14-105916Electrcal
City of Federal Way
Community & Econ. Dev. Services Permit #: 14- 105916 -00 -EL
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: 253 835 -3050
Ph: (253) 835 -2607 Fax: (253) 835 -2609 p q
Project Name: CHA CHIROPRACTIC
Project Address: 1700 S 305TH PL Parcel Number: 255817 0130
Project Description: Relocate (5) circuits
Owner
Applican
Contractor
SEUNG T LEE
HERTZ ELECTRIC
HERTZ ELECTRIC
BEE JUNG
757 116TH ST S
HERTZE *903K1(5/22/16)
221 SW 331ST PL
TACOMA WA 98444
757 116TH ST S
FEDERAL WAY WA 98023
TACOMA WA 98444
Additional Permit information
Is this an Online or O.T.C. application ? .................Yes
Service greater than 999 Amps? .............................No
Electrical Fixtures
Circuits - Commercial. ................... 5
Is Use Educational or Institutional ? ....................... No
PERMIT EXPIRES Tuesday, May 12, 2015
Permit Issued on Thursday, November 13, 2014
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.
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Owner or agent: � _ Date: �
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CITY OF
Federal Way
PERMIT #:
Project:
0 THIS CARD IS TO MAIN ON-SITE
Construction In ection Record
INSPECTION REQ TS: (253) 835 -3050
14- 105916 -00 -EL
SEUNG T LEE
Address: 1700 S 305TH PL
FEDERAL WAY, WA 98003 -4814
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.
Feeders /Sub - panels (4045)
Approved
By Date
Final - Electrical (4055)
Approved
By VV6 Date 3 l 3 C ( 4z.-
Rough Electrical (4225)
Approved
By Date
0 Ceiling Cover (4020)
Approved
By Date
UFER Ground (4295)
Ditch cover (4030)
Temporary Power (4275)
Slab /Concrete Floor (4255)
Approved
By
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Feeders /Sub - panels (4045)
Approved
By Date
Final - Electrical (4055)
Approved
By VV6 Date 3 l 3 C ( 4z.-
Rough Electrical (4225)
Approved
By Date
0 Ceiling Cover (4020)
Approved
By Date
Pool Bonding (4195)
Temporary Power (4275)
Service (4235)
By
Date
Approved
By
Date
Approved
By
Date
Approved
By
Date
By
Date
By
Date
Feeders /Sub - panels (4045)
Approved
By Date
Final - Electrical (4055)
Approved
By VV6 Date 3 l 3 C ( 4z.-
Rough Electrical (4225)
Approved
By Date
0 Ceiling Cover (4020)
Approved
By Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF
Federal Way
ELECTRICAL
PERMIT APPLICN
PERMIT NUMBER �� _ t V 57 ct ` _ 0o
NOV 13 2014
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 apart oft 14 application.
SIGNATURE:
PRINT NAME:
Bulletin # 160 — January 1, 2013 Page 1 of 2 kMandoutsTlectrical Permit Application
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SUIT / SPACE ADS
OJECT VALUATION
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PROJECT NAME
(Tenant or Homeowner Last Na—)
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PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
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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 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 apart oft 14 application.
SIGNATURE:
PRINT NAME:
Bulletin # 160 — January 1, 2013 Page 1 of 2 kMandoutsTlectrical Permit Application
MY