17-103850 4
s t e 4,- 4.
Electrical
City of Federal Way Permit #:17-103850-00-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: TORO
Project Address: 29855 24TH PL S Parcel Number:768220 0080
Project Description: Install(1)circuit with outlet breaker for new range.
Owner Applicant Contractor
ALFREDO TORO ALFREDO TORO OWNER IS CONTRACTOR
29855 24TH PL S 29855 24TH PL S
FEDERAL WAY WA 98003-4203 FEDERAL WAY WA 980034203
Additional Permit Information
Is this an Online or O.T.C.application' Yes
Circuits-Residential 1
PERMIT EXPIRES Friday, 10 August,2018
Permit Issued on Thursday,August 10,2017
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.
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Owner or agent: �!� ��'` Date: 42
4
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THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 103850 00 Address: 29855 24TH PL S
Project: SARA E TORO FEDERAL WAY WA 98003-4203
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.
El UFER Ground(4295) Q Ditch cover(4030) E 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
lAt •
Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020)
Approved Approved Approved
By Date s By Date By Date
El Final-Electrical(4055)
Approved
By 6_,Ntkij Date .741-,1 ti,,,_%.l
•
•
0 Rough Electrical 0 Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
1` RECEIVED
CITY OF
CEIVED
Federal Way PERMIT APPLICATION
AUG 10 2017
Gln`UNOFITY FEDERAL,p�ELOPMWAYEryr -PERMIT NUMBER ! v le 5 0
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SUITE/UNIT/SPACE#
SITE ADDRESS:
a COMM998 ss ,,„y+-4 p/ S. f co4.rz2! A74
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ 300D0 7 s z ` - £ o
PROJECT NAME
(Tenant or Homeowner Last Name) 77;r O
PROJECT DESCRIPTION 1-e's'M-41, /le4A) r'a, -c t-✓%r-L lti; op-//e-74hra-0-14-0-4-
Detailed description of work to V
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER la�'rcao Tro (.2.53 ) 63a- - &7(4, 5
MAILING ADDRESS E-MAIL /�
i casii�, 02��i y/ 4,,'1,,1' VG S, a rrdo,1-b . 'l G!1H'1
CITY STATE ZIP FAX
F�d.Zra lay 6)y- `9J-d63 ( ) -
NAME ✓ PRIMARY PHONE
( )
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 P -ee o Tw ( ) -
MAILING ADDRESS E-MAIL
`tom roc S.
CITY STATE ZIP FAX
Fe-44..r23-1 l.3 aij LOA-- (3-°1)•3 ( ) -
NAME .l PRIMARY PHONE
PROJECT CONTACT r:N\_ccebc) 7-c7gro
( )(o - - a7(o�7
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.
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SIGNATURE: �' r ' ! _ DATE D D /D/2
PRINT NAME:
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