17-101897 - w.- • .• ._
•
Electrical
City of Federal Way Permit #:17-101897-00-EL
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609
Project Name: CAMELOT SQUARE MFH SPACE 199
Project Address: 3001 S 288TH ST Parcel Number:042104 9222
Project Description: Manufactured home meter reconnect.
•
Owner Applicant Contractor
MARTHA VASQUEZ-ALFARO MARTHA VASQUEZ-ALFARO OWNER IS CONTRACTOR
3001 S 288TH ST SPACE 199 300I S 288TH ST SPACE 199
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
Additional Permit Information
Is this an Online or O.T.C.application? Yes
PERMIT EXPIRES Thursday,26 April,2018
Permit Issued on Wednesday,April 26,2017
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: ,,/ U51GN/W Date:a [/ 7
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THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 17 101897 00 Address: 3001 S 288TH ST Space 199
Project: MARTHA VASQUEZ-ALFARO 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.
.121
UFER Ground(4295) 2❑ Ditch cover(4030) Q Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
® Pool Bonding(4195) ® Temporary Power(4275) ® Service(4235)
Approved Approved Approved
By Date By Date By Date
•
0 Feeders/Sub-panels(4045) ® Rough Electrical(4225) III Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
•• •
,
1 Final-Electrical(4055)
Approved
By ( Date 1\_2p _\el
0 Rough Electrical 0 Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED ELECTRICAL
CITY OF A.
Federal Way APR 2 6 2017 PERMIT APPLICATION
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT0 ) 8 9 7 i•
PERMIT NUMBER
SITE2300\ SUITE/UNIT/SPACE#
ADDRESS:
5 . 2��fi� 54._ c�dsye\ W6Y U..4i99
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ 1 O 0 C Lf I 0 LI _ q 2 2- 2-
PROJECT NAME t `' t 'n
(Tenant or Homeowner Last Name) U vie 1 V a l 1 ty7 41 a y %- co V "V
1 ` l�q�V�
PROJECT DESCRIPTION Comae' (A-- V ‘,e C r NI l' 151,`,
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER 0 1; e` \I a 0f/Z ( a.53) a 11°3-94)
MAILING ADDRESS E-MAIL
39 SO S . 151 &
CITY STATE ZIP FAX
�\J\OV YA U✓ta- Too \ ( ) -
NAME PRIMARY PHONE
ouon,f_ V ( )
MAILING ADIVMESS E-MAIL
ELECTRICAL
CONTRACTOR CITY STATE ZIP FAX
( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME
`t PRIMARY PHONE
APPLICANT �('P VC( ZciVeZ ( ?66 ) --i3- Is3y
MAILING ADD ESS E-MAIL
_ c Co 3 LIN Sf f►
CITX STATE ZIP FAX
NkCki\OkY4 f\. VAA' °1d0 \ ( ) -
NAM PRIMARY PHONE
PROJECT CONTACT 0 G� S 6YY� tvvoc Y (1 f' 1-2 5' 3
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�apart of this application.
SIGNATURE: V (/DATE 7 / 1
PRINT NAME: U d► Q` \)el Z Vet 1 N G\V O
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application