14-104028 •
• • electrical
CityFWay Permit #: 14-104028-00-EL
Community&Econ.con.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p Q
Project Name: MARFA
Project Address: 1403 SW 352ND CT Parcel Number: 502860 0380
Project Description: 120-volt,20-amp GFCI circuit for pump.
Owner Applicant Contractor
ANGELO MARFA BLAZE ELECTRIC&SRVC CO INC BLAZE ELECTRIC&SRVC CO INC
1403 SW 352ND CT 209 125TH ST S BLAZEES010P8(10/28/15)
FEDERAL WAY WA 98023-6944 TACOMA WA 98444 209 125TH ST S
TACOMA WA 98444
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Electrical Fixtures
Circuits-Residential 1
PERMIT EXPIRES Wednesday, February 4, 2015
Permit Issued on Friday,August 8, 2014
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and w (be in accordance with the laws, rules and regulations of the State of Washington
(...ajlthe
Ci Federal Way.
1 Owner or agentDate:
IN4
LED
.+ • THIS CARD IS TO MAIN ON-SITE ' ,
CITY OF 41AConstruction In ection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 14-104028-00-EL Address: 1403 SW 352ND CT
Project: ANGELO MARFA FEDERAL WAY, WA 98023-6944
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(4295) ❑ 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) ElService(4235)
Approved Approved Approved
By Date By Date By Date
❑ Feeders/Sub-panels(4045) El Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
El Final-Electrical(4055)
Approved
Date Lo( l..k
❑ Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
• RECEIVED sI
CITY of E&CTRI
AUG 0 2014 GAL
Federal Way CITY OF FEDERAL WAY PERMIT APPLICATION
CDSA R
PERMIT NUMBER / 4/ _ / a 91f//a - ct.._._
c5-411 35 0,11^4f C -T SUITE/UNIT/SPACE
SITE ADDRESS: r 4.d e v.1.r to-1 y L) el 1 D 602 3
PROJECT VALUATIONASSESSOR'S TAE/PARCEL# CURRENT/PROPOSED USE
$ 30 G O 5- 0 g 6 n - 03 0 _
PROJECT NAME / j c
(Tenant or Homeowner Last Name) /f t Ol -e/ 1_, s, ci, 1.-- �c-
/ 7c 0- 17 20 s-A7 G-FC_I c 1 vc v , T" ic I,-
PROJECT
cPROJECT DESCRIPTION ,0,, 44 GD
Detailed description of work to
be included on this permit only
N E a PRIMARY PHONE
PROPERTY OWNER y/ Q l c) 4 Les /4 Pi 6266 )653- 233 9
MAIL G ADDRESS E-MAIL
I4o3 . s'4, 35'02X' c
CITY STATE ZIP FAX
ftJeV°I.1 Id't•-, GO c �l $0023 ( ) -
Isre �/ PRIMARY PHONE
ciZ PC1c,cc 5ovvlcto Cu ( 7c E2g )-5 - ,%2a
MAILING ADDRESS / E-MAIL
ELECTRICAL LO C - / -.0 sr S
CONTRACTOR STATE ZIP FAX
N.0 C w.1 95 4�4c5 9p?(253
o /er ON tCTORDLICE3 E#5 EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
N � PRIMARY PHONE
t I< ( )
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
PROJECT CONTACT M e ter A., ( ) -
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 Iaws 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 applic Son.
(5Y,A0 tj
SIGNATURE: DATE
PRINT NAME: roi (I 1 0 e cr
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application