18-100291 Electrical
City of Federal Way Permit #:18-100291-00-EL
Community Development Dept.
33325 8th Ave S 1
ILE
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax(253)835-2609
Project Name: DUENAS
Project Address: 2104 SW 349TH PL Parcel Number: 176110 0010
Project Description: Install new wiring,lights and outlets in the newly constructed 200 square foot addition.
Owner Applicant Contractor
LUCIANO DUENAS LUCIANO DUENAS OWNER IS CONTRACTOR
2104 SW 349TH PL 2104 SW 349TH PL
FEDERAL WAY WA FEDERAL WAY WA
98023-3071 98023-3071
•
Additional Permit Information •
Is this an Online or O.T.C.application Yes
PERMIT EXPIRES Thursday,17 January,2019
Permit Issued on Wednesday,January 17,2018
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: WC tato C3 \)Ue t2 eIS Date: 01 - 17 , po
CJ
e
THIS CARD IS TO REMAIN ON-SITE
CITY OF
Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
•
PERMIT#: 18100291 00 Address: 2104 SW 349TH PL
Project: LUCIANO DUENAS FEDERAL WAY WA 98023-3071
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) ,• 2❑ Ditch cover(4030) ElSlab/Concrete Floor(4255) '
Approved Approved Approved to place concrete
By Date ..By Date �;�By Date
•
® Pool Bonding(4195) G Temporary Power(4275) ® Service(4235)
Approved Approved Approved
By Date *By Date By Date
�`
•
7❑ Feeders/Sub-panels(4045) ® Rough Electrical(4225) `• '
® Ceiling Cover(4020)
Approved Approved i
// Approved
By Date �'S Date ( Z.616 .By Date
0 Final-Electrical(4055)
Approved
By L; Date 2,...‘ 1--N W
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
CITY of A,
JAN 17 2018 ELECTRICAL
Federal Way CITY OF FEDERAL WAY PERMIT APPLICATION
COMMUNITY DEVELOPMENT �j I
PERMIT NUMBER 1 _ ( 0
SUITE/UNIT/SPACE#
SITE ADDRESS: Al(9-7 S W 'L 0/ w(� a (6023
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ 7S6 -"'° C49 ( I U _ 0 0 / 0
PROJECT NAME
(Tenant or Homeowner Last Name) 0 Ue n Cls
C;h , L►gi -5} ' nc ®c \.e (-®6 (n oe�1.y
PROJECT DESCRIPTION '? '6004- eJ, 1 0 n
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER lu (Ciii 0 (A53) 2Q1 -31- 32.
MAILING ADDRESS E—MAILsI
/O<( sc.0 327q 'TN Pc iso enc+ 4
CITY STATE ZIP FAX
boa
'
r /� wet? 78o ( ) -
NAMC PRIMARY PHONE
06Joe iS C-041reki-Oy ( ) -
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 il ( L Cl h a n i l s ( )
MAILING ADDRESS 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. l
SIGNATURE: l�r(a d u e 1145 DATE C 1 - 1 3 - l
PRINT NAME: L r t etre o O Lye no-3
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application