23-101695Electrical
City or Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: TRINIDAD
Project Address: 30650 28TH AVE S
Project Description: Service and wiring for new single family residence.
Owner
MICHAEL TRINIDAD
30646 28TH AVE S
FEDERAL WAY WA 98003-5106
Applicant
ADVANCED HEATING & ELECTRICAL
SOLUTIONS LLC (ELECTRICAL)
PO BOX 1004
ORTING WA 98360
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
New Service: Residential
Electrical Fixtures
Permit #:23-101695-00-EL
Inspection Request Line: (253) 835-3050
Parcel Number: 092104 9161
Contractor
ADVANCED HEATING & ELECTRICAL
SOLUTIONS LLC (ELECTRICAL)
ADVANHS8401N (4/29/24)
PO BOX 1004 ,
PERMIT EXPIRES Wednesday, 27 September, 2023
Permit Issued on Friday, March 31, 2023 .
ORTING WA 98360
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy an e use will be in. f=rdance with the laws, rules and regulations of the State of
n n and the City of Federal Way.
Owner or agent: Date:
/ � U1.Gt-
crrr of �--=
Federal Way
THIS CARD IS TO REALAI\ O\-SITE
Construction Inspection Record
INSPECTION REQLESTS: (253) 835-3050
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 bononi}. PIease scbedtile uispections as appropriate. Work roust not be covered until it is appso r:I. Check with your inspector if
you are unsure about an-y of the inspections or the inspection sequence. On -going inspections are logged on the back of th.; card.
ELECTRICAL
El LIFER Ground (4295)
Approved
By Date
❑ Ditch corer (4030)
Approved
By Ile Dater r
❑
By
Pool Bonding (4195)
Approved
Date
❑
By
Temporary Power (4275)
Approved
Date
❑ Feeders/Sub-panels (4045) ❑ Rough Electrical (4225)
Approved Approved
'Op
By Date B}' Date � 7zpS
1" Final - Electrical (4055)
Approved
By Date
0 Mechanical Rough -in (4165)
Approved
By Date
MECHANICAL
❑ Gas Piping (4125)
Approved to release test
By Date
PLUMBING
❑ Slab/Concrete Floor (4255)
Approved to place concrete
Bq Date
❑ Service (4235)
Approved
By Date
❑ Ceiling Cover (4020)
Approved
By Date
❑ Final -Mechanical (4065)
Approved
By Date
❑ Plumbing Groundwork (4190) ❑ Rough Plumbing (4230) ❑ Final - Plumbing (4075)
Approved to cover Approved Approved
By Date By Date By Date
RECEIVE®
MAR 31 2023
ELECTRICAL
cirY OF
Federal Way
CITY OF FEDERAL WAY
;DMMUNITY DEVELOPMENT
PERMIT APPLICATION
SITE ADDRESS:
SUITE/UNIT/SPACE #
PROJECT VALUATION
'+ 01,0
ASSESSOR'S TAX/PARCEL #
-
CURRENT/PROPOSED USE
PROJ CT NAME
(Tenant or Homeowner Last Name)
-7-t- �^ d
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
I,v 1 bZE- A) ^ ! t7
PROPERTY OWNER
NAME
F - v
PRIMARY PHONE
( 253) 76 5 -
MAILING ADDR
E-MAIL
CITY
STATE
ZIP
FAX
)
ELECTRICAL
CONTRACTOR
NAME
PRIMARY PHONE
q!
MAILING ADDRESS
--17, .O
(A.--, 4_ G
ony, (& Co,m,v L
CITY
D'ZT- I Cv
STATE
V �}
ZIP
crys 6 (0
FAX
( ) -
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
11 Dvoro )ISS'L10 1 Aj Z
UBI #
Cao3 (-c,0 7 Z
PRIMARY PHONE
)
-�
APPLICANT
NAME
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
/ FAX
1 )
PROJECT CONTACT
NAME
-r) C iti no c'
PRIMARY PHONE
CA I - 3 �f )
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 suc ainxj, which may be made by any person, including the undersigned, and filed against the city,
but only where such claim orris out of the relian f the city, including its officers and employees, upon the accuracy of the
information supplied to the ci a part Ofti�rys�pploon.
SIGNATURE:
PRINT NAME:
DATE
PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenter cDcityoffederalway.com
Bulletin #160 — April 14, 2020 Page 1 of 1 k:\Handouts\Electrical Permit Application