18-103215Electrical
City of Federal Way Permit #:18 -103215 -00 -EL
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003 F I Inspection Request Line: (253) 835-3050
Ph: (253) 835-2607 Fax. (253) 835-2609 1,,,vE
Project Name: CHEN
Project Address: 31227 36TH AVE SW Parcel Number: 873198 0660
Project Description: Panel replacement.
Owner
Applicant
Contractor
MEIHIJA CHEN
TROY'S ELECTRIC
TROY'S ELECTRIC
31227 36TH AVE SW
2308 S "L" ST
TROYSE*935JC (6/14/19)
FEDERAL WAY WA
TACOMA WA 98405
2308 S "L" ST
USA
TACOMA WA 98405
Additional 'Permit Information
Is this an Online or O.T.C. application? .................. Yes
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PERMIT EXPIRES Tuesday, 23 July, 2019
Permit Issued on Monday, July 23, 2018
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: Date: —7
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s:
THIS CARD IS TO REMAIN ON-SITE
"�� THIS
Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 18103215 00 Address: 31227 36TH AVE SW
Project: MEU-1UA CHEN FEDERAL WAY WA 98023-2101
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)
®
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
By
Date
By
Date
By e
Date
®
Feeders/Sub-panels (4045)
®
Rough Electrical (4225)
®
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
1U Final - Electrical (4055)
Approved
By �10 Date Ig_
Rough Electrical
Final -Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
CITY OF
Federal Way
HECEIVED ELEC'T'RICAL
JUL 2 3 2018 PERMIT APPLICATION
1-Y OF FEDERAL. WAY
"`I�L,�°qilY DEVELOPMENT
PERmiT NUMBER
n
SITE ADDRESS: i 1 1� �;,9
SUITE/UNIT/SPACE #
PROJECT VALUATION
$ ISD, -To
ASSESS"OR'S TAX/PARCEL #
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME p ,� / -
1 "! e ( til t& eL G`
PRIMARY PHONE
( )
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
( FAX
NAME -r ( S � Imo. � A (2 ((f-
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(Z,53) PRIMARY PHONE -7
MAILING ADDRESS , ` !�
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E-MAIL
ELECTRICAL
CITY
/ST�AT�EZIP
FAX
CONTRACTOR
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
,;7. V,'
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
APPLICANT
`V i
)
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
)
PROJECT CONTACT
NAME
PRIMARY PHONE
)
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 of and employees, upon the accuracy of the
information supplied to the city as apart of this application.
SIGNATURE:
PRINT NAME:
Bulletin # 160 —April 14, 2016 Page 1 of 1 k:\Handouts\Electrical Permit Application