16-100287ARQ10can
KAEWETT NELSON
City of Federal Way
Community & Econ. Dev. Services
1314 S DAWSON ST
33325 8th Ave S
FILE
Federal Way, WA 98003
DES MOINES WA 98198
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: ORTIZ SANTIAGO
Project Address: 819 SW 305TH ST
Electrical
Permit #: 16 -100287 -00 -EL
Inspection Request Line: (253)835-3050
Parcel Number: 178870 0105
Project Description: Replace 0-200 amp, adding smoke detectors, change out receptacle,switches, ceiling lights
and base board heaters for associated remodel.
Owner
HECTOR ORTIZ SANTIAGO
ARQ10can
KAEWETT NELSON
Contractor
OWNER IS CONTRACTOR
1314 S DAWSON ST
24120 22ND AVE S
SEATTLE, WA 98108
DES MOINES WA 98198
Additional Permit Information
Electrical Work Valuation?....................................2000.00 Is this an Online or O.T.C. application? ................. Yes
Is Use Educational or Institutional?.......................No
Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 amps (F 1
PERMIT EXPIRES Monday
Permit Issued on Wednes ad .
1 hereby certify that the above information is correct and that
the occupancy and the use will ccordance with the I
and the City of
Owner or agent:
�o
bove described property and
of the State of Washington
Date: dX6 ZB / 6
THIS CARD IS TO REMAIN ON-SITE
CTYOF 5 %_Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 16 -100287 -00 -EL Address: 819 SW 305TH ST
Project: HECTOR ORTIZ SANTIAGO FEDERAL WAY, WA 98023-8234
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)
Temporary Power (4275)
Slab/Concrete Floor (4255)
Approved
Service (4235)
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
0
0
0
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
.Approved
By
Date
By
Date
By
Date
0
Final - Electrical (4055)
Approved
By
Date
Rough Electrical Final Electrical Right of Way
Approved Approved n Approved
By Date By Date By Date
lipt,
`OF
Federal Way
Building Division
33325 Eighth Avenue South
Federal Way, WA 98003-6325
Phone 253-835-2607 Fax 253-835-2609
CORRECTION NOTICE
ADDRESS: 9k"t sw 3osT!� s -r. PERMIT#: ll0-�0o181-flb-tet_
1 P -6W 10t- tAb W6VV-!9W411 lac.
iq.Zg.61.0
Aejgyw-r_d
Rm lVtsru%vv.
Ali Pa dAt-A
OWL 'To
001A 0+1Ie-y
c A IA -KA
2•)r?-cw
3
iq.Zg.61.0
1-k 1S Iy► TlAL
$tS�- I K4
s O*FTl•c,
OWL 'To
U ctu;
c A IA -KA
_ �. y4cat a+y-A c4ty
1 � �b
If- t• �L
0— wa its Pn� A k c *u t l 4 -,'s n .
2-014
A -06-J- Cv) -
PAt%
4cklucL�Gina- p-t�cK}��I�S
Sl�cl1 Bc. 10.�c�, G�Fc.I .
�aM•�,
P,•r,�;t•t-�w �
�s
P� -�, s Go d �.
!� •Ir-►' vl-c .
4•) 0111111111t'4%q••Z3 FO\ Soxtis �GL eckt Be- YL qi dlTqjPu-A-. A AvA 14o+ 4"j N'
0,.+ Of W411 s .
S i Nt2 3i�-ti3�R��� - S�v+cws T140W 1�-Kcs �;1. &(\ ?&CC _rkvCA Tln{ Bc,�l�
G) Mm- 300.4 - t4 & E 144V'c CLA411 ac, VK s+a.11-c A W kn-w� 6&61t 4 ksccs -T1ny o.� 1^
11 N jfL 3A $> do - F>mv s 16k,a11 Oo4- F,4cG- Ilkw,e -rken 14- Fyv
?) lNl� 2aLto-�tt.B�bls/(-I)- EjC&lv'icul JKs(wZ4ws Wilt No- 1.G10u-1- Wo✓k br t�� ►�5
Cb (11StA 1 fes' fUe 0 wKv-.✓; 1 V.-�-
IF YOU HAVE QUESTIONS CALL � V , &* V-- (253) 835- -LG 23
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS.
2 11 1>e
ATE
INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
CITY OF A
Federal Way
PERMIT NUMBER ( ((,-, _ 10 0 Z" e1 _ l / C
ELECTRICAL
PERMIT APPkPFA;TgqN
JAN 2 0 2016
CITY OF PEDERAL WAY
`��//
SITE ADDRESS: 00/c/ Stv 3o 5Th b �, ra,Cyq a
SUITE/UNIT[$pi4CE #
,
PROJECT VALUATION
ASSESSOR'S TPARC
C /Lft
CURRENT/PROPOSED USE
PROJECT NAME
j� /�
�? � Z G C,
(Tenant or Homeowner Last Name)
01( 1 / 1
PROJECT DESCRIPTIONL-51-4i'fesf__
IX �� U�teisr
Detailed description of work to
,�+L-51-4i(,�,¢
V
, 4o att� jcq , CC`S i' _ S ,
'i G
be included on this permit only
N `
�p��(�
PRIMARY PHONE
PROPERTY OWNER
GCS 6 1 �- ti
( ) (, O - 1
MAILING ADDRESS
31
EMAIL
.oa�
o�WSo �� •
CITY
STATE
W 1t
ZIP
<�, 6
FAX
-
NAME
C,T
PRIMARY PHONE
V ► \ Z \
1 )
MAILING ADDRESS
S S 4
E-MAIL,
ELECTRICAL
. D
CITY
STATEZIP
v14
cCF16)
FAR
c ) -
CONTRACTOR
WA STATE CONTRACTOR'S LICENSE S EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE N
NAME
PRIMARY PHONE
APPLICANT
( )
MAILING ADDRESS
EMAIL
CITY
STATE I
ZIP
// FAX
l )
PROJECT CONTACT
NAME
,w .-T-
PRIMARY PHONE
)%Z
I 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 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 o o the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the c' ,4 a rt o his application.
SIGNATURE:
PRINT NAME:
Ifs lzo/,6
Bulletin # 160 -January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application
.aa
CPM