23-102655ArTm7w
City of Federal Way
® 102655-00-EL
Perm4:23 -
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: TA IA EL RINCONSIT®
Project Address: 2002 S 320TH ST Parcel Number: 092104 9020
r"reject Description: Relocation of 20 circuits for kitchen.
Owner Applicant Contractor
JON D HANNAACCORD INC SALVADOR SANCHEZEFFICIENT EFFICIENT ELECTRIC
3300 MAPLE VALLEY HWY ELECTRIC EFFICE*950LT (10/23/23)
RENTON WA 98058-2800 704 S KENYON ST 704 S KENYON ST
SEATTLE WA 98108
SEATTLE WA 98108
TMS CA.RD IS TO REALUN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (2-53) S35-30-50
Scheduled inspections rnay be failed if this card is not on -size, DO NOT LOSE TMS C'.kRD. hispectionsare listed as close to sequential order as possible
(read left to right, top to b onorn), Please schedule inspections as appropriate 'Work- raust not be covered until it is appi-oved, Check with your inspector if
you are uns:ure about any of the u1spections; or the inspection sequence. On -a owig wispections are logged on the back of this card.
ELECTRICAL
LTER Ground (4295)
E]
Ditch cover (4030)
Slab/Concrete Flo,, (4255)
Approved
Approved
Approved to place concrete
BV
Date
By
Date
By
Date
El
Pool Bonding (4195)
E]
Temporary Power (4275)
El
Service (4235)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Feeders/Sub-panels (4045)
Rough Electrical (42255)
El
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
Bi
Date
B)
Date
Final - Electrical (4055-5)
Approved
By
Date
MECHANIC-1AL
',%Ieba,ic,l Rough -in (4165)
El
Gas Piping (4125)
E]
Final - -Alechanic,l (4065)
Approved
Approved to release test
Approved
By
Date
By
Date
By
Date
PLUMBING
El
Plumbing Groundwork (4190)
Rough Plumbing (4230)
Final - Plumbing (4075)
Approved to cover
Approved
Approved
By
Date
By
Date
'BY
11 Date
A
RECEIVED
ELECTRICAL
Cl" OF
Federal Way
MAY 18 2023
PERMIT APPLICATION
C" OF FEDE)m wAy
E
COMMUNMY LOPMENT
PERMIT NUMBERZZ—) 02-(D1E)5
_ecl
W A SUiTE/UNIT/ SPACE #
SITE ADDRESS: 2002- ,, .
5 2, 0 &-In
5 r )5: WAV q092N
PROJECT VALUATION
_3
ASSESSOR'S TAX/PARCEL #
CURRENT/PROPOSED USE
$ 0
PROJECT NAME
(Tenant or Homeowner Last Name)
-C-
PROJECT DESCRIPTION
-7-C 1A
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
�-,/ RIA)C651-7,D
CORP,
MAILING ADDRESS
260� '706hAVE,
E-MAIL
-'4/0�,(—
CITY
uji\
STATE ZIP FAX
NAME
PRIMARY PHONE
26 6) 7 6-9 g 26 L4
ELECTRICAL
MAILING ADDRESS
7
E-MAIL
CONTRACTOR
CITY
L57
T FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE UBI
. .......... .. .... .. .. .... ...... ....
NAME
e If
PRIMARY PHONE
(2666
) :ZjE 92-
APPLICANT
MAILING ADDRESS E-MAIL
7 0 4 !�, L<
CITY
STATE ZIP 17( ? FAX 60A
PROJECT CONTACT
NAME
PRIMARY PHONE
J
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.
Ifizrther 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 0 the city as apart of this a plication.
SIGNATURE: DATEM q
1 -A�
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Bulletin #160 — April 14, 2020 Page 1 of I k:\Handouts\Electrical Permit Application