06-103632 R
City of Federal Wax, ' Electrical Permit #: 06-103632-00-EL
Community Development Services
P.O Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: ACUNA
Project Address: 29043 19TH AVE S Parcel Number: 422300 0120
Project Description: Replace and upgrade 200-amp panel.
Owner Applicant Contractor
CESAR&SHELBY ACUNA CESAR&SHELBY ACUNA CESAR&SHELBY ACUNA
29043 19TH AVE S 29043 19TH AVE S 29043 19TH AVE S
FEDERAL WAY WA 98003-3872 FEDERAL WAY WA 98003-3872 FEDERAL WAY WA 98003-3872
Additional Permit Information
Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 amps-1 1.00
PERMIT EXPIRES Saturday, January 20, 2007
Permit Issued on Monday, July 24, 2006
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
1,and the City of Federal Way.C--?.41,,AOwner or agent: • U�9�
Dater 2t
FINALED
THIS CARD IS TO REMAIN ON-SITE
•
CITY OF 411 Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-103632-00-EL
Owner: CESAR & SHELBY ACUNA
Address: 29043 19TH AVE S
FEDERAL WAY, WA 98003-3872
This card is part of your required inspection documents. 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 Slab/Concrete Floor(4255) ❑ Ditch cover(4030) ❑ Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) a Service(4235) ❑ Feeders/Sub-panels (4045)
Approved Approved Approved
.4
By Date By &I\� Date 11„1 10 By Date
.I10 Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By '\1 Date % 111 OD By Date B‹........"--3-
Date 4.-\-7-67
❑ Under-slab groundwork(42 )
Approved
By Date
Building Division
CITY OF 33325 Eighth Avenue South
�. Federal Way •
PO Box 9718
Federal Way 98063-9718
Phone 253-835-2607
Fax 253-835-2609
INSPECTION NOTICE
ADDRESS: 2.A Q'- 1 ct #: e t �-► 03 L "'� - �---
t t c V % C\ . IM 4 : .)•> a b q ru,
CL ..-.Q � ��--�.� ��•``,eye � ��,��• a r\�
IF YOU HAVE ANY QUESTIONS CALL (253) 835-
Call for reinspection before cover
WHEN CORRECTIONS HAVE BEEN MADE, CALL 053) 835-3050 FOR RE-INSPECTION. SEE BACK OF CARD
FOR DETAILS.
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
pn�A RECEIVED 0 (Q - L 0 34 3
Federalway PERMIT
3.27:25 dm
2 4 2006 SF MF COM EL PL DE EN FP
33316 tTM AYBM(B SOUITI•l 'YP L I C AT I O N '�
p'BDRRAL WAY,WA 98063-9718-9718
-9711 .I)
253-83S-2607e PAX 233-tis p�pfiy of ffaDE
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The oliowi • is •uired ormation-an inco •lite a••lication will not be acce•ted. Please •rint legibly n in or type.
`
III PROPERTY INFORMATION
SITE ADDRESS �\t F�J ` / SUITE/UNIT#
ASSESSOR'S TAX/PARCEL i de 6 V - 0 l 0 LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for MVP*Neal d wipdatl
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION [ia.Er1ECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide tailed flescriptionef uprk included on this permit only)
cy,-..,‘N, ._._,_k R kc)k. cx,11/4._\...\_,QA c--\--k--. ----t-NCk6i 0\ --7' /Q " .-'\4 8---(_%. NC—
Ais-
cAt.i
PROJECT NAME(Name of Business or Owner Last Name) '
• PEOPLE INFORMATION
PROPERTY NAME A PRIMARY PHONE
OWNER Cies 7�p l-{`f'- A-C)i\s,x (2.53 ) sac) - 4 )3.
MAILING ADDRESS CITY,STATE,ZIP
2cl- -3 \a, -' s . F e_ F,f-td wr y LN josl- 9% -.3-
CONTRACTOR
CONTRACTOR COMPANY NAME
^ APPUCANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP 6 CELI.PHONE
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
- - - / / ( )
B L '
CONTRACTOR'S REGISTRATION NUMBER(copy of card regalr.d with cock application) EXPIRATION DATE
/ /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect O Tenant ❑Agent 0 Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( .) -
LENDER NAME
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ •
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN a HIGHLINE a TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN a HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING P 'POSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
•
ADDITIONAL FLOORS(DESC•I:
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS s:nra10 TR j' TOTAL
"NEW HOMES ONLY"* NUMBER OF BEDROOM' ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of • re to be installed or relocated as part o • project. Do not include existing fixtures to remain.
MECIIAMCAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
•
COMPRESSOR FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING •
BATH :3 or Tub/Shower Combo) SHOWERS WATER CLOSETS p'ouoq MISC(Describe)
DIS 1"ASHERS SINKS DRINKING FOUNTAINS
G - PIPE OUTLETS SUMPS RAINWATER SYST
ASHING MACHINES URINALS HOSE BIBBS
LAVS(eathwo.silly VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
/certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and further,that I
am authorized by the owner of the above premises to perform the work for which the permit application is Made. 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 of Federal Way,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 a part of
this application.
121 NAME/TITLEt41 DATE(signature) (Title►
RELATIONSHIP TO PROJECT ,R] ier Ci Agent 0 Contractor 0 Architect 0 Other •
,., etc kJr
•.. -.•urn �_ __ ___• venni T-__w.tI 1.\r r._�_..a-\T)�.�-:• A I:�..a:...