13-100620City of Federal Way
Community & Econ. Dev. Services r9 8-
33325 8th Ave S j f"
Federal Way, WA 98003 t Ta
Ph: (253) 835-2607 Fax: (253) 835-2609 a1 kffff'
Project Name: NMTALLANA
Project Address: 33491 38TH AVE SW
Project Description: 0-200 amp panel change
'flectrical
Permit #: 13 -100620 -00 -EL
Inspection Request Line: (253) 836-3050
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Parcel Number: 1099610780
Owner
Al2lid
Contractor
CRISTINA MATALLANA
SOLARSIDE ELECTRIC LLC
SOLARSIDE ELECTRIC LLC .
33491 38TH AVE SW
218 125TH ST S
SOLAREL901JW (4/16/14)
FEDERAL WAY WA 98023
TACOMA WA 98444
218 125TH ST S
TACOMA WA 98444
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes
Service greater than 999 Amps? .............................No
Electrical Fixtures
Alt. Srvc / Feeder 0 to 200 amps (C 1
Is Use Educational or Institutional? ....................... No
PERMIT EXPIRES Wednesday, August 7, 2013
Permit Issued on Friday, February 8, 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
d the City of Federal Way.
Owner or agent:a-- / v Date:
THIS CARD IS TOMAIN ON-SITE,
Federal Vi/a i Construction In ection Record '
�/ INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 13 -100620 -00 -EL Address: 33491 38TH AVE SW
Project: CRISTINA MATALLANA FEDERAL WAY, WA 98023-2908
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.
UFER Ground (4295)
Ditch cover (4030) Slab/Concrete Floor (4255)
Approved
Approved Approved to place concrete
By Date By
Date By Date
Pool Bonding (4195)
Temporary Power (4275) Service (4235)
Approved
Approved 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
B DaL.�_ /
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date
CITY OF
Federal Way
EL CTRICAL '
PERMIT APPLICATION
�j RECEIVED
PERMIT NUMBER
FEB U 8 2013
SITE ADDRESS: "3 q q 1 'S � � h P V J IN raL I CITY �
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PROJECT VALUATION
$
ASSESSOR'S TAX/PARCEL #
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CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
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PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
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PROPERTY OWNER
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NIAILING ADDRESS
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CONTRACTOR
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IMARY PHONE
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APPLICANT
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NAME
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PROJECT CONTACT
NAME
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I certgy 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 ~ty as apart of thjs Z&lication.
SIGNATURE:
PRINT NAME:
Bulletin #160 —January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application