23-1039431 E �
Electrical
City of FederalDevelop Way Permit #:23-103943-00-EL
Community Development Dept.
33325 8th Ave 5
Federal Way, WA 98003 Inspection Request Line: (253) 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: FRANCISCO
Project Address: 29105 23RD AVE S Parcel Number: 422260 0010
Project Description: Replace meter; upgrade panel. Kitchen wiring.
Owner
Applicant
Contractor
FLORENTINO FRANCISCO
NICOLAE CEBANN C WIRING
N C WIRING ELECTRICAL LLC
29105 23RD AVE S
ELECTRICAL LLC
NCWIRWE776ML (7/13/25)
FEDERAL WAY WA 98003
1200 S GRANT AVE S APT U 10 1
RENTON WA 98055
1200 S GRANT AVE S APT U 10 1
RENTON WA 98055
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 am] 1 Circuits - Residential 6 Mast or Meter Repair (Residen 1
PERMIT EXPIRES Saturday, 3 February, 2024
Permit Issued on Tuesday, August 1, 2023
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:
ciTY as 141�&
Federal Warr
THIS CARD IS TO RElI_JI\ ON -SITE
Construction Inspection Record
I\SPECTION REQUESTS: (253) 335-3050
Scheduled inspections ma: be fined if this card is not on -sire. DO NOT LOSE THIS CARD. hispections are listed as close to sequential order as possible
;read Ieft to right. top to bottom). Please schedule inspections as appropriate. 'Work nntst not be covered until it is approved. Check with Your inspector if
ou are unsure about am of the inspections or the inspection sequence. On -going inspections are Ioaged on the back of this card.
ELECTRICAL
0
tiFER Ground (4295)
0
Ditch cover (4030)
Q
Slab/Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By
Date
Bi
Date
Bs
Date
0 Pool Bonding (4195) 0 Temporary Power (4275) Q Sen-ice (4235)
By
Approved
Date
Be
Approved
Date
By
Approved f
� Date
Q Feeders/Sub-panels (4045) 0 Rough Electrical (4225)
0
Ceiling Cover (4020)
Bs-
Approved
Date
By
Approved
Date
B`'
Approved
Date
Final - Electrical (4055)
Approved
ByDate/
'r 1'X
MECHANICAL
❑t Mechanical Rough -in (4165)
0 Gas Piping (4125)
Q Final - '-%Iechanica.l (4065)
Approved
Approved to release test
Approved
By Date
By Date
By Date
PLUMBING
Q Plumbing Groundwork (4190) 0 Rough Plumbing (4230) 0 Final - Plumbing (4075)
Approved to cover Approved Approved
By Date By Date By Date
ADDRESS: ,-'�
CITY OF
Federal Way
e—
Building Division
33325 Eighth Avenue South
Federal Way, WA 98W3-6325
Phone 253-835-2607 Fax 253-835-2609
CORRECTION NOTICE
IF YOU HAVE QUESTIONS CALL
PERMIT#:�
(253) 835-
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS.
DATE
1NSPE �TOR
DO NOT REMOVE THIS NOTICE
Page of
CITY OF A DECEIVED
Federal Way AUG 01 2023
EL►EC'TRICAL
PERMIT APPLICATION
Ay
C4 MIYUOF NrfYp EAL 4pME T -
'�QTNUMBER_ ` � �i —
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SITE ADDRESS: Z
SUITEJUNIT(SPACE #
PROJECT VALUATIO,rN�
j
ASSESSOR'S TAX/PARCEL Y
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
V 4 C I E; c (�
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
cle
-
PROPERTY OWNER
NAME
ko J^ c/ 1-rout (' SQ
PRIMARY PHONE
MAILING ADDRESS
L 2 3 ��s 2-5 /.
E-MAIL
CITY
yp / n
iS,[Tr'ATE�-
ZIP /J�
r FAX
ELECTRICAL
CONTRACTOR
NAME
IVC VIM I11AP FLCCAS LL_ c
PRIMARY PHONE
5c oT Q
MAILING ADDRESS
2 o a G i "a x1 f/ �)
E-MAIL /J
HC tiV(t' [ k e�eGlrk4
CITY
Rev�ov
STATE
ZIP
'ge D 5_
s
FAX
( � -
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
UBI #
APPLICANT
NAME
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
CITY STATE
ZIP
r }} FAX
1 1 -
PROJECT CONTACT
NAME
PRIMARY PHONE
i
I certify under penalty of perjury that ram 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. r cer ft that I will comply with all
applicable City of Federal Way regulations pertaining to the mark 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 taws.
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
ir;farmation supplied to the city as apart of this application, r1
SIGNATURE: agze,41 nATE ! 1� 2 003
PRINT NAME:
PERMIT CENTER + 33325 811, Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcente acityo[federalway.com
1, cav
Bulletin #160 —April 14, 2020 Page 1 of 1 k.Mandouts0ectricai Permit Application