14-104747 a Electrical
CommuniCityty of&Econ.Federal Dev.SWayervices
Permit #: 14-104747-00-EL
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph.(253)835-2607 Fax.(253)835-2609 F I LE
Project Name: YESULAITES
Project Address: 30038 6TH AVE SW Parcel Number: 039600 0140
Project Description: Adding(2)circuits and(1) 50 amp subpanel for associated sunroom
Owner Applicant Contractor
RAYMOND YESULAITES RAYMOND YESULAITES OWNER IS CONTRACTOR
30038 6TH AVE SW 30038 6TH AVE SW
FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 `
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Electrical Fixtures
Alt.Serv./Feeder:0 to 200 amps(F 1 Circuits-Residential 2
PERMIT EXPIRES Saturday, March 14, 2015
Permit Issued on Monday, September 15, 2014
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
nd the City of F •eral Way.
Owner or age : - DJ 1k . " Date: S ao 1±-
r
FINALE:
THIS CARD IS TO REMAIN ON-SITE
ior
Federal Way 0 Construction In ction Record •
INSPECTION REQUEST (253)835-3050
PERMIT#: 14-104747-00-EL Address: 30038 6TH AVE SW
Project: RAYMOND YESULAITES FEDERAL WAY, WA 98023-3520
Scheduled inspections may be 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.
LIFER Ground (4295) 4030 Ditch cover
ElA roved ❑ ( ) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
. .
1.3 Pool Bonding(4195) Temporary Power(4275) '❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
❑ Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By lito Date 9 I 1 14 By W3 Date s(3o ((if. By Vij Date Cyic[7
❑ Final-Electrical(4055) 1
Approved
`By ,. -. Date (V` 1 t \ v\
❑ Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
11111
E C'TRICAL
CITY OF
Federal Way PERMIT APPLICATION
ammo
PERMIT NUMBER f _ j0 4 7 SEP 15 2014
tiv
SITE ADDRESS: Sop 3 8 6-t•'w V`o s ,� , C ` -SAY
COS
PROJECT UATION�O ASSESSOR'STAX ARCEL# ^ O ^ CURRENT/PROPOSED USE
( 4-
PCl S
(TROJEenant or Homeowner Last Name)
PROJECT DESCRIPTION C r ���S e ( 1) ` U i J
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER -RAI/r►'+a>`l.a E 1 \PrQ . l\I E6 IAA 04, S ( ) -
MAILING ADDRESS E-MAIL
30032, 6,--rt-1- Rve_ �.W.
CI e � STATEZIP CIJA 431 a 3 ( ) FAX
NAME , •N�� PRIMARY PHONE
/ )
MAILING ADDRESS E-MAIL
ELECTRICAL
CONTRACTOR CITY STATE ZIP FAX
( )
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME°r+)t
PRIMARY PHONE
APPLICANT MAILIN)GADDRESS///j/C/•� ( ) E-MAIL
CITY STATE ZIP FAX
)
NAME PRIMARY PHONE
PROJECT CONTACT ( ) -
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.
SIGNATU JLai4
DATE G�+' l5 Do
{11 14
PRINT NAME: ON )
S u.La l'l&-S
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application