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18-106019 FILEElectrical Community Permit #:18-106019-00-EL 33325 8th Ave S Federal Way,WA 98003 Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax(253)835-2609 Project Name: MILAM Project Address: 3718 SW 335TH CT Parcel Number: 109961 0330 Project Description: Electrical work for garage conversion to bedroom including adding recessed can lighting& switches,(3)outlets,cadet heater and hardwired smoke detectors. Owner Applicant Contractor IVY MILAM IVY MILAM OWNER IS CONTRACTOR 3718 SW 335TH CT 3718 SW 335TH CT FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 USA USA Additional Permit Information Is this an Online or O.T.C.application? Yes • Circuits-Residential 4 PERMIT EXPIRES Tuesday,24 December,2019 Permit Issued on Monday,December 24,2018 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 Washi gt•n and the City of Federal Way. Owner or agent: di. Date: �2 Z� 1 \ r) a t, IA THIS CARD IS TO REMAIN ON-SITE Construction Insction Record Fe d e r al INSPECTION REQUpeESTS:(253)835-3050 / PERMIT#: 18 106019 00 Address: 3718 SW 335TH CT Project: IVY H MIILAM FEDERAL WAY WA 98023-2849 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 my of the inspections or the inspection sequence. On-going inspections are logged on the back of this card. 0 UFER Ground(4295) 0 Ditch cover(4030) 0 Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date El Pool Bonding(4195) © Temporary Power(4275) ® Service(4235) Approved Approved Approved .By Date By Date By Date • O Feeders/Sub-panels(4045) ® Rough Electrical(4225) 0 Ceiling Cover(4020) Approved Approved Approved By Date By Date it fir? By Date al Final-Electrical(4055) By ,/ Approved Date 7—/2—/ • C. k -a.r.. --T V, - G„r.� IA 6Z _._.__ O Rough Electrical ❑ Final Electrical 0 Right of Way Approved Approved Approved By Date By Date By Date ' RECEDED ELECTRICAL CITY OF 1111 DECFederal Way 2 4 2018 PERMIT APPLICATION OMMUNtFED LO WAY ENT PERMIT NUMBER -- s' I e .+1.0 AshAb , SUITE/UNIT/SPACE# SITE ADDRESS: 31 `Q , ) 33 C:C Cea N 'cie‘!)2.3 PROJECT VALUATION ASSESSOR'S TAR/PARC # CURRENT/PROPOSED USE - , / - D � 3 0&- \,Oa0 J/ O 2 PROJECT NAME * ii,tA. (Tenant or Homeowner Last Name) " , l /l C' ac VcVVc e_ c-\-- \Y4 PROJECT DESCRIPTION Detailed description of work to of \e y �� ae_ke( (s be included on this permit only &a \A, a'cPC R C0.n, / ce cess lis\-�S NAME PRIMARY PHONE PROPERTY OWNER \V\ \J �,Gtr1 (2) 225g g 5( MAILING ADD S E-MAIL \ j 335kAAC CITY STATE ZIP FAX -4kel.n A 6(`l E ( ) - $l OLA) VOAf PRIMARY PHONE NAM( - ' ( ) - MAILING ADDRESS E-MAIL ELECTRICAL CONTRACTOR CITY STATE ZIP FAX ( ) WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# / / NAME __7) - - - ---- ---- - Y- - - - PRIMARY PHONE APPLICANT MAILING ADDRESS E-MAIL • CITY STATE ZIP FAX ( ) NAME PRIMARY PHONE PROJECT CONTACT I V 11 ( ) I certify under penalty of perjury that I am the property owner or authorized agent oche 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 • by any person,including the undersigned,and filed against the city, but only where such claim arises out of the reliance of /city, including its officers and employees, upon the accuracy of the information supplied to the city as a part of this applicati n. SIGNATURE: �— DATE I 2_ [) t8 PRINT NAME: 1v\4 , t. O.N\ Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application ig / p4UI '9 • RECEIVED „A, DEC 2 4 2018 Property Owner CtTY OF -*:"'-',%,:,-, p J CITY OF FEDE �,Y Federal Way + Pi [ �r1c Permit Application Applying For :. . ,j� ..i - 'Your Electrical Permit i 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. x Affidavit As authorized under RCW 19.28.261, 1, \\,)\I ��(Y\ hereby apply (Printed'tame 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. r i i Which-statement describes you? (Mark only one.If none apply,you may not take out this permit.) f, 0 I own this property. a 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 ❑ I rent or lease this property. t iWe 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 1 non-compensated appropriately certified electrician. ; Select your property type(Mark only one. If none apply,you may not take out this permit) € ❑ New single family residence that is not intended for rent, sale, or lease,where I will be living for 1 at least 24 months after completing the electrical work. I will be personally doing the electrical 1 work. t. ❑ 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. i * Existingresidential property,Place of business,or farm.I,personally,and/or a regularly Y employed employee(s),will be doing the electrical work. € DEPARTMENT OF COMMUNITY DEVELOPMENT 133325 8TH AVENUE SOUTH/FEDERAL WAY,WA 98003-6325 253-835-2607 s,.www.cityoflederalway.com zs permitcenter(a�cityoffederalway.com Bulletin#080—June 6,2018 Page 1 of 2 k:\Handouts\Property Owner Electrical Work Application a 0 501(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 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. a a«/\ /111.// Printed Name of Property Owner,Renter,or Lessee Signa ure I7Jz4/ \ S Date Property Owner and Inspection"Site Information Property Owner's Name(Last,First)or Company Name 13ao k,y 2 y....xou2 v11 k Q%o5 Mailing Address Unit/Apt.# City State Zip '2 WO 7z5-acts Daytime Phone Email Address e_ctflk V11.4 Wet ado Inspection Site Address(if different) Unit/Apt.# City State Zip Coun Electrical Power Company/Serving Utility Description of work being done(Example:adding outlets in the kitchen,second floor break area,etc.) -eta CS.cxd a1k-eC Lk co` As V\ DEPARTMENT OF COMMUNITY DEVELOPMENT/33325 8TH AVENUE SOUTH/FEDERAL WAY,WA 98003-6325 253-835-2607 www cityoffederalway.com permitcenter@citvoffederalway.com Bulletin#080—June 6,2018 Page 2 of 2 k:\Handouts\Property Owner Electrical Work Application