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18-104769' Electrical City of Federal Way Community Development Dept. 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax (253) 835-2609 Project Name: SCISCENTE Project Address: 31030 24TH CT S Permit #:18 -104769 -00 -EL Inspection Request Line: (253) 835-3050 Parcel Number: 053700 0510 Project Description: Extending formal dining room. Electrical work to include adding (3) outlets, (1) ceiling light and (1) exterior light. Owner Applicant Contractor SONIA E SCISCENTE STEVEN SCISCENTE OWNER IS CONTRACTOR 31030 24TH CT S 31030 24TH CT S FEDERAL WAY WA 98003-5012 FEDERAL WAY WA 98003-5593 Additional, Permit Information Is this an Online or O.T.C. application? .................. Yes Circuits - Residential 5 PERMIT EXPIRES Thursday, 10 October, 2019 Permit Issued on Wednesday, October 10, 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 �� Was 'ngton and the City of Federal Way. Owner or agent: ��'��' "" Date: 10 - /0 v 1 . THIS CARD IS TO REMAIN ON-SITE { a CTOFederal Wad Construction Inspection Record INSPECTION REQUESTS: (253) 835,3050 PERMIT #: 18104769 00 Address: 31030 24TH CT S Project: STEVEN M SCISCENTE . FEDERAL WAY WA 98003-5593 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 our i if you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card. Y 1❑ UFER Ground (4295) ID Ditch cover (4030) Service (4235) Slab/Concrete Floor (4255) Approved Approved Approved Approved Approved By Approved to place concrete By By Date By Date By Date Date Q Pool Bonding (4195) ® Temporary Power (4275) © Service (4235) Approved Approved Approved Approved Approved By Date By Date By Date 0 FeedervSub-panels (4045) ® Rough Electrican(4225)[i] Ceiling Cover (4020) Approved Right of Way Approved Approved By Date By Date By Date Final - Electrical (4055) Approved By Date $ 1-3 Rough Electrical Final Electrical Right of Way Approved Approved 1By Approved By Date By Date Date 0". CITY 0 � RESUBMITTED ELECTRICAL Federal Way OCT 10 2018 PERMIT APPLICATION CV OF FEDERAL. WAY CWMUNrTY DEVELOPMENT PERMIT NUMBER_L <6 _ I G 'l -7 G, SITE ADDRESS: 7 k G� - �. ( A `1 �0t�,5 �3� �((- Ste. �--c�t•�, r'J�•7 �' / SUITE/UNIT/SPACE # PPJ R0ECT VALUAT''I++ON {,� ASSESSOR'S TAX/PARCEL# /A� CURRENT/PROPOSED USE PROJECT NAME (Tenant or Homeowner Last Name) SC^ S p �. e, X' 2+�4'I '� • -r;w,I rtiv�^1n i/"Ju '✓� y ai�� k S c LA PROJECT DESCRIPTION ,t 1 i� �,�✓c �� r - Detailed description of work to be included on this permit only PROPERTY OWNER NAME �j SC ` ,.�c . PRIMARY PHONE (Z.�"j) 334 - y S 3 MAILING ADDRESS E-MAIL CITY ^J .—i��'"L�-.I r a•� STATE ��T'• ZIP ( ! FAX FAX , Cid ( ) NAME PRIMARY PHONE tj ✓ t l ( ) - MAILING ADDRESS E-MAIL ELECTRICAL CONTRACTOR CITY STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE # - EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE # APPLICANT NAME �'J e-1 PRIMARY PHONE ( ) - MAILING ADDRESS E-MAIL CITY STATE ZIP FAX PROJECT CONTACT AME PRIMARY PHONE I certify under penalty of perynry 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 asa pa of this application. SIGNATURE: J6 DATE to , I b PRINT NAME: 5,'1`+=`�`- G• S e_le4A P" Bulletin # 160 -April 14, 2016 Page 1 of l k:AHandouts\Electrical Permit Application RESUBN11TT'E CITY OCT 10 2018 Property Owner Federal Way GpMMoFFEDEAL UNmyDEVt+►- W6trical Work Permit Application 1 !S 'l Oq-7 (o In Washington, only licensed electrical contractors may perform electrical work. Property owners may apply for an exemption from these requirements by completing this application and signing the affidavit below before beginning electrical work. As authorized under RCW 19.28.261, I, 5 6,L)z. Sc'-szo� hereby apply (Printed name of property owner, renter, or lessee) for an exemption from the electrical licensing and certification requirements of RCW 19.28 by submission of this affidavit. I own this property. Your name or your company's name must be shown on the deed to the property. Real estate agents' property management companies, relatives, etc. cannot purchase permits for the property owner. ❑ I rent or lease this property. We need a copy of your rental agreement showing you have permission to perform electrical work. ❑ I am an officer for a 501(c)(3) nonprofit corporation, or a nonprofit religious organization. The total market value of electrical work must be $30, 000 or less and all electrical work must be done by a non -compensated appropriately certified electrician. ❑ New single family residence that is not intended for rent, sale, or lease, where I will be living for at least 24 months after completing the electrical work. I will be personally doing the electrical work. ❑ New 2, 3, or 4 unit residential building, owned by me, that is intended for rent, sale, or lease. I will be living in one of the units for at least 24 months after completing electrical work. I, personally, and/or a regularly employed employee(s), will be doing the electricalwork. ❑ New place of business, farm, or other property: Any new structure that is not intended for rent, sale, or lease. I, personally, and/or a regularly employed employee(s), will be doing the electrical work. �(] Existing residential property, place of business, or farm. I, personally, and/or a regularly f employed employee(s), will be doing the electrical work. DE=PARTMENT OF COMMUNITY DEVELOPMENT / 33325 8TH AVENUE SOUTH/ FEDERAL WAY, WA 98003-6325 253-835-2607 � www.cityoffederalway.com ,�& permitcenter(cDcitvoffederalway.com Bulletin #080 — June 6, 2018 Page 1 of 2 k:\Handouts\ Property Owner Electrical Work Application ❑ 501(c)(3) or nonprofit religious organization owned property: The total market value of the electrical work must be $30,000 or less, and all electrical work will be performed by appropriately certified electricians, or certified and properly supervised trainees, who are volunteering and not being compensated for the electrical work per RCW 19.28.091(7). I believe I should be exempt from the requirements to obtain an electrical license, or use a certified electrician, as provided under RCW 19.28.261. By signing below, I certify the information I am providing on this affidavit is true and accurate. I understand that if I make false statements or misrepresentations, I may be assessed penalties. fv--1 c-1 a? Date sc: 1,- .5 Property Owner's Name (Last, First ) or Company Name Mailing Address Unit/Apt.# City State Zip Daytime Phone Email Address S C2 i2-0 Inspection Site Address (if different) Unit/Apt.# ccity State Zip k/t^Cj P5 County Electrical Power Company / Serving Utility 12- xI2- exo�,i`-`,q DEPARTMENT OF COMMUNITY DEVELOPMENT / 33325 8TH AVENUE SOUTH/ FEDERAL WAY, WA 98003-6325 253-835-2607 -,s, www.cityoffederalway.com -es, permitcenter(a)cityoffederalway com Bulletin #080 - June 6, 2018 Page 2 of 2 k:\Handouts\ Property Owner Electrical Work Application