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16-101943w b _ Betttical �� WayFederal services Permit #: 16 -101943 -00 -EL 33325 8th Ave S Federal way, WA 98003 Inspection Request Line: 253 835-3050 Ph: (253) 835-2607 Fax: (253) 835-2609 I%e �I Project Name: SECRETARY OF HOUSING & URBAN Project Address: 125 SW 307TH PL Parcel Number: 5560001160 Project Description: Electrical inspection to have PSE re -connect power to home. NO ELECTRICAL WORK PERFORMED UNDER THIS PERMIT. Owne ARRIlicant Contractor SECRETARY OF HOUSING & URBAN RUBEN CARDONA D & A ELECTRIC LLC DEVELOPMENT D & A ELECTRIC LLC DELEC*E897D5 (4/5/17) 34 CIVIC CENTER PLAZA SUITE 7015 11909 VICKERY AVE E 11909 VICKERY AVE E SANTA ANA CA 92701 TACOMA WA 98446 TACOMA WA 98446 Additional Permit Information Electrical Work Valuation?...................................200 Is this an Online or O.T. Is Use Educational or Institutional?.......................No , No Fixtures Assoil PERMIT EXPIRES Permit Issued on Th I hereby certify that the above information is correct the occupancy and the use will be in accordanj&# Owner or agent: \4 FrV ur at ^thejc�ons elect&ju . of Fe fay. 21, 2 7 0 ................ es on on the above described property and regulations of the State of Washington Date: I-/' 2tl- l 4 CITY OF Federal Way THIS CARD IS TO REMAIN ON-SITE Construction Inspection Record INSPECTION REQUESTS: (253) 835-3050 PERMIT #: 16 -101943 -00 -EL IAddress: 125 SW 307TH PL Project: SECRETARY OF HOUSING & URB, FEDERAL WAY, WA 98023-3924 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. El UFER Ground (4295) Ditch cover (4030)Slab/Concrete Temporary Power (4275)El Floor (4255) Approved By Approved Approved to place concrete By Date By Date By Date El Pool Bonding (4195) Temporary Power (4275)El Right of Way Approved By Service (4235) Approved Date Approved Date Approved By Date By Date By 1w0 Date Feeders/Sub-panels (4045) ❑ Rough Electrical (4225) Ceiling Cover (4020) Approved Approved Approved By Date By Date By Date 11 Final - Electrical (4055) Approved By Date El Rough Electrical Approved Final Electrical Approved Right of Way Approved By Date By Date By Date CITY OF Building Division 33325 Eighth Avenue South Federal Wa Federal Way, 98003-6325 y Phone 253-835-2607 Fax 253-835-2609 CORRECTION NOTICE ADDRESS: 0-5 Sw 30"1 PL• PERMIT#: Ito d��i43 ' ov <e-vvi r_<� Ota Tocvq i zt . NIEc- 314 •1.C' - Scycws V�S��( � Tkr. f4t�,41nlnr�•+ OF Gv�rt,-s `�In.4 t� 6� � i+L►cv IMuykir�c. Su'�wS Me-+&k,!y, lUv"d Dw Siu '[o Tkt x Uv' -5yt- l I Be- Jv, A-GQr. c c, LV t i -In -Tv'e iMaH u -Fr1c� t�vc�s Kc �ifrwci-t'�swc . 2.1 rl� WHEN �Jo.12 �Q) - �/lwusao� Opcv«Hgs Skal1 gc Sµ�i�}-aK}�ialiH GlbsOd . ✓V i G(, IS �1C- 4v- 'S ka I I W4M1 J Vl^al- IJe 6yvu,-A Vztu (Fs by ';;V ,4 C4vai. 4-c & %G A+ 0vwcmvv4 , 4- bw��s 4• N ti l o •-t b f A) S ka (i 13c. Puc Ac -.f FVV Pad T. �1 tvt-vi 0. t Pavzj Fyovu Fvz"+ b0oi, IF YOU HAVE QUESTIONS CALL °` 253)835- (253)835- 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. 22 16 DATE INSPECTOR DO NOT REMOVE THIS NOTICE Page of RECD© arr of 11��!� Federal Way APR 21 2016 CITY OF FEDERAL WAY CDS ELECTRICAL PERMIT APPLICATION PERMIT NUMBER _ ' 1 � 3 SITE ADDRESS: /Z�S -307 PZ SUITE/UNIT/SPACE # PROJECT VALUATION $ 20 ASSESSOR'S TAR/PARCEL # �S (o 0 0 _ (� CURRENT/PROPOSED USE PROJECT NAME (Tenant or Homeowner Last Name) � 'Gc- �c PROJECT DESCRIPTION Detailed description of work to be included on this permit only PROPERTY OWNER NAME ''I L4 c)(zc� PRIMARY PHONE 1 Zly - MAILING ADDRESS Z1� , E-MAIL CITY STATi ZIP FAX NAME PRIMARY PHONE � z/- sySG MAILING ADDRESS q E-MAIL ELECTRICAL CONTRACTOR CITY ST ZIP FAX WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE 1-/ rte -3P�fj/ 7,05 FEDERAL WAY BUSINESS LICENSE # APPLICANT NAME / L ,. )D 4-,4 �(� C/ y 1 PRIMARY PHONE ( ) - MAILING ADDRESS E-MAIL CITY STATE ZIP ( FAX l ) - PROJECT CONTACT NAME �n PRIMARY PHONE (7� ) - 7 G 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 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: PRINT NAME: Bulletin # 160 — April 14, 2016 Page 1 of 1 UflandoutsUectrical Permit Application