13-102633t. t
' Electrical
city of Federal Way t ��
community & Econ. oev. services Permit #: 13 -102633 -00 -EL
33325 8th Ave S
Federal Way, WA 98003 Inspection Re
Ph: (253) 835-2607 Fax: (253) 835-2609 pecti Request Line: (253) 835-3050
Project Name: SLATER "o 10
Project Address: 30720 43RD AVE SW Parcel Number: 112103 9076
Project Description: Add (1) circuit for heated floor
Owner
ARR111cant
Contractor
DON A SLATER
MANUELA DEHERRERA
VALOR ELECTRIC LLC
SARA S SLATER
VALOR ELECTRIC LLC
VALOREL904NB (8/2/14)
30720 43RD AVE SW
15716 18TH AVENUE CT E
PO BOX 447
FEDERAL WAY WA 98023
TACOMA WA 98445
SPANAWAY WA 98387
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes Is Use Educational or Institutional?....................... No
Electrical fixtures
Circuits - Residential ...................... 1
PERMIT EXPIRES Wednesday, June 17, 2015
Permit Issued on Monday, June 17, 2013
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: AM& EL M M a I& I Date:
UNLINI:
CITY of V AhI,
Federal Way
PERMIT #:
• THIS CARD IS TO MAIN ON-SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
13 -102633 -00 -EL
Address: 30720 43RD AVE SW
Project: DON A SLATER FEDERAL WAY, WA 98023-2164
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.
Final - Electrical (4055)
Approved
y Date J�
UFER Ground (4295)13
Ditch cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
E]
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
y Date J�
Pool Bonding (4195)
Temporary Power (4275)
E]
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
Final - Electrical (4055)
Approved
y Date J�
Rough Electrical
Approved
Final Electrical
Approved
Right of Way —�
Approved
By
Date
By
Date
By
Date
JUL � % 22Q,6 RECEIVED
`► PERMI1
CITY OF � APPLICATION
PERMIT CENTER + 33325 8th Avenue South + Federal Way, WA 98003-6325
Federal Way CITY OF FEDERAL Wr -835-2607 + FAX 253-835-2609 + permitcente acityoffederalway.com
CDS
PERMIT NUMBER _ b53 _ TARGET DATE �]
SITE ADDRESS
soLl� S' W
SUITE/UNIT #
P ECT VALUATION
$, ono
ZONING
ASSESSOR'S TAX/PARCEL #
( l -7- 1 D S_ a y S
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING KRE PREVENTION
NAME OF PROJECT
Wr , bz� �eMet)* �k—�\
PROJECT DESCRIPTION
1 fi`
o -,1 r.
Detailed description of work to
1 l t�1
be included on this permit only
NAME PRIMARY PHONE
cN
PROPERTY OWNER
MAILING ADDRESS E-MAIL
CITY
STATE
ZIP
/�.
NAME e -`J
MAI I/� Ny ADDRESS
v TE 1 6��
CONTRACTOR
L
ATE� C;ONTRA LI,CEN # ^ (�
� _ EXPIRATION DATE f FEDERAL WAY BUSINESS LICENSE #
NAMEP� �j�-v VHONE \ `
MAILI G ADDRESS E-MAIL
eLt� �- -
APPLICANT
(�2ts
STATE ^
I✓VG,
ZIP /� '
PRIMARY PHONE
NAME U, �
PROJECT CONTACT
MAILING ADDRESS E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP FAX
concerning this application)
PROJECT FINANCING
NAME
OWNER -FINANCED
When value is $5,000 or more
(RCW ] 9.27.095)
MAILING ADDRESS, CITY, STATE, ZIP PHONE
1 certify under penalty of per/ury 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 arjdes out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the y as part this application. % I
-�
SIGNATURE: DATE l
PRINT NAME: i�rt
Bulletin #100 - January 29, 2016
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