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16-103725
VA.' Electrical City of Federal Way Permit #: 16-103725 00-EL Community&Econ.Dev.Services 33325 8th Ave S Federal Way,WA 98003 Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050 Project Name: BARDALES Project Address: 28502 24TH AVE S Parcel Number: 332204 9072 Project Description: Electrical wiring for new constuction 200 amp service • Owner Applicant Contractor Electric, JOSUE ODILIO BARDALES JOSUE ODILIO BARDALES OWNER IS CONTRACTOR 866 S 306TH ST 866 S 306TH ST FEDERAL WAY WA 98003-4139 FEDERAL WAY WA 98003-4139 Additional Permit Information Electrical Work Valuation? 13000 Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No Electrical Fixtures Circuits-Residential 20 New Service:Residential 1 PERMIT EXPIRES Tuesday, August 1, 2017 Permit Issued on Monday,August 1, 2016 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 aristlie City of Federal Way. Owner or agent: Date: e $ 01 J 6 L1 r�� ttf 21 °/c- 6 v_ IAA a--k— THIS CARD IS TO REMAIN ON-SITE Allgo Construction Inspection ection Record . , Federal Way INSPECTION REQUESTS: (253)835-3050 PERMIT#: 16-103725-00-EL Address: 28502 24TH AVE S Project: JOSUE ODILIO BARDALES FEDERAL WAY, WA 98003 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. ❑ UFER Ground(4295) ❑ Ditch cover(4030) 0 Slab/Concrete Floor(4255) Approved Approved Approved to place concrete 24„.... Date (v . .By Date _al_ 1 By Date ❑ Pool Bonding(4195) ❑ Temporary Power(4275) ❑ Service(4235) Approved Approved Approved By Date By Date BLI.7 > Date ❑ Feeders/Sub-panels(4045) El Rough Electrical(4225) 0 Ceiling Cover(4020) Approved Approved Approved By Date By OAS Date ;f 1 I j 1 By Date ❑ Final-Electrical(4055) Approved By i J+. Date rt_3i.,,vel Rough Electrical Final Electrical El Right of Way 1:1Approved ElRoughApproved By Date By Date By Date REV ELECTRICAL CITY OF C RICAL Federal Way AUG 012016 PERMIT APPLICATION CITY OF FEDERAL WAY / f7 CDS PERMIT NUMBER - 1 0 J . - SUITE/UNIT/SPACE# SITE ADDRESS: 028:50 ax!!-ice eve S ie\eat way w 9`tcao3 PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE $ /5,003 3 z z O 4-I - J o 7 a PROJECT NAME li R 3)/) 1 E 5' (Tenant or Homeowner Last Name) ( PROJECT DESCRIPTION ARP /20 2110 y S/u 6 1:4/1/FL (4-6/I C '1 1 Detailed description of work to W CV - -C be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER S V Q Tac d a l€- (.;70( ) 44/ MAILING ADDRESS E-MAIL X926 S 33z nd P` JOS ve P5&6hn4ma+1.Com CITY STATE ZIP FAX 1'e80-.ral u-,,`a'f w 9roo / ( ) - NAME PRIMARY PHONE 0 MAILING ADDRESS E-MAIL ELECTRICAL CONTRACTOR CITY STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# NAME PRIMARY PHONE APPLICANT T©5-U-e_ Rc r a I e S ('C ) 75-6- 4{4/ ? MAILING ADDRESS E-MAIL 1'3 z6 S 33z•rid 1?L CITY STATE ZIP FAX re cera/ W°1 l,q- c 1470 / ( ) - NAME PRIMARY PHONE PROJECT CONTACT - . la (�f (7,CG )41-G - o-,l 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: DATE (J -- /y— /6 PRINT NAME: J O5 i 13 and at e S� Bulletin#160-April 14,2016 Page 1 of 1 161-landouts\Electrical Permit Application