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17-101952 c Ca r j e. Electrical CommnnityFederal ee or,Way„ Permit #:17-101952-00-EL 33325 8th Ave S Federal Way,WA 98003 Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax:(253)835-2609 Project Name: MENDOZA Project Address: 31904 42ND AVE SW Parcel Number:873198 3110 Project Description: Install 0-200 amp service Owner Applicant Contractor LEO MENDOZA POSITIVE ELECTRIC INC POSITIVE ELECTRIC INC 31904 42ND AVE SW PO BOX 305 POSITEI910NK(8/14/17) FEDERAL WAY WA COULEE CITY WA 99115 98023-2139 PO BOX 305 USA COULEE CITY WA 99115 USA , Additional Permit.information Is this an Online or O.T.C.application? Yes ' ' ' Alt. Serv./Feeder:0 to 200 ami 1 PERMIT EXPIRES Saturday,28 April,2018 Permit Issued on Friday,April 28,2017 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 -shington and the City of Federal Way. l Owner or agent: -- iiiDate: L1 /r ri P/Nq 4F 0 ` THIS CARD IS TO REMAIN ON-SITE Construction Inspection Record Federal vvay INSPECTION REQUESTS:(253)835-3050 PERMIT#: 17 101952 00 Address: 31904 42ND AVE SW Project: MARY JANE MENDOZA FEDERAL WAY WA 98023-2139 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. 0 UFER Ground(4295) • 0 Ditch cover(4030) 0 Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date • ® Pool Bonding(4195) • 0 Temporary Power(4275) 0 Service(4235) Approved Approved Approved By Date By Date By Date 0 Feeders/Sub-panels(4045) ® Rough Electrical(4225) 0 Ceiling Cover(4020) Approved Approved Approved By Date „By Date 1�By Date •. El Final-Electrical(4055) Approved B,. ----5 Date < -7 c) 0 Rough Electrical ❑ Final Electrical 0 Right of Way Approved Approved Approved By Date By DateBy Date 411166.. CITY OF ELECTRICAL Federal Way PERMIT APPLICATION RECEIVED PERMIT NUMBER—, _ I 0 ` 01' 52 _ 00 APR 2 8 201? COM u O F Q pt UNIT/SPACE# SITE ADDRESS: 3L q 09 ti*� AV e_ -S M PROJECT VALUATION ! t ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE $ W)0c ,©°. 3 F 3 f 16 - I 10 PROJECT NAME r l ill ••v 74 (Tenant or Homeowner Last Name) PROJECT DESCRIPTION P P to Q_— D lb's 4 w p vA.vi .e-,1 Detailed description of work t be included on this permit only NAME p PRIMARY PHONE PROPERTY OWNER vv\A-V,A SSV\ rte_ VA tvA s z,A (2btD) 333'- 32,51 MAILINGS E-MAIL 29 5L 3151 Se-"r' CITY STATE ZIP FAX F e.t A.1 w ) w q 'OZ,3 ( ) - NAME PRIMARY PHONE 20 rft J 2__ E ltt t 1 C_ '1^ tole 112.- ) Zia - q3$,' LING ADDRESS E-MAIL SCONTELECTRICAL 4C ) 3 ( 3.--- CONTRACTOR RACTOR CITY STATE ZIP FAX Ca zil.e.e CATx 4- 9`ti L ( ) - WA STATE CONTRACTOR'S ICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# NAMEPRIMARY PHONE APPLICANT 1 VAN vv‘k ` /Ay\ c., i115-) zo - c1.331 MAILING ADDRESS E-MAIL PD 3 0 c RosinIle elee.'t`r 1c.i"1c.0(0►'4Alt CITY STATE ZIP FAX e,OF\ c ) vi.ee Cil y kAi x _atc1llf ( ) - NAME PRIMARY PHONE PROJECT CONTACT 1 vv k ( O +17--r) 21 b - �` 35, 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 PRINT NAME: V .(w� Vskk AVS Cj Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application