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22-105466Electrical 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: ZELAYA-CRUZ Project Address: 2645 SW 347TH PL Permit #:22-105466-00-EL Inspection Request Line: (253) 835-3050 Parcel Number: 502945 0300 Project Description: Addition of a room needs addition of electrical work including 14 outlets, wall light, switches, can lights, a fan and a 200 amp panel change Owner Applicant Contractor JOSE CRUZ JOSE CRUZ OWNER IS CONTRACTOR 2645 SW 347TH PL 2645 SW 347TH PL FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 Additional Permit Information Is this an Online or Q.T.C. application? .................. Yes metrical Alt. Serv./Feeder: 0 to 200 aml 1 Circuits - Residential 14 PERMIT EXPIRES Monday, 29 May, 2023 Permit Issued on Wednesday, November 30, 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: Gf Date: 1 I 4 CITY OF Federal Way THIS CARD IS TO REMAIN ON -SITE Construction Inspection Record INSPECTION REQUESTS: (253) 835-3050 PERMIT #: 22 105466 00 Address: 2645 SW 347TH PL Project: JOSE F ZELAYA CRUZ FEDERAL WAY WA 98023-3063 Scheduled inspections maybe failed if this card is not on -site. DG 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. l UFER Ground (4295) Ditch cover (4030) 3❑ 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 Q Feeders/Sub-panels (4045) Q Rough Electrical (4225) Ceiling Cover (4020) Approved Approved Approved By Date By 1Date/V — By Date ;piall - Electrical (4055) Approved By Date 7 Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date RECEIVED CITY OF A Federal Way CITY OF FEDERAL WAY COMMUNITY DEVELOPMENT ELECTRICAL PERMIT APPLICATION �a—cd L4(D�D--0CD PERMIT NUMBER `--�J— SITE ADDRESS' ' 2 G H 5 S vU 3 q 7 9-) ILL Fcde r a l J M SUITE/UNIT/SPACE # g 023 PROJECT VALUATION ASSESSOR'S TAX/PARCEL # CURRENT/PROPOSED USE v (/ A*- — PROJECT NAME (Tenant or Homeowner Last Name) Zed Chy C Y Z PROJECT DESCRIPTION d 19 on of U rooM n e e c s c l b o r-,N c� f e \eC i-T i Ca I W G r Detailed description of work to be included on this permit only ' Ary r PROPERTY OWNER NAME _ J v S e F Z z) 0 0 Cruz P11IMARY PHON MAILING ADDRESS 2iPHt5 s w 3Li7fih FL_ E-MAIL CITY �2�era1 W� STATE w ZIP GS�0 2�3 FAX ( ) - PRIMARY PHONE - -J I NAME MAILING ADDRESS E-MAIL ELECTRICAL CONTRACTOR CITY STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE UBI # PRIMARY PHONE N4ME 0 F 2C lU� cA Cr U _Z APPLICANT MAILING ADDRESS E-MAIL 2LP95 SW 3T7tAn PL CITY ��Vn>' way STATE wig ZIP 9 �U�3 FAX ( _ PRIMARY PHONE (20 (P) q Z(- O 85 9 PROJECT CONTACT NAME e �� C Y uZ 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 as a part of this application. SIGNATURE: r DATE PRINT NAME: �rc, ` _e_ r PERMIT CENTER + 33325 8th Avenue South + Federal Way, WA 98003-6325 253-835-2607 + FAX 253-835-2609 + permitcenteracityoffederalway.com 01 Bulletin #160 —April 14, 2020 Page 1 of 1 k:\Handouts\Electrical Permit Application