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19-102964 ! 1 Electrical City of Federal Way Permit #:19-102964-00-EL Community Development Dept 33325 8th Ave S Federal Way,WA 98003 Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax:(253)835-2609 Project Name: HERNANDEZ Project Address: 2017 S 287TH PL Parcel Number:422200 0030 Project Description: Relocate switches and light fixture;add outlet in new wall. Owner Applicant Contractor ANGEL HERNANDEZ ANGEL HERNANDEZ OWNER IS CONTRACTOR 2017 S 287TH PL 2017 S 287TH PL FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 Additional Permit Information Is this an Online or O.T.C.application? Yes *:»W*. ,,yds*. •,� :_n q ;e F+,�'i... ,s;•'.y M«`. '^ , e >7`•'w;' ',�"";•M, s' • »h,^ �, ''� 1f..a '�'t�� S:, � �<`J•^: � 3'i" J. .. t y .,,I,?'t:.;�'•'•��'� � :.'s!.," Y ,<`'��u� Circuits-Residential 2 PERMIT EXPIRES Wednesday, 17 June,2020 Permit Issued on Tuesday,June 18,2019 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 and the City of Federal Way. g Owner or agent: r Date: 6/ I/9 �% l THIS CARD IS TO REMAIN ON-SITE Fecleral Wa Construction Inspection Record y INSPECTION REQUESTS:(253)835-3050 PERMIT#: 19 102964 00 Address: 2017 S 287TH PL Project: ANGEL HERNANDEZ FEDERAL WAY WA 98003-3324 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 leR 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 UFER Ground(4295) 0 Ditch cover(4030) 0 Slab/Concrete Floor(4255) • Approved Approved Approved to place concrete By Date By Date By Date 0 Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235) Approved Approved Approved By Date By DateBy Date 0 Feeders/Sub-panels(4045) 0 Rough Electrical(4225) 0 Ceiling Cover(4020) Approved Approved Approved By Date By 7/ Date 4 e-ot r By Date El Find-Electrical(4055) Approved By oeie Date >./a—/9 • 0 Rough Electrical 0Final Electrical 0 Right of Way Approved Approved Approved By Date By Date By Date CITY OF . ECE!VED ELECTRICAL Federal Way JUN 18 2019 PERMIT APPLICATION GI FY C:F FEDERAL WAY COMMUNITY DEVELOPMENT PERMIT NUMBER / - L o 2 j___6 y _ t G ef,itY( SUITE/UNIT/SPACE 4' SITE ADDRESS: `� s 2g� � T flace PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE $ 5 00 D a - -L? C>__ PROJECT NAME I (Tenant or Homeowner Last Name) v-Inavi +t✓Z (2 - 10 Ca t 1.ni 1-1c/7 Swi-ch e S -(0 a Ilea) cait PROJECT DESCRIPTION an 61 cujcitrl4 f ov -tt'o ahee) cUQ11 Detailed description of work to IZF I �, l 1 1 `J,, `f V ,( (gyp . be included on this permit only f► NAME PRIMARY PHONE PROPERTY OWNER A(Ni-c) l-F e{,na - c)e-Z_ (20‘') 9`1$ - 0959 MAILING ADDRESS E-MAIL 20 2%1=4' t/4( e CITY STATE ZIP FAX pi 11)61y girov3 ) - NAME r PRIMARY PHONE ( y i" ) MAILING ADDRESS E-MAIL ELECTRICAL CONTRACTOR CITY STATE ZIP FAX ) WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAT BUSINESS LICENSE# • -- ---- NAME .-.- --- PRIMARY PHONE - --I APPLICANT MAILING ADDRESS ( ) E-MAIL • CITY STATE ZIP FAX ) NAME PRIMARY PHONE PROJECT CONTACT /l 6 ) 97i& -095q o95y 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 Iocal, 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 a part of this application. SIGNATURE: JJ DATE Og/ /q PRINT NAME: n/)�G/ ,4 evr) vt de'Z Bulletin#160-April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application RECEIVED /? / bAy JUN 182019 �rYOF ihk r CITYOF :rPN COMMUNITY DEVEO3E. r Property Owner Federal Way Electrical Work Permit Application • :1. Apply• ing For.Your Electrical Permit • - . :,41, _ i In Washington, only licensed electrical contractors may perform electrical work. Property owners 4 may apply for an exemption from these requirements by completing this application and signing the affidavit below before beginning electrical work. x 74 .` Affidavit - . - - ° -j:,,a apply! As authorized under RCW 19.28.261, ), IrjfCvyl�dir 7 hereby pp yt ( rented name of property owner,renter,or lessee) for an exemption from the electrical licensing and certification requirements of RCW 19.28 by - submission ofthis affidavit. I. Which statement describes you? (Mark only one.If none apply,you may not take out this permit.) _ I own this property. 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. 0 I rent or lease this property. We 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. i The total market value of electrical work must be$30,000 or less and all electrical work must be done by a i non-compensated appropriately certified electrician. i a Select your property-type(Mark only one:If none apply,you may not take.out this permit.) - i - ❑ New single family residence that is not intended for rent, sale, or lease,where I will be living for i i at least 24 months after completing the electrical work. I will be personally doing the electrical i i work. 1 i ❑ New 2,3,or 4 unit residential building,owned by me,that is intended for rent, sale, or lease. I i 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. , 0 New place of business,farm,or other property: Any new structure that is not intended for rent, z sale,or lease. I,personally,and/or a regularly employed employee(s),will be doing the electrical work. il 1-0--Existing residential property,place of business,or farm. I,personally,and/or a regularly 4 employed employee(s),will be doing the electrical work. I x t DEPARTMENT OF COMMUNITY DEVELOPMENT/33325 8TH AVENUE SOUTH/FEDERAL WAY,WA 98003-6325 253-835-2607 Is.www.cityofiederalway.com 2s permitcentert cityoffederalway.com Bulletin 11080—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 as ) -nalties. , .%/ /Veld (le v-re -r -z mew Printed Name of Property Owner,Renter,or Lessee Signature G4/./(9 Date ..__ _ -Prope Owner a-nd-3nspeLtIou: itie 3n a r na on ; NevVlo e? 40 I Property Owner's Name(Last,First)or Company Name 20 l`1 S 234411 Pf eC t ( tOq y Cat 97003. Mailing Address Unit/Apt.# City State ( Zip • 206 71( 041.5 Cr an3C 102.79 k C 9Mq C Daytime Phone 4mail Address Inspection Site Address(if different) Unit/Apt.# City State Zip County Electrical Power Company/Serving Utility Description of work being done(Example:adding outlets in the kitchen,second floor break area;etc.) W ' - : c t _ A ,t• T 5w 1-ick es ►rN o n $19 roc) vl-}0 2 Scea ra4-e ci Ynom5 . DEPARTMENT OF COMMUNITY DEVELOPMENT/33325 8TH AVENUE SOUTH/FEDERAL WAY,WA 98003-6325 253-835-2607 www cityoffederalway corn zik.permitcenteracityoffederalway.com Bulletin 4080-June 6,2018 Page 2 of 2 k:\Handouts\Property Owner Electrical Work Application