22-104245,t a
City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax. (253) 835-2609
Project Name: VALLES
Project Address: 29805 8TH PL S
Project Description: Electrical work for remodel.
Electrical
Permit #:22-104245-00-EL
Inspection Request Line: (253) 835-3050
Parcel Number: 515160 0100
Owner
Applicant
Contractor
JEFFREY & KIMBERLY VALLES
J S ELECTRIC
J S ELECTRIC
29805 8TH PL S
11506 87TH AVENUE CT SE
JSELESE836MF (7/6/23)
FEDERAL WAY WA 98003
PUYALLYUP WA 98373
11506 87TH AVENUE CT SE
PUYALLYUP WA 98373
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Electrical Fixtures
Circuits - Residential 9
PERMIT EXPIRES Wednesday,15 March, 2023
Permit Issued on Friday, September 16, 2022
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: '
.a
CITY OF
Federal Way
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERNHT #: 22 104245 00 Address: 29805 8TH PL S
Project: JEFFREY & KIMBERLY VALLES FEDERAL WAY WA 98003-3745
Scheduled inspections maybe 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
By
UFER Ground (4295)
Approved
Date
Q
By
Ditch cover (4030)
Approved
Date
0 Slab/Concrete Floor (4255)
Approved to place concrete
By Date
Pool Bonding (4195)
Approved
By Date
Q
By
Temporary Power (4275)
Approved
Date
0 Service (4235)
Approved
By Date
❑
By
Feeders/Sub-panels (4045)
Approved
Date
0
By
Rough Electrical (4225) 0 Ceiling Cover (4020)
Approved Approved
Date d %r-� By Date
0 Final - Electrical (4055)
Approved
By Date/,-;
Rough Electrical
Final Electrical
El
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
CITY OF
Federal Way
ELECTRICAL
SEP 16 2022 PERMIT APPLICATION
cAMMUNIlY E)A&o MENT
PERMIT NUMBER
RECEIVE®
SUITE/UNIT/ SPACE #
SITE ADDRESS: ';� q FIZ�6 (;7
PROJECT VALUATION
$ 3 00 0
ASSESSOR'S TAX/PARCEL # A CURRENT/PROPOSED USE
--
PROJEC NAME
(Tenant or Homeowner Last Name)
)
Vp 1J
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
1'
PROPERTY OWNER
NAME f J
+TP T V �I �✓ ��
PRIMARY PHONE
( )
MAILING ADDRESS "!
O V
E-MAIL
CITY j STATE ZIP
W /a
NAME
Ir-5 �r 7 L
FAX
ELECTRICAL
CONTRACTOR
PRIMARY PHONE
(233 ) -r.76 - -7 Y�-'J
MAILING ADDRESS
J✓507 ' le-7 /01'.1, CrLJ-
E-MAIL 1/ `
N//id-,eD
CITY STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
UBI #
PRIMARY PHONE
APPLICANT
NAME
MAILING ADDRESS
E-MAIL
CITY
STATE ZIP
FAX
PROJECT CONTACT
NAME
PRIMARY PHONE
( )
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 apart of this application.
SIGNATURE: DATE
PRINT NAME:
PERMIT CENTER + 33325 8tb Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com
r04
Bulletin #160 — April 14, 2020 Page 1 of 1 k:\Handouts\Electrical Permit Application