16-104444 Electrical
of Federal Way • •
Community&Econ.Dev.Services Permit #: 16-104444-0d-EL
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2809 Inspection Request Line: (253)835-3050
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Project Name: CHEN
Project Address: 32529 7TH PL S Parcel Number: 326070 0060
Project Description: Replace existing 60A to a 200A.
•
Owner Applicant Contractor
CHEN YU YAN HSIN HSU OWNER IS CONTRACTOR
32529 7TH PL S 32529 7TH PL S
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
Additional Permit Information
Electrical Work Valuation? 950 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 I
PERMIT EXPIRES Friday, September 8, 2017
Permit Issued on Thursday, September 8, 2016
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 (( Date: q(21
PIA/Ater)
THIS CARD IS TO ON-SITE
°' - Construction Ins ction Record .. .: -
Federal Way INSPECTION REQ TS:(253)835-3050
PERMIT#: 16-104444-00-EL Address: 32529 7TH PL S
Project: CHEN YU YAN FEDERAL WAY, WA 98003-5913
Scheduled inspections may be failed if this card is not on-site. p0 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 LIFER Ground(4295) - _0 Ditch cover(4030) -0 Slab/Concrete Floor(4255) `
Approved Approved
Approved to place concrete
By Date By Date By Date
• •♦ , . .
El Pool Bonding(4195) 0 Temporary Power(4275) Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) 0 Rough Electrical(4225) ' ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
,
0 Final-Electrical(4055)
Approved
`. Date ' 1,..,
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED ELECTRICAL
CITY OF
Federal Way o 8 2016 PERMIT APPLICATION
CITY OF FEDERAL WAY
CDS PERMIT NUMBER 1 c o y 1./
_ —
SITE ADDRESS: 2 ,.5--z q 9-1-h pi, s 1-1araL i/Jety SUITE/UNIT/SPACE#
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
R � >« 32 ( 0 -7 0 _ .0 000
PROJECT NAME n } C"� }_
(Tenant or Homeowner Last Name) U{7I& Q �cir di L 2 &OX 0 g j/1
PROJECT DESCRIPTION 0/4 -J l`c,e-(3 vx knit 6 OA .
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER s(Al 1-f S ui // a n G ( 4 >c) . 7 3-i S °J
MAILING ADDRESS E-MAIL
3)471-2-61 7lh pL S .>11 n$w1.ec;44.en t covA
CITY STATE ZIP FAX
I'� ,�/, •' . r 1N A
NAME PRIMARY PHONE
MAILING ADDRESS E-MAIL
ELECTRICAL
CONTRACTOR CITY STATE ZIP FAX
( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PRIMARY PHONE
APPLICANT c CC) L7;- (sv v
MAILING ADDRE E-MAIL
'3)‹."24 SS 't" s
CITY STATE ZIP FAX
co cwa�t A ( 1
NAML�� PRIMARY PHONE
PROJECT CONTACT ( N N S U (4. 4) y7 _ Lot)
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 of this application. �J
SIGNATURE: 1 )J c- V J C DATE ! l�
PRINT NAME: 1-c c-7( iC 1 f-f `x-f
Bulletin#160—April 14,2016 Page 1 of 1 101-landouts\Electrical Permit Application