19-100797 ,
Electrical
City of Federal Way Permit #:19-100797-00-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: VAZQUEZ
Project Address: 1041 S 317TH ST Parcel Number:358400 0330
Project Description: Installation of subpanel for lighting and outlets in shed.
Owner Applicant Contractor
MARTIN VAZQUEZ MARTIN VAZQUEZ OWNER IS CONTRACTOR
1041 S 317TH ST 1041 S 317TH ST
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
Additional Permit Information
Is this an Online or O.T.C.application' Yes
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PERMIT EXPIRet nesday, 19 February 2020
Permit Issuecto Tuesday,February 19,20 eV
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I hereby certify that the above info tea correct and that IDstruction ,i1 .le above described property
and the occupancy and the use int accordant th- - s, rules - �' gulations of the State of
Wa ington and the ederal y.
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Owner or agent: b . et .....
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THIS CARD IS TO REMAIN ON-SITE
43TV OF Construction Inspection Record
way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 100797 00 Address: 1041 S 317TH ST
Project: MARTIN VAZQUEZ FEDERAL WAY WA 98003-5334
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) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
O Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
® Feeders/Sub-panels(4045) 0 Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
® Final-Electrical(4055)
Approved 3,
:
By Date
O Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
CITY OF•
• + Building Division
Ihih, 33325 Eighth Avenue South
Fed a ra I JJayFederal Way,WA 98003-6325
Phone 253-835-2607 Fax 253-835-2609
CORRECTION NOTICE
ADDRESS: \c 1-S '7,‘ -i PERMIT#: \ q -- --D�
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IF YOU HAVE QUESTIONS CALL (253) 835- Lo 2-\
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE-INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS.
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
RECEIVED
CITY OFAA ELECTRICAL
Federal Way FEB 19 2019 PERMIT APPLICATION
UNWAY pEVELOMEAfT
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PERMIT NUMBER / C::::, I / )D 747 7_ }'
b� 3 � 9 v+ U �- 1 SUITE/UNIT/SPACE#
SITE ADDRESS: \ S � r'L(, (,�,� OUv�
PROJECT VALUATION ASSESSOR'S TAR/PARCEL# CURRENT/PROPOSED USE
$ iOD 3S R o a - ±0 1 a 0
PROJECT NAME
(Tenant or Homeowner Last Name) V - C'i R e
50\0,,, rev, +) sc /or (; ),,,t141 Arid
PROJECT DESCRIPTION QL't .&J S
Detailed description of work to
be included on this permit only
NAME ` / PRIMARY PHONE
NIf lj
PROPERTY OWNER %11� V V} O& 06,0)33'3 33'$ - 11 2'3
MAILING ADDRESS E-MAIL
10 4) S 319 11 45-)
CITY STATE ZIP FAX
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NAME PRIMARY PHONE
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MAILING ADDRESS E-MAIL
ELECTRICAL
CONTRACTOR CITY STATE ZIP FAX
( )
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
_
NAME , PRIMARY PHONE
APPLICANT Mn��) "lY QUf� ( ) -
MAILING ADDRESSE-MAIL
I DA ).S 3)1t1 S� lmjv0.2gutt:06 •CIRV
CITY STATE ZIP FAX
Fed e i (AA VlitC1 MI 1 0003 ( ) -
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 city as a part
of this application. )�,/
SIGNATURE: L.[. �/ L��m r DATE /i qi -1
PRINT NAME: ,i R'T)N J • /r C.Uf
Bulletin#160-April 14,2016 Page 1 of 1 k:\Flandouts\Electrical Permit Application