15-105144Electrical
unit of con. al way Permit #. 15-105 144 -00 -E - L
Community 8 Econ. Dev. Services � •
33325 8th Ave S
Federal way, WA 98003 Inspection Request Line: 253 835-3050
Ph: (253) 835-2607 Fax (253) 835-2609 ` (� q
Project Name: SOLORZANO
Project Address: 34809 17TH CT SW Parcel Number: 542350 0240
Project Description: Update existing panel with a 200amp panel
Owner
RONALD SOLORZANO
ARlicant
RONALD SOLORZANO
Contractor
OWNER IS CONTRACTOR
GABRIELLE SOLORZANO
3480917TH CT SW
3480917TH CT SW
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
Additional PermlUnf formation
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
PERMIT EXPIRES Tuesday, April 5, 2016
Permit Issued on Thursday, October 8, 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: 2 C) �S
4
CITY of
FedeniI Way
PERMIT #:
THIS CARD IS TORE W. -SITE
Construction I11.4 ion Record
INSPECTION REQUESTS: (253) 835-3050
15 -105144 -00 -EL Address: 34809 17TH CT SW
Project: RONALD SOLORZANO FEDERAL WAY, WA 98023-3109
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.
13
UFER Ground (4295)Ditch
cover (4030)
Temporary Power (4275)
Slab/Concrete Floor ( 255)
EiRight
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
13
Pool Bonding (4195)
Temporary Power (4275)
EiRight
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
13
Final - Electrical (4055)
Approved
By
Date ( (V I
Rough Electrical
Approved
Final Electrical
Approved
EiRight
of Way
Approved
By
Date
By
Date
By
Date
CITY of
VA04".
IVFoPLECTRICAL
Federal Way OCT 08 2415 PERMIT APPLICATION
c
r7y p'F�{FE pE�L W y
PERMIT NUMBER ' _ JF ` �j _ f
SITE ADDRESS: �aO a +k / t Cw
J
SUITE/UNIT/SPACE #
PROJECT VALUATION
Sd.vv
ASSESSOR'S TAX/PARCEL i1
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
S U o
PROJECT DESCRIPTION
PClune Sw °ID P C vcx 2
` biV14 U
I
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME r�
K V hct'
(� Sp' w Z cAso
PRIMARY P713
(-53 nq) -
MAILING ADDRESS
3y80a �� +l, C+ ,S'w
E-MAIL
i• N��o
CITY
STATE
W
ZIP
X5623
FAX
NAME �'� �
010( y`CST/ 1
PRIMARY PHONE
( ) -
MAILING ADDRESS
E-MAIL
ELECTRICAL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME �`
� � J v'0
PRIMARY PHONE
-
MAILING ADDRESS
3"480 17-t h C t w
E-MAIL
CITY
Feael. e4 tiN�
STATE
(P tN
TZIP
OtP Z7
FAX
( ) -
PROJECT CONTACT
NAME
PRIMARY PHONE
( ) -
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 Iocai, 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 a part of this application.
SIGNATURE: DATE o 2O
PRINT NAME:
Rol-wA 01 ?-'C4 1-0
Bulletin # 160 —January 1, 2013 Page 1 of 2 k: flandoutsTlectrical Permit Application