23-103461City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: CHAND
Project Address: 32214 16TH PL SW
Project Description: Add lighting and outlet
Electrical
Permit 4:23-103461-00-EL
Inspection Request Line: (253) 835-3050
Parcel Number: 010450 0310
Owner
Applicant
Contractor
RAJESH CHAND
RAJESH CHAND
OWNER IS CONTRACTOR
32214 16TH PL SW
32214 16TH PL SW
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Electrical Fixtures
Circuits - Residential 1
PERMIT EXPIRES Tuesday, 2 January, 2024
Permit Issued on Thursday, July 6, 2023
I hereby certify that the abo rma 'on is correct and that the construction on the above described property
and the occupancy, d th be in accordance with the laws, rules and regulations of the State of
W. ington and the City of Federal Way.
Owner or agent: Date:
CITY or -
Federal Way
THIS CARD IS TO RE\I_U'N O\-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 335-30-50
Scheduled inspections nia-y be failed if this card is not on -site. DO NOT LOSE THIS C ARD. 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 -
ELECTRICAL
❑ LIFER Ground (4295)
❑
Ditch cover (4030)
Q Slab/Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By Date
By
Date
By Date
Pool Bonding (4195)
❑ Temporary Power (4275)
0 Service (4235)
Approved
Approved
Approved
By Date
Bc Date
By Date
❑ Feeders/Sob-panels (4045)
❑ Rough Electrical (4225)
❑ Ceiling Cover (4020)
Approved
Approved
Approved
By Date
%
B%- Date_
BS Date
E J Final - Electrical (4055)
oved
By X,0"'Dat1x11_'
MECHANICAL
❑ -Mechanical Rough -in (4165) ❑ Gas Piping (4125) ❑ Final - Mechanical (4065)
Approved Approved to release test Approved
By Date By Date By Date
PLUMBING
Q Plumbing Groundwork (4190) ❑ Rough Plumbing (4230) ❑ Final - Plumbing (4075)
Approved to cover Approved Approved
By Date By Date By Date
CITY OF
Federal Way
ADDRESS: -7.
Ur6ilding L`ivision
33325 Eighth Avenue South
Federal Way, WA 98003-6325
Phone 253-835-2607 Fax 253-835-2609
CORRECTION NOTICE
IF YOU HAVE QUESTIONS CALL
(253) 835-
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 _
CITY OF A
Federal Way
RECEIVED
JUL 0 6 2023
CITY OF FEDERAL WAY
COMMUNf1Y DEVELOPMENT
ELECTRICAL
PERMIT APPLICATION
PERMIT NUMBER
SITE ADDRESS: t ok P 1 ; t
W
SUITE/UNIT/SPACE #
PROJECT VALUATION
ASSESSOR'S TAX/PARCEL #
CURRENT/PROPOSED USE
$7
l_®e .- 6L'-%
-
PROJECT NAME
(Tenant or Homeowner Last Name)
C, ,
PROJECT DESCRIPTION
r
Detailed description of work to
be included on this permit only
PROPERTY OWNER
DAME
P,t �
PRIMARY PHONE
f- li
MAILING 4DDRESS
2Z� fbSTATE
E-MAIL
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FedNAME ��/_Y^L,+V�Jy
W
ZIP �
FAX
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
ELECTRICAL
CITY
STATE
ZIP
FAX
CONTRACTOR
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
UBI #
NAME
' �
- p
PRIMARY PHONE
-
APPLICANT
MAILING AORESS
3.2`z-( (% t..,
E-MAIL
j
STATE
ZIP � �
� ) FAX
PROJECT CONTACT
NAME
PRIMARY PHONE
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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 less the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation and d e e such claim), which may be made by any person, including the undersigned, and filed against the city,
but only where such Ia ses out of the reliance of the city, including its officers and employees, upon the accuracy of the
information sunali to t e i as a Dart of this application.
SIGNATURE:
PRINT NAME:
DATE
PERMIT CENTER + 33325 811, Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + pe=itcenteiCcc cityoffederalway.com
Bulletin #160 —April 14, 2020 Page 1 of 1 k:\Handouts\Electrical Permit Application