14-103688City 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: CRITTENDEN
Project Address: 29825 10TH AVE SW
Electrical
Permit #: 14 -103688 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 195460 0131
Project Description: 0-200 amp panel upgrade and (2) sewer circuits for sewer hook-up
Ownr
Al2RIican
Contractor
JEAN CRITTENDEN
AZTEC ELECTRICAL SERVICES LLC
AZTEC ELECTRICAL SERVICES LLC
29825 10TH AVE SW
25314 45TH AVE S
AZTECES021DT (3/30/16)
FEDERAL WAY, WA 98023
KENT WA 98032
25314 45TH AVE S
KENT WA 98032
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 ...................... 2
PERMIT EXPIRES Monday, January 19, 2015
Permit Issued on Wednesday, July 23, 2014
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: /7- -3
CITY OF �
Federal Way
PERMIT #:
Project:
THIS CARD IS TOMAIN ON-SITE
Construction In ction Record
INSPECTION REQU TS: (253) 835-3050
14 -103688 -00 -EL Address: 29825 10TH AVE SW
JEAN CRITTENDEN FEDERAL WAY, WA 98023-8206
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.
E] Feeders/Sub-panels (4045)
Approved
By Date
Final - Electrical (4055)
Approved
By Date rl„ S r
Rough Electrical (4225)
Approved
By Date
Ceiling Cover (4020)
Approved
By Date
LIFER Ground (4295)Ditch
cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
1:1Approved
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
E] Feeders/Sub-panels (4045)
Approved
By Date
Final - Electrical (4055)
Approved
By Date rl„ S r
Rough Electrical (4225)
Approved
By Date
Ceiling Cover (4020)
Approved
By Date
Pool Bonding (4195)
Temporary Power (4275)
1:1Approved
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
E] Feeders/Sub-panels (4045)
Approved
By Date
Final - Electrical (4055)
Approved
By Date rl„ S r
Rough Electrical (4225)
Approved
By Date
Ceiling Cover (4020)
Approved
By Date
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date
, ACITY of
Federal Way
PERMIT NUMBER 14—
_ 1 0
� E&CTRICAL
_0 0 JUL 232014
CITY OF FEDERAL WAY
SITE ADDRESS: 2,912,15 I b � J� 9
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PROJECT VALUATION
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ASSESSOR'S TIAX/PARCE/L`#,t/`
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CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
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PRIMARY PHONE
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NAME
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PRIMARY PHONE
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MAILING ADDRESS
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E-MAIL
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CITY
STATE
ZIP
FAX
CONTRACTOR
WA STATE CONTRACTOR'S 3
� LICENSE # EXPI TION DATE
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FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAMEPRIMARY
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PHONE
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MAILING ADDRES
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PROJECT CONTACT
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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..T 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.
SIGNATURE:
PRINT NAME:
TE 2 �7
Bulletin # 160 —January 1, 2013 Pagel of 2 k:\Handouts\Electrical Permit Application