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15-104647 Electrical City of Federal D way Permit #: 15-104647-00-EL Community&Econ. ev.Services 33325 8th Ave S Federal Way,WA 98003 Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax:(253)835-2609 ter.W , Project Name: ARGUETA . Project Address: 30911 28TH AVE S Parcel Number: 798440 0035 Project Description: Install new 200 AMP Panel g V , Owner Applicant Contractor FILADELFO I ARGUETA FILADELFO I ARGUETA • OWNER IS CONTRACTOR 2425 SW 329TH ST 2425 SW 329TH ST FEDERAL WAY WA 98023-2826 FEDERAL WAY WA 98023-2826 Additional Permit Information Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No Electrical Fixtures Alt. Serv./Feeder:0 to 200 amps(F 1 Circuits-Residential 3 PERMIT EXPIRES Wednesday, March 9, 2016 Permit Issued on Friday, September 11, 2015 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: / / Date: 9//� s'- r---- ,...S.-/Y`Tcai0 _ .. 4. 4. r • • THIS CARD IS TO REIWI ON-SITE CITY'� Construction Inspe ion Record " ' Federal Way INSPECTION REQUESTS: (253)835-3050 PERMIT#: 15-104647-00-EL Address: 30911 28TH AVE S Project: FILADELFO I ARGUETA FEDERAL WAY, WA 98003-5004 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. o UFER Ground (4295) ❑ 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 CIA— Date 1 A_2_,.3- O Feeders/Sub-panels(4045) El Rough Electrical(4225) ❑ Ceiling Cover(4020) Approved Approved Approved By 0, vim.. Date 1)_ ,s s By Date B Date ism. t t —a, -t S Y ❑ Final-Electrical(4055) Approved By Q 1;u.r Date \.1 _24_N S , o Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date • RECEIVED i CITY OF A 1 1 2015 ELEC'T'RICAL Federal WaysEP PERMIT APPLICATION CITY OF FEDERAL WAY CDS PERMIT NUMBER ' 5 _ 1 o H 1,6 _ t- L fill SUITE/UNIT/SPACE# SITE ADDRESS: %9// 4,2 Q t // J�yd/ Q (�PROJECT VALUATION ASSESSOR'S TAX/PARCEL# 7 CURRENT/PROPOSED USE $ A0 '1gIg Lf0 - 0033- PROJECT NAME -r i - „ (Tenant or Homeowner Last Name) Fi G PROJECT DESCRIPTION 0( ZO 0 PC'^^ ) ` OVYk \ Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER F i 1 G Oka k'D r kkk a (25) ) 3LL - i i 1'1 MAILING ADDRESS �� �� E-MAIL 33333 c{c) ` _ CITY STATE ZIP FAX C't k X way{ wfr 9go23 ( ) - NAME PRIMARY PHONE 0 ) rke,Nr ( S C;or , t r ( ) - MAILING ADDRESS E-MAIL ELECTRICAL CONTRACTOR CITY STATE ZIP FAX ( ) WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# / / NAME n .. PRIMARY PHONE APPLICANT i'IUA r U ( ) MAILING ADDR�3 � E-MAIL 37575 / 7,41 G,v,e S w orluclAc;iotdt► ctoc'��^1,�y.� CITY STATE ZIP FAX LII- d e fo ( ufQ y WA- 98® 2 ( ) - NAME PRIMARY PHONE PROJECT CONTACT f-vod/r-0 4 r, (251)320- / 1 11 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. .i-- , i - SIGNATURE: -dill .1%0/' DATE r /I / 5 r PRINT NAME:? /;: "' /( / `� 1. Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application