approved By Date By Date By Date Q Feeders/Sub-panels (4045) ® Rough Electrical (4225) 0 Ceiling Cover (4020) Approved Approved Approved By Date By Date By Date 1 o Final - Electrical (4055) pproved By / /� Date 7�-�p��rUY Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date CITY OF RECEIVED Federal Way JUL 0 8 2021 ELECTRICAL PERMIT APPLICATION CITY OF FEL'EgAL WAY _ COMMUNITY DEVEL8>��YUMBER _ SUITE/UNIT/SPACE # arpo ASSESSOR'S TAX/PARCEL # CURRENT/PROPOSED USE PROJECT VALUATION 2,000.00 7 2 0 4 8 0_ 0 2 1 0 Carport #3 PROJECT NAME G Crestview West Apts. #3 Carport ��] ! y PGA(„ aF t � S (Tenant or Homeoumer Last Name) Repair carport #3 lights remove existing light fixtures and wire due to fire and replace with new PROJECT DESCRIPTION Detailed description of u)ork to fixtures and wire. be included on this permit only NAME PRIMARY PHONE Crestview West Partners LP 253 ) 839 _ 8222 PROPERTY OWNER MAILING ADDRESS E-MAIL 27912 Pacific Hwy S manager@crestviewwestapts.c CITY STATE ZIP FAX Federal Way WA 98003 �-- T8 Electric, Inc ) _ PRIMARY PHONE (253) 473 _ 2807 MAILING ADDRESS E-MAIL ggelectricinc@msn.com ELECTRICAL 4902 South Sheridan Ave CITY Tacoma STATE WA ZIP 98408 FAX ( ) - CONTRACTOR WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE # GGELEI*012R3 12/ 31 /2021 15-104795-BL - - - - - - - NAME PRIMARY PHONE G G Electric, Inc ) _ APPLICANT �N�„D ou eridan Ave, E-MAIL CITY STATE ZIP Tacoma WA 98408 NAME FAX ( _ PRIMARY PHONE PROJECT CONTACT Richard Philips (253 ) 970 - 1362 I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certljy that to the best of my knowledge, the information submitted in support of this permit application is true and correct. I certify that 1 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 irkformation supplied to the as apart of this application. SIGNATURE: G DATE PRINT NAME: Renee Gardner PERMIT CENTER + 33325 8a' Avenue South + Federal Way, WA 98003-6325 253-835-2607 + FAX 253-835-2609 + permitcentel@cityoffederalway.com Bulletin # 160 — April 14, 2016 Page 1 of l Ul-landouts0ectrical Permit Application III