13-105799 • Electrical
City of Federal Way
Community&Econ.Dev.Services * ° rr r Permit #: 13-105799-00-EL
33325 8th Ave S 444F
Federal Way,WA 98003 Ins ection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609 l r� p q
Project Name: DE ANDA
Project Address: 503 S 317TH ST Parcel Number: 794170 0400
Project Description: Adding/altering(3)circuits for associated garage conversion
`
Owner Applicant Contractor
ENRIQUE DE ANDA STEWART ELECTRIC STEWART ELECTRIC
MAGDALENA DE ANDA 2638 SW 343RD ST STEWAE*894Q9(12/15/15)
503 S 317TH ST FEDERAL WAY WA 98023 2638 SW 343RD ST
FEDERAL WAY WA FEDERAL WAY WA 98023
98003
•
Additional Permit information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Electrical Fixturesi
Circuits-Residential 3
PERMIT EXPIRES Saturday, June 28, 2014
Permit Iss • : : 1 Monday, December 30, 2013
I hereby certify that the above infor. : 'on is 'orrect and that the construction on the above described property and
the occupancy and the use will • - • dance with the - , rules and regulations of the State of Washington
/ r -nd the ' , of Federal Way.
Owner or agent: 'i/ AL ' Date/09/Z''63/3
THIS CARD IS TO MAIN ON-SITE i.
Fedeal�. VVa • Construction I ection Record '
y INSPECTION REQUE TS: (253) 835-3050 ,
PERMIT#: 13-105799-00-EL Address: 503 S 317TH ST
Project: ENRIQUE DE ANDA FEDERAL WAY, WA 98003-5217
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) " 0 Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date
By Date
❑ Pool Bonding(4195) 0 Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
El Feeders/Sub-panels(4045) Rough Electrical 4225
Approved 0 g ( ) � Ceiling Cover(4020)
pp Approved Approved
By Date By Date By Date
'
El Final-Electrical(4055)
Approved
By r"17 Date 1 i g
❑ Rough Electrical ❑ Final Electrical Right of Way
Approved Approved ElRight
By Date By Date By Date
' ELEC'TRICAL . ry
CITY OF
Federal Way PERMIT AP TION
PERMIT NUMBER 1✓ _ 10 5 Z j 9 _ E� DEC 3 0 2013
CITY OF FEDERAL WAY
SUITtffg/SPACE#
SITE ADDRESS: 5 n 3 ?J" I..LLJJ�J
(57-
PROJECT VALUATION � ASSESSOR'S T�PiCEL# � - � 4 O CURRENT/PROPOSED USE
/A�
PROJECT NAME C A) , �� L d>,k
(Tenant or Homeowner Last Name) `-�' ;/� �'G AN
PA_
x��c epi
PROJECT DESCRIPTION -' H / k'S
Detailed description of work to o ,Elm 5p/A- L 77o iet ] G& ./12_C
be included on this permit only
o77/E-A-s
NAME PRIMARY PHONE
PROPERTY OWNER L /( C) C I { ) -
MAILING ADDRESS E-MAIL
5-07
CITY STATE ZIP FAX
�- v )
N_ -
PRIMARY PHONE
MAILING ADDRESS �� jMAIL
gs /ELECTRICAL f c)PP/S� ,�
CONTRACTOR
� � q ff 2 ? { ) FAX
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WA STATE CONTRACTOR'S IC.. SE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
N' -u- - --.._- PRIMARY PHONE - ...
APPLICANT �� i'v�I' � C/ vvV { )
MAILING ADDRESS E-MAIL
CITY STATE ZIP ( FAX
{ )
NAME PRIMARY PHONE
PROJECT CONTACT { )
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 r- •- the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws
I further agree to hold harml he Ci• of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in
the investigation and defense o ch cl• m), which may be made by any person,including the undersigned,and filed against the city,
but only where such claim •. s ou of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied t a ••• of this application
I/
SIGNATURE: � DATE
PRINT NAME: I
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application