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18-105205Electrical City of Federal way Permit #:18 -105205 -00 -EL Community Development Dept. FILE 33325 8th Ave S Fed«al Way, WA 98003 Inspection Request Line: (253) 835-3050 Ph: (253) 6352607 Fax (253) 835-2609 Project Name: VELARDE Project Address: 2205 SW 309TH ST Parcel Number: 416790 0130 Project Description: Add light, outlets and smoke detector in newly created room in garage. Owner Applicant Contractor RONEN VELARDE RONEN VELARDE OWNER IS CONTRACTOR 2205 SW 309TH ST 2205 SW 309TH ST FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 Additional Permit Information Is this an Online or O.T.C. application? .................. Yes Circuits - Residential 2 PERMIT EXPIRES Saturday, 2 November, 2019 Permit Issued on Fridav, November 2, 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. Owner or agent: i%� l Date: > > ZZ1 I J THIS CARD IS TO REMAIN ON-SITE F'� Way CW Construction Inspection Record i INSPECTION REQUESTS: (253) 835-3050 PERMIT #: 18105205 00 Address: 2205 SW 309TH ST Project: RONEN VELARDE FEDERAL WAY WA 98023-7823 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. 0 UFER Ground (4295) ® Ditch cover (4030) Q Slab/Concrete Floor (4255) Approved Illy Approved Approved to place concrete By Date By Date By Date 0 Pool Bonding (4195) ® Temporary Power (4275) ® Service (4235) Approved Illy Approved Approved By Date By Date By Date © Final - Electrical (4055) Approved By Date N Feeders/Sub-panels (4045) ® Rough Electrical (4225)0 Final Electrical Ceiling Cover (4020) Approved Illy Approved Approved By Date Date J --J-(0-4 t By Date © Final - Electrical (4055) Approved By Date N Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date r r Clrr OF 4A Federal Way ELECTRICAL RECEIVED PERMIT APPLICATION NOV 022018 CONU OPERMIT NUMBER qFYpp—/ O DEyM _ L SITE ADDRESS: L1-0 W 7Q 5 K rl �e � t iY W Wd/ vV � q 16 / -L 3 SUITE/UNIT/SPACE # PROJECT VALUATION q00 ASSESSOR'S TAR/PARCEL # Q 4 6 1 0_ b 1 .3 0_ CURRENT/PROPOSED USE 66r6 � q1CQ. PROJECT NAME (Tenant or Homeowner Last Name) PROJECT DESCRIPTION Detailed description of work to be included on this permit only Jut, c..` `n C t SC:C �. 0 cr t >✓ . S zn l �I ` J PROPERTY OWNER NAME P-A3w-Qv\ Ve lam4 1L PRIMARY PHONE (Zr3 ) -ILL -1143 MAILING ADDRESS 2Z0S SW E-MAIL ar�. @ r,R:1. CITY STATE ZIP FAX ELECTRICAL CONTRACTOR NAME - �J�wQ.cwvler PRIMARY PHONE ( ) - MAILING ADDRESS E-MAIL CITY STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE # APPLICANT NAME V);-Ue, PRIMARY PHONE ( ) - MAILING ADDRESS E-MAIL CITY STATE ZIP FAX ( ) PROJECT CONTACT NAME 12-0VOAV&1 G C PRIMARY PHONE (V3) -,,CL 4 y y j 1 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 1 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 apart of this application. SIGNATURE:/ itis `' DATE ' p PRINT NAME: —0 h 2- V yV, °e l a r Bulletin 4160 -April 14, 2016 Page i of 1 kMandoutsTlectrical Permit Application r CITY OF ° Federal Way RECEIVED NOV 0 2 2018 PropertOMMML WAY DEVaoPMENT Electrical Work Permit Application 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, io>neA Velatle, 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. 1, personally, and/or a regularly employed employee(s), will be doing the electrical work. DEPARTMENT OF COMMUNITY DEVELOPMENT / 33325 8TH AVENUE SOUTH / FEDERAL WAY, WA 98003-6325 253-835-2607 -nwww.citvofiederalway.com ,s permitcenter@cityoffederalway.com Bulletin #080 - June 6, 2018 Page I 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). Your signature is required below: I believe I should be exempt from the requirements to obtain an electrical license, or use a certified i 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. - Printed Name of Property Owner, Renter, or Lessee Signature /l / f' 8 Date Z oYtQn Ve_L r�- Property Owner's Name (Last, First ) or Company Name ZZ,oS cw st. Ce-- l W .7aa3 Mailing Address Unit/Apt.# City State Zip 7,Y'3z(c6JIN3 roykp , velr.%4e,Q,w«A Daytime Phone Email Address Inspection Site Address (if different) Unit/Apt.# City State Zip �/_I&5 ,?sE County Electrical Power Company / Serving Utility )eseription of work being done (I✓xample:;adding outlets in the kitchen, second floor break area; etc j 1,1 CcrtSC, . Aa�� ec�e� h,��tf► DEPARTMENT OF COMMUNITY DEVELOPMENT/ 33325 8TH AVENUE SOUTH / FEDERAL WAY, WA 98003-6325 253-835-2607 zs www.cityoffederalway.com � permiteenterta').cityoffederalwa .com Bulletin #080 — June 6, 2018 Page 2 of 2 k:\Handouts\ Property Owner Electrical Work Application