15-100077 Electrical
City of Federal Way
Community&Econ.Dev.Services Permit #: 15-100077-00-EL
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 FILEp q
Project Name: ARTEAGA � -
9
Project Address: 2204 S 283RD ST Parcel Number: 422220 0470
Project Description: Install new kitchen circuit
Owner Applicant Contractor
JAIME G ARTEAGA SJA ELECTRIC DBA BB ELECTRIC SJA ELECTRIC/BB ELECTRIC
OFELIA MEND ARTEAGA 2721 S ASH ST BBELEBE950P1(10/22/15)
20503 25TH LN#80 TACOMA WA 98404 2721 S ASH AVE
SEATAC WA TACOMA WA 98409
98198
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Electrical Fixtures
Circuits- Residential 1
PERMIT EXPIRES Monday, July 6, 2015
Permit Issued on Wednesday, January 7, 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 accordanpe with the laws, rules and regulations of the State of Washington
a the City of Federal Way.Owner or agent: / -' Date: l /7//S
r 41.. ...,
• THIS CARD IS TO MAIN ON-SITE
•
CITY OF "' Construction I ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 15-100077-00-EL Address: 2204 S 283RD ST
Project: JAIME G ARTEAGA FEDERAL WAY, WA 98003-3206
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
o Pool Bonding(4195) 0 Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
❑ Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
0 Final-Electrical(4055)
Approved
By Date
❑ Rough ElectricalEl Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
4._.. ii r E CTRICAL
CITY OF "-,
Federal Way PERMIT APPLICATION
PERMIT NUMBER 9 —
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JAN 0 7 2015
/
SITE ADDRESS' y `'` SUITE/UNIT/SPACE#
�-v LI 6 3 CITY OF FEDERAL WAY
PROJECT VALUATION 'CUI82ASSESSOR'S TAX/PARCEL# ENT/PROPOSED USE
^
PROJECT NAME
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION T-(k 5 4 1-1&-,4,_) K. `�-G, k2._V C f t__ (i 1—
Detailed description of work to
be included on this permit only
NAME / PRIMARY PHONE
PROPERTY OWNER -4/ r mak"`) v�t`e .1') A- ( ) -
MAILING ADDRESS E-MAIL
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CITY STATEZIP FAX
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NAME . PRIMARY PHONE
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MAILING ADDRESS E-MAIL
ELECTRICAL a ') ) 1 S ,n;'
CONTRACTOR CITY STATE ZUk Z1FAX
WA STATE CONT TOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
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ID 1-.
NAME PRIMARY PHONE
APPLICANT )'� 0'.5g�( �� ( )
MAILING ADDRESS E-MAIL
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CITY STATE ZIP FAX
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PROJECT CONTACT NAME _/ PRIMARY PHONE
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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 cit as a part of this application.
SIGNATURE: /10411------- 6 DATE / /5
PRINT NAME: 'i/ A A of
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application