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19-102212 Electrical City of Federal Way Permit #:19-102212-00-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: VEIT Project Address: 33325 41ST AVE SW Parcel Number:327900 0160 Project Description: a_- oJ Pt� Replace electrical panel; relocate outlets and switches;add new lighting;replace wiring as needed. Owner Applicant Contractor TYLER VEIT TYLER VEIT OWNER IS CONTRACTOR 33325 41ST AVE SW 33325 41ST AVE SW FEDERAL WAY WA FEDERAL WAY WA Additional Permit Information Is this an Online or O.T.C.applications Yes ».. "A. A!,:4 r ._ t..14 E o _, Adt r0'.v, sy"3_.i0 _% MOP . ir fin''.' .-., Alt. Serv./Feeder:0 to 200 ami 1 Circuits-Residential 20 PERMIT EXPIRES Wednesday,6 May,2020 Permit Issued on Tuesday,May 7,2019 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 ilifiWashington and the City of Federal Way. 0� Owner or agent: Uttr Date: C9(1(( ` THIS CARD IS TO REMAIN ON-SITE CITYO� Construction Inspection Record FeCuerai Way INSPECTION REQUESTS:(253)835-3050 PERMIT#: 19 102212 00 Address: 33325 41ST AVE SW Project: TYLER VEIT FEDERAL WAY WA 98023-2917 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-untitis approved.Check with your nispc‘dor if you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card. ID UFER Ground(4295) inn Ditch cover(4030) YE] Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date ® Pool Bonding(4195) It] Temporary Power(4275) © Service(4235) Approved Approved Approved By Date .,By Date By Date/�� ® Feeders/Sub-panels(4045) ® Rough Electrical(4225) p Ceiling Cover(4020) Approved I Approved Approved By Date By j�, Date/-7.-:.:•1-:r .By Date B Final-Electrical(4055) Approved By� E Date SibItZ-11 0 Rough Electrical 0 Final Electrical 0 Right of Way Approved Approved Approved By Date By Date By Date iofr C�'7 � n \\ RECEIVED CITY OP ......._4„.... 0o» ELECTRICAL Federal Wa MAY E 2 AY PERMIT APPLICATION Y (CITY CF F FEDERAL W COMMUNITY DEVELOPMENT PERMIT NUMBER /9 _ / D r2 / 01 - SUITE/UNIT/SPACE# SITE ADDRESS: 3 3 3 g l sl- ,4 S 11) PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE $ aooD 3 a _74, oo - 0 / 6a 5F/ .. PROJECT NAME (Tenant or Homeowner Last Name) p�\� �v1 F� h \ e,\&. ck1 PROJECT DESCRIPTION kiho p0oX Detailed description of work to cu q N\oQ,. oNKokk be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER X?jf k %Oz j (? ) `1 o(p - 70t 1 MAILING ADDRESSE-MAIL cZ\\ X) ;k. V-- �"y\ xY ve, li -°{Y\ CITY STATE Zip, FAX 16q WI\ I- ( ) - NAME PRIMARY PHONE C' S1/4{YR (1 0 ( ) - MAILING ADDRESS E-MAIL ELECTRICAL CONTRACTOR CITY STATE ZIP FAX ( ) - WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# NAME \ I PRIMARY PHONE _c\ APPLICANT ( `J�'A ( ) MAILING ADDRESS E-MAIL C \ a5k4= 4. VE TQC-k-M\ CITY ST TE ZIP n r,1 FAX - 1/4' N V)� (f��1 ( ) - 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: j_pDATE q110\ PRINT NAME: Tyle( \. Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application .1.1Pr c+rvaF --- Property Owner • p Y Federal Way Electrical Work Permit Application Applying F©r 'our ',;07.77.77117.747.7.71.77:73i7- Elettricati, �er;tlllit 5 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 j the affidavit below before beginning electrical work. As authorized under RCW 19.28.261, I, \ UQA'c 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,) 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. l ❑ 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 z non-compensated appropriately certified electrician. Select your property type!(Mark only one.tf none apply,you may not take out this permit 1 ❑ 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. 0 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 0 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 i9 www.cityofiederalway.com permitcentert cityoffederalway.com Bulletin#080—June 6,2018 Page 1 of 2 k:\Handouts\Property Owner Electrical Work Application Wr 0 501(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 be assessed penalties. 't.d \it /1 /1/1 1,! Printed Name of Property Owner,Renter,or Lessee Signature 4 )hIq Date i -P OpeTt Ownte`rxarrd1nSpedlit n S1te 1-11fo 1*ibl 4 � �e\ 1 Property Owner's NaMe(Last,First)or Company Name Mailing Address Unit/Apt.# City State Zip ({Ole, -10\1 t(\xrkelive,w+ a Daytime Phone Email Address 33- 3.5 (-11 -1 ave SW Weal kivati WI\ AS'-1),D, Inspection Site Address(if different) Unit/Apt.# City ) State Zip County Electrical Power Company/Serving Utility Description of work°being done(Example:adding outlets in the kitchen second'floor break area,etc;) .' ' OCC-5L \Q. <<c: C fie\ IM0315Wc .S o 1e\ c Mei eO kew \off 10n cxu 7..) u f+ i is f DEPARTMENT OF COMMUNITY DEVELOPMENT/33325 8TH AVENUE SOUTH/FEDERAL WAY,WA 98003-6325 253-835-2607 s, www.cityoffederalway.com zs.permitcenter(a�cityoffederalway.com Bulletin#080-June 6,2018 Page 2 of 2 k:\I-landouts\Property-Owner Electrical Work Application