15-100243 r
, • Electrical
CitytFcWay Permit #: 15-100243-00-E L
Community&of Econ.on.Dev.Services
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: NGUYEN ry $ 0
Project Address: 1161 S 299TH PL Parcel Number: 515160 0450
Project Description: 0-200 amp panel change
Owner Applicant Contractor
PHUC NGUYEN PHUC NGUYEN ALLRED HEATING COOLING ELECTRIC
1161 S 299TH PL 1161 S 299TH PL LLC(ELECTRICAL)
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 ALLREHC891QM(11/14/15)
37816 26TH DR S
FEDERAL WAY WA 98003
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 amps(F 1
PERMIT EXPIRES Wednesday, July 15, 2015
Permit Issued on Friday, January 16, 2015
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.
V.
p
Owner or agent: V j P TO S Date: /2.�/ LS
N p ?F
.'1*.„,: . THIS CARD IS TO MAIN ON-SITE
CITY OF . ' • Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 15-100243-00-EL Address: 1161 S 299TH PL
Project: PHUC NGUYEN FEDERAL WAY, WA 98003-3751
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.
o UFER Ground (4295) ❑ 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
O Feeders/Sub-panels(4045) 0 Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
o Final-Electrical(4055)
Approved
By Date
❑ Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
'� Electrical
City of Federal Way
Community&Econ.Dev.ServicesFILE Permit #: 15-100243-00-EL
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (2
53)(253)835-2607 Fax:(253)835-2609 p q 835-3050
Project Name: NGUYEN
Project Address: 1161 S 299TH PL Parcel Number: 515160 0450
Project Description: 0-200 amp panel change
Owner Applicant Contractor
PHUC NGUYEN PHUC NGUYEN OWNER IS CONTRACTOR
1161 S 299TH PL 1161 S 299TH PL
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 amps(F 1
PERMIT EXPIRES Wednesday, July 15, 2015
Permit Issued on Friday, January 16, 2015
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: 1 L- (6/7-1-----
t Date: C I ` /6 - / .�
THIS CARD IS TO MAIN ON-SITE ..1r
CITY OF xim�` '41, Construction In ection Record '
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 15-100243-00-EL Address: 1161 S 299TH PL
Project: PHUC NGUYEN FEDERAL WAY, WA 98003-3751
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.
0 UFER Ground (4295) 0 Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
9 ,
0 Pool Bonding(4195) 0 Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) 0 Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By (_ _ Date 1"9-q.--t-T By Date By Date
El Final-Electrical(4055) •
Approved
By t ' Date \ _,,,,
CI Rough ElectricalEl Final Electrical Right of Way
Approved Approved0 Approved
By Date By Date By Date
! ! . .
t ELECTRICAL
CITY OF
Federal Way PERMIT APPLICATION
RECEIVED
PERMIT NUMBER (5 _ 10 0 Z 4" 3 L L.,. JAN 16 2015
P CrT9/uNFEDERAE.L WAY
SITE ADDRESS: i 1 Co 1 S, '-(" q 1- i\
C 15P
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
0
5- I 5 ( (0 0 - 01 5
PROJECT NAME i
(Tenant or Homeowner Last Name) I\' Cr—"U \l�.N\1 1
Rq �ec
PROJECT DESCRIPTION �(-.,:_cL_TIA 6_,A.Q. eyCkikSL,k_ cc tA_il/ Me--+4---1 ‘ck9C
Detailed description of work to
be included on this permit only
NAME ` PRIMARY PHONE
PROPERTY OWNER C 1r\1,'\` ' Y- ) ( 2O ) ��7 - q 67 Co
MAILING ADDRESS / E-MAIL AX C
CIT t� ALJ (/�� STP \r��I"��/(/Fkft vZli�'Y
ZIP
=- r ,vJ W(x_A-f/ vim. 9 o-o-3 ( ) -
AMEI PRIMARY PHONE
aA ()Uel u-Q----L--- MO C) 27 1 - NA b
MAILING ADDRESS E-MAILJ
ELECTRICAL S t �o �j , 1 � ���2 V1�1 �D k
CONTRACTOR CITY STATE ZIP F
IE
,FA/t/4d ki0 4--‘- I ()
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAMEPRIMARY PHONE
APPLICANT �1 � "�`D
r?-13‘)G 27 7(j
MAILING
ADDRESS Pst) EMAILL r (o r �1� 4 "j 11 {M1 ''W ®vUQ qV�
CS ZIR0
FAX
( )
NAME PRIMARY PHONE
PROJECT CONTACT C111/1 C N/spa‘'r\ ' at( ) 2-7 - kI D I-y
Co
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 suppli to the city as a part of this application.
SIGNATURE: 7-7) --- DATE
PRINT NAME: ` cI.k :IVT-(''/,I I
Bulletin#160—January I,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application