20-100878 Electrical
City of Federal Way Permit #:20-100878-00-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: MOLIDOR
Project Address: 32427 18TH AVE SW Parcel Number:010454 0600
Project Description: Adding 240V 30A outlet in garage.
•
Owner Applicant Contractor
DANIEL MOLIDOR DANIEL MOLIDOR OWNER IS CONTRACTOR
32427 18TH AVE SW 32427 18TH AVE SW
FEDERAL WAY WA 98023 FEDERAL WAY WA 98023
Additional Permit Information
Is this an Online or O.T.C.application9 Yes
W - Fi Fr _07rr - SAY 1- ti4 °' i4"ikZ01g
PERMIT EXPIRES Friday,26 February,2021
Permit Issued on Thursday,February 27,2020
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.
Owner or agent: XiMet. Date: 2/2-7/20';.0
THIS CARD IS TO REMAIN ON-SITE
'� Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 20 100878 00 Address: 32427 18TH AVE SW
Project: DANNA MOLIDOR FEDERAL WAY WA 98023-5443
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.
• '
IDUFER Ground(4295) ❑ Ditch cover(4030) 1 ® Slab/Concrete Floor(4255)
Approved Approved I Approved to place concrete
BY Date ..By Date ' By Date
�. �•
Pool Bonding(4195) 0 Temporary Power(4275) ® Service(4235)
Approved Approved Approved
By Date By Date tBy Date
® Feeders/Sub-panels(4045) ® RoughElectrical(4225) , S
❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
El Final-Electrical(4055)
Approved
By Cie., Date 3-1s-p.m
Fo ( /d/ 4—
O
••
Rough Electrical
0 Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
s
pv RECEIVED ELECTRICAL
CITY Of
Federal Way FEB 2 7 2020 PERMIT APPLICATION
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT T NUMBER
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SUITE/UNIT/SPACE 0
SITE ADDRESS: re"
3�.L/ 7 Ifi e £ 1/UL y, k/4 9'o.z3
PROJECT VALUATION ASSESSOR'S TAX/PARCEL 0 / CURRENT/PROPOSED USE
$ 60> C ) O s K - o co a c7
PROJECT NAME Idô{
(Tenant or Homeowner Last Name) / 1 ,yo'v Oill(x414 ;v1 pC 2
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER D41 e/ '/O/rc O( ('2(" )L/02 -6067
MAILING DRESS�I I / E-MAIL
32-1�7 I`Y' 4v S �/ Th,r,,e%Mot ingG►ra,f!,Coiv,
CITY STATE ZIP FAX
Fecferi,i 1411 WA 9V3 ( ) -
NAMEAl PRIMARY PHONE
LI hy.tr ( )
MAILING ADDRESS E-MAIL
ELECTRICAL
CONTRACTOR CITY STATE ZIP FAX
( )
WA STATE CONTRACTOR'S LICENSE 1 EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE 1
NAME / /
PRIMARY PHONE
If�Y� t
APPLICANT
MAILING D�� �O!l� ✓
(209) 0z— 60t i
E-MAIL
32 h/2> MPESS Ibei SI,f/
. Fealr>d 14/AV STATE ZIP
23 ( ) FA-
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PROJECT CONTACT e PRIMARY PHONE
OGly?/ f,V l/ (209)yoz - ion
I certify under penalty of perjury that I am the property owner or authorised 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 authorised 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 city as a •• of this application.
` DATE -/2"74-02C)
SIGNATURE:
PRINT NAME: DAni e 1 //1l,l
0 I/0Y--
PERMIT
yPERMIT CENTER+33325 8th Avenue South+ Federal Way,WA 98003-6325
253-835-2607+FAX 253-835-2609 +permitcenter@cityoffederalway.com
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application
s.. k RECEIVED
CITY OF Property Owner
Federal Way FEB 2 2020
lectrical Work Permit Affidavit
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT
9 � F L 3 £xt,k , "' n `;�: :n;m.1, a.tl" 2:n, m
In Washington, only licensed electrical contractors may perform electrical work. Property owners
may apply for an exemption from these requirements by completing and signing the affidavit
below before applying for an electrical permit or beginning electrical work.
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As authorized under RCW 19.28.261, i, tni(�i{ mlo ido(
(Printed name of property owner,renter,or lessee)
hereby apply 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.)
ISI 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 rent or lease this property.
We need a copy of your rental agreement showing you have permission to perform electrical work.
O 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.
Select your property type(Mark only one.If none apply,you may not take out this permit.)
B1 New single family residence that is not intended for rent, sale,or lease,where I will be living for 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 electrical work.
❑ 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 75x.www.citvoffederalway.com permitcenter@citvoffederalway.com
Bulletin#170—July 27,2018 Page 1 of 2 k:\Handouts\Property Owner Electrical Work Affidavit
D 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
understandthat 'f I make false statements or misrepresentations,I may be assessed penalties.
PI
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Signature Date
Du'z;e—I 211d int
Printed Name of Property Owner,Renter,or Lessee
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Property Owner's Name and/or Company Name
3 �L1�.7 ig�ile 5w Feck ,i Ith,y '9'4O23
Mailing Address Unit/Apt.# City StateZip
/102,—.
120q— 6067 DA L A . / lOLJDO/e1/'1
Daytime Phone Email Address
3L/ ? I /ke / (t/49'x23
Inspection Site Address Unit'Apt.#
Pt((AQl Ste. , cif Energy
Elee 1cal Power Company/Serving-t11ity
Description of work being done(Example:adding outlets in the kitchen,second floor break area,etc.)
Add/ ).1/01/ 5 7A ot,t'fWg f Iri Sairicl°
DEPARTMENT OF COMMUNITY DEVELOPMENT/33325 8Th AVENUE SOUTH/FEDERAL WAY,WA 98003-6325
253-835-2607 z9.www.citvoffederalway.com z9.permitcenter@cityoffederalway.com
Bulletin#170—July 27,2018 Page 2 of 2 k:\Handouts\Property Owner Electrical Work Affidavit