23-101021City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: PARK
Project Address: 34665 LOTH PL SW
Project Description: Add lighting in bedrooms.
Electrical
Permit #:23-101021-00-EL
Inspection Request Line: (253) 835-3050
Parcel Number: 132173 0480
Owner Applicant Contractor
SUNG PARK SUNG PARK OWNER IS CONTRACTOR
34665 10TH PL S 34665 LOTH PL S
FEDERAL WAY WA 98023-8427 FEDERAL WAY WA'98023-8427
Additional Permit Information
Is this an Online or O.T.C. application? ................. Yes
Electrical Fixtures
Circuits - Residential 1
PERMIT EXPIRES Wednesday, 23 August, 2023
Permit Issued on Friday, February 24, 2023
I hereby certify that the above
and the occupancy and the
Owner or agent:
on is correct and that the construction on the above described property,
be in accordance with the laws, rules and regulations of the State of
hinqton and the Citv of Federal Way.
/P / i-vck)
Date: •�-3
CirY OF "- Al --
Federal Way
THIS CARD IS TO REALUN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 335-3050
Scheduled inspections nily be failed if this card is not on -site. DO NOT LOSE Tffi4 C :A.RD. Inspections are listed as close to sequential order as possible
(read left to right. top to bottom). Please schedule inspections as appropriate. 'Work nnist 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.
[WOXWU_1-V-
❑
L'FER 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 Poorer (4275)
0
Service (4235)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Feeders/Sub-panels (4045) 0 Rough Electrical (4225) ® Ceiling Cover (4020)
Approved
pproved
Approved
By
Date
By
Date ^
By
Date
El Final - Electrical (4055)
By
pgroved
Date
MECHANICAL
❑ Mechanical Rough -in (4165) ❑ Gas Piping (4125) ❑ Final -'Mechanical (4065)
Approved Approved to release test Approved
By Date By Date By Date
PLUMBING
0 Plumbing Groundwork (4190) ❑ Rough Plumbing (4230) ❑ Final - Plumbing (4075)
Approved to cover Approved Approved,
By Date By Date By Date
CfTY Of A
Federal 11"Ilay
FEB 2 4 2023
CITY OF FEI,'ERAL �My
C0M%1UNi-IY DEVELO MEhri
ELECTRICAL
PERMIT APPLICATION
PERMIT NUM13EP — ' � /
SITE ADDRESS:
U
SUITE/UNIT/SPACE#
PROJECT VALUATION
CS 0- —
ASSESSOR'S TAX/PARCEL #
/
- Q
U
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
O
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
PRIMARY PHONE
-
MAILING ADDRESS
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L 5IV
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CITY
ova
STATE
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FAX
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NAME r`� o V '
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PRIMARY PHONE
MAILING ADDRESS
E-MAIL
ELECTRICAL
_�
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTPACTOR'S LICENSE # EXPIRATION DATE
UBI #
APPLICANT
NAME �.
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P6
PRIMARY PHONE
( ) -
MAILING ADDRESS
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E-MAIL
CITY
STATE
ZIP
/ FAX
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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 officers and employees, upon the accuracy of the
information supplied to the cityfas apart of this application.
SIGNATURE:
PRINT NAME: A j1ZGam' [I
DATE �� h �-4 -
PERMIT CENTER + 33325 811, Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenterncityoffederalway.com
Bulletin #160 — April 14, 2020 Page I of I k:\Handouts\Electrical Permit Application