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18-105594City of Federal Way Community Development Dept. 33325 8th Ave S } Electrical Permit #:18 -105594 -00 -EL Federal Way, WA 98003 ' ! Inspection Request Line: (253) 835-3050 Ph: (253) 8352607 Fax (253) 8352609 Project Name: LOPEZ Project Address: 30220 10TH AVE S Parcel Number: 515370 0100 Project Description: Replace existing 100 Amp panel; install grounding & bonding as required. Owner Applicant Contractor TANIA LOPEZ ANDREY UMANETSANAPA LLC ANAPA LLC 30220 10TH AVE S 711 SE 5TH AVE 0 FEDERAL WAY WA 98003 BATTLE GROUND WA 98604 1613 SW 6TH ST BATTLE GROUND WA 98604 Additional Permit information Is this an Online or O.T.C. application? .................. Yes Alt. Serv./Feeder: 0 to 200 aml PERMIT EXPIRES Wednesday, 27 November, 2019 Permit Issued on Tuesday, November 27, 2018 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 6Washington and the City of Federal Way. Owner or agent: Date: i �' r CWT a 4�& Federal Way PERNIIT #: 18105594 00 THIS CARD IS TO REMAIN ON-SITE - Construction Inspection Record INSPECTION REQUESTS: (253) 835-3050 Address: 3022010TH AVE S Project: TANIA LOPEZ FEDERAL WAY WA 980034103 Scheduled inspection may be faded if this card is not on-site. DO NOT LOSE THIS CARD. (read left to right, top to bottom). Please schedule inspections as appropriate. Work must not be covered over d un an �v sequential order as ptble spector if you are unsure about any of the inspections or the inspection sequence. o y On-going inspections are logged � the baric of this card. 0 LIFER Ground (4295) 0 Ditch cover (4030) 8❑ Slab/Coocrete Floor (4255) Approved Approved Approved Approved By Date Approved to plaw concrete By Date By Date By Date ® Pool Bonding (4195) ® Temporary Power (4275) © Service (4235) Approved Approved Approval Approved Approved By Date By Date By Date _1 Final - Electrical (4055) Approved By Date Feeders/Sub-panels (4045)® Rongh Electrical (4225) Ceiling Cover (4020) Approved Right of Way Approved Approved By Date By Date By Date Final - Electrical (4055) Approved By Date Rough Electrical Final Electrical Right of Way Approval Approval Approval By Date By Date By Date RECEIVED ELECTRICAL CITY OF "'`/ Federal Way Nov 2 7 2018 PERMIT APPLICATION CITY OF FEDERAL WAY COMMUNITY DEVELOPMENT 0 J PERMIT NUMBER ( V _ 1 5 5 q _ i✓ SITE ADDRESS: 3o 720 1 0-111 /��fXJ -C SUITE/UNIT/SPACE# PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE $ Ibno . aw 3 / 5 3 7 0 _ 0 / D 0 PROJECT NAME (Tenant or Homeowner Last Name) K.u vt CA- EV. .Vc t N Ct i O 0 g 2 t N S c.� 2.tti ,N ,L PROJECT DESCRIPTION n Detailed description of work to N611),l-L Co LoJ Nr-to 6•10 K k NI 4 D' V tN G S !�t�v L�4'0 be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER il,Qt t•y i Lk ',O Q Z.7— (-2„S3) 51-I 1. 1 O S 1 MAILING ADDRESS E-MAIL 31 t S Sora Ot-vi. CITY STATE ZIP FAX ra..-coKix- Wbc. °I 40-0412 ( ) Nil Pe , NAME V-- --� � PRIMARY PHONE r, PRIMARY of LUG (360) 51A - 0%99 MAILING ADDRESS E-MAIL 0 ELECTRICAL �j S • VJ . (p 1.4 t(,1•.44,90.s. CONTRACTORTY STATE ZIP FAX FAX t V Y bAsc0t LAI- LAU liWil. Ci St o 4 ( ) Nit Pc WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# -- NAV PRIMARY PHONE APPLICANT c kti 41.16.N L S (3(00) S 11 - b$S<1 MAILING ADDRESS E-MAIL I b 3 S.co. 6-c4 ST - u K u 1 1 . EiI.CC-R�t L i CITY STATE ZIP iq 21N-cc-pi. G o i c wk.. Ci a 60 4 ( ) 4"l � NAME PRIMARY PHONE PROJECT CONTACT r n. tG 0‘ ,S 3 6 O L(„b 3 --).sol (36O) 4.61...24.01 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 SIGNATURE: DATE I 1 7'1 I (8 , ' tkiLLAA------. . . .4.PRINT NAME: LtiNk, C.lV Bulletin#160-April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application