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19-105925 - A. Electrical City of Federal way Permit #:19-105925-00-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: MENDOZA Project Address: 28401 29TH PL S Parcel Number:730320 0040 Project Description: Upgrade panel to 200-amps. Owner Applicant Contractor HECTOR MENDOZA HECTOR MENDOZA OWNER IS CONTRACTOR 28401 29TH PL S 28401 29TH PL S FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 Additional Permit Information Is this an Online or O.T.C.application? Yes Alt. Serv./Feeder:0 to 200 ami 1 PERMIT EXPIRES Saturday, 19 December,2020 Permit Issued on Friday,December 20,2019 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 accor nce with the laws, rules and regulations of the State of Washington and t City of Federal Way. 1 ,9 Owner or agent Date: /d- —(2-V /q I THIS CARD IS TO REMAIN ON-SITE Construction Inspection Record Federal way INSPECTION REQUESTS:(253)835-3050 PERMIT#: 19 105925 00 Address: 28401 29TH PL S Project: HECTOR MENDOZA FEDERAL WAY WA 98003-3343 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) 0 Ditch cover(4030) ® Slab/Concrete Floor(4255) Approved Approved Approved to place concrete •By Date * By Date , By Date ® Pool Bonding(4195) ® Temporary Power(4275) ® Service(4235) Approved Approved Approved I By Date By Date By Date • •� ' Feeders/Sub-panels(4045) !® • Rough Electrical(4225) ® Ceiling Cover(4020) Approved ; Approved I Approved •By Date •9 By Date .i By Date • o Final-Electrical(4055) Approved By EDate ©.S fin, Rough Electrical El Final Electrical [J Right of Way Approved Approved Approved By Date By Date By Date RECEIVED ELECTRICAL ^ / circ OF .. Federal Way DEC 2 0 2019 PERMIT APPLICATION CITY OF FEDERAL WAY COMMUNITY DEVELOPMENT PERMIT NUMBERZc/ _ / 6 5 A S - EL„ - �� \, C CO SUITE/UNIT/SPACE# SITE ADDRESS: 3,S)C f 0 L ^ Ct c��e,rQt (� P-•JECT VALUATION `� ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE ZO 0 0 — PR• CT NAME (Tenant or Homeowner Last Name) AA e V J b 7_r . 2-/PROJECT DESCRIPTION I - "— �- C�fit-e -) 2_6 0 a' Detailed description of work to be included on this permit only NAMEPRIMARY PHONE PROPERTY OWNER NAME / c;475-y- /% '1 41_40 d Z 3 .�0(& X3 01 - 0)-1S MAILING ADDRES /�I E-MAIL �� /,71,10 L„^ Of r[ ii 1 /_L het, Mcnc�Zu, q M16"; ,coi CITY "-� STATE ZIP FAX �— w 7 8'003 ( ) - NAME PRIMARY PHONE 0(itrk- ( ) _ MAILING ADDRESS E-MAIL ELECTRICAL CONTRACTOR CITY STATE ZIP FAX ( ) - WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# / / NAME �,, PRIMARY PHONE '`p te \ ( ) APPLICANT r` MAILING ADDRESS E-MAIL CITY STATE ZIP FAX ( ) NAME PRIMARY PHONE PROJECT CONTACTA.A_SM'Ll2Y‘ ( ) 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 defen of such claim),which may be made by any person,including the undersigned,and filed against the city, but only where such clai' arise; out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied t. - city a part of this application. SIGNATURE: ' diet fr` ....... DATE A7— I PRINT NAM:: Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application