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19-101549 Electrical City of Federal Way Permit #:19-101549-00-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: ASFAW/DESTA Project Address: 32738 2ND AVE SW Parcel Number: 926491 0270 Project Description: Adding(2)outlets,three pliers and relocating wires. Owner Applicant Contractor MILLION ASFAW DAN GARVIDAGARVIDA DESIGN GROUP OWNER IS CONTRACTOR 32738 2ND AVE SW 12613 SE 237TH PL • FEDERAL WAY WA 98023 KENT WA 98031 Additional Permit Information Is this an Online or O.T.C.application9 Yes �,i -1. Circuits-Residential 2 PERMIT EXPIRES Wednesday, 1 April,2020 Permit Issued on Tuesday,April 2,2019 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 p ,� P Washington� and the City of Federal Way. a, Owner or agent: I vlt r` `S Date: 0 ' 0 2 \ t 1 1 THIS CARD IS TO REMAIN ON-SITE " • . F@ `""°` Construction Inspection Record derAi VVay 0 INSPECTION REQUESTS:(253)835-3050 • PERMIT#: 19 101549 00 Address: 32738 2ND AVE SW Project: HELEN M DESTA FEDERAL WAY WA 98023-5607 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. El UFER Ground(4295) 0 Ditch cover(4030) 0 Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date ® Pool Bonding(4195) 0 Temporary Power(4275) El Service(4235) Approved Approved Approved By Date By Date By Date 0 Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020) Approved Approved Approved By Date By /9L Date r i" ° By Date ® Final- al(4055) pproved By Date f c/, 0 Rough Electrical El Final Electrical El Right of Way Approved Approved Approved By Date By Date By Date an,OF RECEIVED ELECTRICAL Federal Way APR 02 2019 PERMIT APPLICATION CITY OF FEDERAL WAY CJ COMMUNITY DEVELCPMEPERMIT NUMBER - I a 1 S ! - E L_ SUITE/UNIT/SPACE# SITE ADDRESS: 32_1 3 t SW ' WikL1 (0.1,4 • PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE $ oo 49.2. 9 Z ti1 1 - O a7 PROJECT NAME (Tenant or Homeowner Last Name) 1-5w A d m - ; a d -1-1Are-t- U e,- s IN PROJECT DESCRIPTION N-.lv � n S w k Detailed description of work to a -J Q d�,` n - ©Ae . S 1..7 'rG t•-‘ be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER lU1 d r W (2zi ) z(E) - ci c1 MAILING ADDRESS E-MAIL 3213 , a 0,1 -- �S A te3a- a?2t ryte; t. CITY STATE ZIP FAX f.ea.r.4 w��( vJA c) E. t2 3 ( ) NAME PRIMARY PHONE - - Se 1 - MAILING ADDRESS E-MAIL ELECTRICAL CONTRACTOR CITY STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# NAMED PRIMARY PHONE APPLICANT `�e, ( ) MAILING ADDRESS E-MAIL CITY STATE ZIP FAX ( ) NAME PRIMARY PHONE PROJECT CONTACT ( ) 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 ci a part of this application. ! t SIGNATURE: DATE o~ I ' 7' 421 PRINT NAME: N'IU,L'O " 04% Bulletin#160-April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application RECEIVED Ahh. APR 02 2019 CITY OF • Property Owner Federal Way TY OF F D RIALWAY ►�k Permit Application • Applying For-Your Electrical Permit 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. • _ - Affidavit As authorized under RCW 19.28.261, I, MI A 64-30,,-) hereby apply (Printed name 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. Which statement describes you?(Mark only one.If none apply,you may not take out this permit.) `,;e( 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. i ❑ 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. The total market value of electrical work must be$30,000 or less and all electrical work must be done by a non-compensated appropriately certified electrician. - - 1 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 work. ❑ 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. ❑ Existing residential property,place of business,or farm.I,personally,and/or a regularly employed employee(s),will be doing the electrical work. DEPARTMENT OF COMMUNITY DEVELOPMENT/33325 8TH AVENUE SOUTH/FEDERAL WAY,WA 98003-6325 253-835-2607 2s.www.cityoffederalway.com permitcenter(a�cityoffederalway.com Bulletin#080—June 6,2018 Page 1 of 2 k:\Handouts\Property Owner Electrical Work Application a ❑ 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 e asse d penalties. f Printed Name of Property Owner,Renter,or Lessee Signature 04rtY"A\ k � s Date +«,— --s< .-u1g.,em ... ,,,,..5-'vi:!!.eo :7:2,i: e.,, -...Ft ,a',ri.1 e-,0671.,,.."'"n.T+%. ,..*,..rcw,f4 Ht.i'%,'✓.+:`,-!4rz . Property Ownerr.and Inspection Site Information.; . ' . . .`'::- Pc-,5 w lel; )L; o A 1Property Owner's Name(Last,First)or Company Name 32.:- 3 t "4 I\--v'e- .S w F dti_ru0 wel w At g g p z 3 Mailing Address Unit/Apt.# City State Zip i 2,06 _ ( g- Lu,--i rtie.cJ. A . 611 &1 03rvtU;1 . /0✓" Daytime Phone Email Acidress Same Inspection Site Address(if different) Unit/Apt.# City State Zip i `- Count9' Electrical Power Company/Serving Utility i I - Description of work being done(Example:adding outlets in the kitchen,second floor break area,etc.) w r a t 5 ..-k-w v 0,-k A-Lt_-k-& (--(i‘!`Q-'e Q L 'Ct r s e reel t, co_4-1 rii i tj rt—5. and add) r,S Or`Q Sw , fic_ t x i i DEPARTMENT OF COMMUNITY DEVELOPMENT/33325 8TH AVENUE SOUTH/FEDERAL WAY,WA 98003-6325 253-835-2607 zs.www.citvoffederalway.com lil.permltcenter(a�citvoffederalway.com Bulletin 4080—June 6,2018 Page 2 of 2 k:\Handouts\Property Owner Electrical Work Application