14-106099City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: GARCIA
Project Address: 2250 S 336TH ST
Project Description: Add circuit for heat pump & furnace
Electrical
Permit #: 14 -106099 -00 -EL
Inspection Request Line: (253) 835-3050
3
Parcel Number: 797820 0225
Owner
ARRlican
Contractor
MARIA GARCIA
OVERLAKE ELECTRICAL INC
OVERLAKE ELECTRICAL INC
2250 S 3367111 ST
PO BOX 40614
OVERLEI017LJ (6/15/15)
FEDERAL WAY WA 98003
BELLEVUE WA 98015
PO BOX 40614
BELLEVUE WA 98015
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes
Electrical Fixtures
Circuits - Residential ...................... 1
Is Use Educational or Institutional?.......................No
PERMIT EXPIRES Sunday, May 24, 2015
Permit Issued on Tuesday, November 25, 2014
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. p
Owner or agent: Date: —>�;l
r1t4p"I
ED
f THIS CARD IS TO MAIN ON-SITE
CITY OF, Construction In ection Record
Federal Wad/ INSPECTION REQ TS: (253) 835-3050
PERMIT #:
14 -106099 -00 -EL
Address: 2250 S 336TH ST
Project: MARIA GARCIA FEDERAL WAY, WA 98003-6832
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.
Final - Electrical (4055)
Approved
By " Date 1 (2Z t
L-,7 perww f - V.-+ O'A Stec -�
4"L' ff �sC5�s
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UFER Ground (4295)
Ditch cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
0
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By " Date 1 (2Z t
L-,7 perww f - V.-+ O'A Stec -�
4"L' ff �sC5�s
4ik-c &� i KS r c,-�j Uv, . cots Ove c &, kA s i k
Pool Bonding (4195)
Temporary Power (4275)
0
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
Ceiling Cover (4020)
Rough Electrical (4225)
E]
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By " Date 1 (2Z t
L-,7 perww f - V.-+ O'A Stec -�
4"L' ff �sC5�s
4ik-c &� i KS r c,-�j Uv, . cots Ove c &, kA s i k
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
'TRRICAL
CITY OF E C
Federal Way PERMIT APPLICATION
PERMIT NUMBER ` _ l r _ Q 0 R"Im
-- ------ -- NOV 25 2014
SUITE/UNIT/SPACE #
SITE ADDRESS:J _ S _ �� L ITY OF FEDERAL WAY
3_3PROJECT
VALUATION
ASSESSOR'S TAIL/PARC CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
(Z CC_ A
/J C S 17,'V A "I Al,? 5,5--
CPROJECT
PROJECTDESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
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MAILING ADDRESS
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E-MAIL
CITY
STATE
ZIP
FAX
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NAME
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PRIMARY PHONE
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MAILING ADDRESS
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CITY
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STATE
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ZIP
121
FAX
CONTRACTOR
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
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APPLICANT
NAME
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PRIMARY PHONE
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MAILING ADDRESS
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E-MAIL
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PROJECT CONTACT
NAME
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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 city as apart of this application.
SIGNATURE: ATE
PRINT NAME:
Bulletin # 160 —January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application