16-102997FWrical
&�Dv.cCity,FederalServices Permit #: 16 -102997 -00 -EL
33325 8th Ave S
Federal way, WA 98003 Inspection Request Line: 253 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609 p
Project Name: COTA
Project Address: 1328 SW 350TH ST Parcel Number: 502860 0770
Project Description: New wiring for master bedroom, bathroom (2) storage closets and (1) walk-in closet.
Owner
ARRIlicant
Contractor
GLENDA COTA
CARLOS OROPEZA
HI VOLTS ELECTRIC LLC
1328 SW 350TH ST
HI VOLTS ELECTRIC LLC
IUVOLVE884KN (5115114)
FEDERAL WAY WA 98023
2216 S 332ND ST
2216 SW 332ND ST
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
Additional Permit Information
Electrical Work Valuation?....................................1800 Is this an Online or O.T.C. application? ................. Yes
Is Use Educational or Institutional?.......................No
Electrical Fixtures
Circuits - Residential ...................... 4
PERMIT EXPIRES Tuesday; , 2017
Permit Issued on Mo� J 2Z
1 hereby certify that the above information is correct and tha construe above described property and
the occupancy and the use will be in accordance with ws, ruons of the State of Washington
and the Ci Federal /� ho
Owner or agent: Date: (0 I a-0 1 6
4f
PERMIT #: 16 -102997 -00 -EL
Project: GLENDA\COTA
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835.3050
Address: 1328 SW 350TH ST
FEDERAL WAY, WA 98023-6940
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
Pool Bonding (4195)
Ditchcover
Approved
a oncrete Floor (4253)
Approved
0
Approved
0
Approved to place concrete
By Date
By
Date
By
Date
0
Pool Bonding (4195)
Approved
By
Date
0
Right of Way
Approved
0
Feeders/Supanels (4045)
Approved
By
Date
By
Date
Final - Electrical (4055)
Approved
By
Date
0
Temporary Power (4275)
Approved
By
Date
0
Right of Way
Approved
0
Rough Electrical (4225)
Approved
By
Date
By
Date
L, N's ""-" % V'4 �� -P� &rf �-i�
Service (4235)
Approved
By
Date
0
Right of Way
Approved
0
Ceiling Cover (4020)
Approved
By
Date
L, N's ""-" % V'4 �� -P� &rf �-i�
Rough Electrical
Approved
Final Electrical
Approved
0
Right of Way
Approved
By
Date
By
Date
By
Date
+ CITY OF - Building bivision
33325 Eighth Avenue South
Federal Wa Federal Way, WA 98003-6325
y Phone 253-835-2607 Fax 253-835-2609
CORRECTION NOTICE
ADDRESS: 1-1a8 SLg, 3tSt- PERMIT#: jL,-ioa Q92-80 i�,t,
L12 • •
1K1. i,, -t.c \-
C.- aA
IF YOU HAVE QUESTIONS CALL
(253) 835- 'ja Zl
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.
Z -) ,-A - —16, 0 a6�
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
CITY OF 'A
Federal Way RECEIVED
JUN 2 0 2015
ELECTRICAL
PERMIT APPLICATION
CITY OF FEDERAL WAY
PERirlrr NUMBER
CDS
I V /b zqq7.LID
SITE ADDRESS' C\//�\J j1T_
SUITE/UNIT/SPACE #
PROJECT VALUATION
$ �c C .� ..
ASSESSOR'S TAX/PARCEL #
n 2
CURRENT/PROPOSED USE
PROJECT NAME
t
(Tenant or Homeowner Last Name)
1
�S
l
1 ,
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
PRIMARY PHONE
MAILING ADDRESS
17)
E-MAIL
CITY
/STA/TEE.
ZIP
FAX
AME
` L
PRIMARY PHONE
()
MAILING ADDRESS
(
U S b
E-MAIL
ELECTRICAL
CITY
Fnz Y lv^
STATE
W
ZIP
Q�
FAX
( ) -
CONTRACTOR
W STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
Vo Z
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME
PRIMARY PHONE
(z06 ) 9'5 - 7C6' 6
MAILING ADDRESS
Z16 SCS
E.
CITY
STATE
ZIP
FAX
PROJECT CONTACT
N , ^
dui 03
PRIMARY PHONE
(j66 )
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: `--, d
PRINT NAME: v r O Yo
Bulletin # 160 — April 14, 2016
sapla°i6
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