18-105132`'A
City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 8352609
Project Name: AUGUSTINO
Electrical
Permit #:18 -105132 -00 -EL
Inspection Request Line: (253) 835-3050
Project Address: 36618 2ND PL SW Parcel Number: 570780 0060
Project Description: Installation of 7.8 kW photovoltaic solar system on roof & ground.
Owner
Applicant
Contractor
ANTHONY R AUGUSTINO
ELI HEADBLOSSOM SOLAR
BLOSSOM SOLAR
36618 2ND PL SW
1706 LOMBARD AVE
BLOSSSL823M7 (7/27/20)
FEDERAL WAY, WA 98023
EVERETT WA 98201
1706 LOMBARD AVE
EVERETT WA 98201
Additional Permit Information
Is this an Online or O.T.C. application? .................. No
o Ele��Cait1r
Circuits - Residential 1
PERMIT EXPIRES Tuesday, 19 November, 2019
Permit Issued on Monday, November 19, 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
Washington and the City of Federal Way.
j 11
Owner or agent: ►'J Date: 1
A
` THIS CARD IS TO REMAIN ON-SITE
Feder Wa Construction Inspection Record
Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 18 105132 00 Address: 36618 2ND PL SW
Project: DEBORAH AUGUSTINO FEDERAL WAY WA 98023-7389
acucutucu inspections may be tailed it 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.
ED
UFER Ground (4295)
0
Ditch cover (4030)
El
Slab/Concrete Floor (4255)
Approved
Right of Way
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195) 0
Approved
By Date By
Temporary Power (4275) Service (4235)
Approved Approved
Date By Date
El
Feeders/Sub-panels (4045)
®
Rough Electrical (4225)
®
Ceiling Cover (4020)
Approved
Right of Way
Approved
Approved
Approved
By
Date
By
Date 1 1-)? -1%
By
Date
El Final - Electrical (4055)
Approved
By. - Date
D
Rough Electrical1:1Final
Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
RECEIVED
OCI 3A 2018 ELECTRICAL
circ of
Federal Way,
CMOIV,
DEVEtor� 60 PERMIT APPLICATION
PERMIT/NUMBER
SITE ADDRESS: 36618 2nd PI SW Federal Way 98023
SUITE/UNIT/SPACE #
PROJECT VALUATION
$ 25,000
ASSESSOR'S TAX/PARCEL #
5 7 0 7 8 0- 0 0 6 0
CURRENT/ PROPOSED USE
Residence
PROJECT NAME
(Tenant or Homeowner Last Name)
Augustino
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
Installation of 7.8 kW Photovoltaic Solar System on roof & ground.
PROPERTY OWNER
NAME
Ruben Augustino
PRIMARY PHONE
( 253) 927-7848
MAILING ADDRESS
36618 2nd PI SW
E-MAIL
AUGIEI WA@HOTMAIL.COM
CITY
Federal Way
STATE
WA
ZIP
98023
FAX
( ) _
ELECTRICAL
CONTRACTOR
NAME
Blossom Solar
PRIMARY PHONE
425) 610 - 7067
MAILING ADDRESS
1706 Lombard Ave
E-MAIL
info@ blossom solar. corn
CITY
Everett
STATE
WA
ZIP
98201
FAX
( ) -
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME
Eli Head
PRIMARY PHONE
( 206 ) 920-8967
MAILING ADDRESS
Same as above
E-MAIL
info@blossomsolar.com
CITY
STATE
ZIP
FAX
( l
PROJECT CONTACT
NAME
Eli Head
PRIMARY PHONE
( 206 ) 920-8967
I certify under penalty of perfury 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.
SIGNATURE: DATE 10/26/18
PRINT NAME: Ell `dead
PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + r)ermitr -,: offederalway.com
Bulletin #160 — April 14, 2016 Page 1 of 1 k:AHandouts\Electrical Pennit Application