13-105674 • - 0 , .a (. 0 Electrical
City of Federal Way 11 t'1 IS
Community&Econ.Dev.Services (4' tk' Permit # 13-105674-00-EL
33325 8th Ave S '='
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: KENYAN CHRISTIAN FELLOWSHIP CHURCH
Project Address: 30315 PACIFIC HWY S Unit A Parcel Number: 042104 9237
Project Description: Low-voltage wiring for fire alarm.
Owner Applicant Contractor
VAN VUONG GOLD ELECTRIC LLC GOLD ELECTRIC LLC
VC INVESTMENTS LLC PO BOX 2156 GOLDEEL870JZ(4/9/15)
2101 SE 2ND PL AUBURN WA 98071 PO BOX 2156
RENTON WA 98056-8864 AUBURN WA 98071
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Service greater than 999 Amps? No
Electrical Fixtures
Low Voltage-Fire Alarm(Comm( 1
PERMIT EXPIRES Saturday, June 21, 2014
Permit Issued on Monday, December 23, 2013
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: /.2- /)--3 //...?
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• THIS CARD IS ToAIN ON-SITE
CITY
WayConstruction Inspection Record
INSPECTION REQUESTS: (253)835-3050
PERMIT#: 13-105674-00-EL Address: 30315 PACIFIC HWY S Unit A
Project: VAN VUONG FEDERAL WAY, WA 98003
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.
0 UFER Ground (4295) 0 Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
El Pool Bonding(4195) ❑ Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
0 Final-Electrical(4055)
Approved
By Y I5 Date 1 1.311i
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
III_ Realm
' ...
• EL!CTRI CAL
CITY OF � „-,-,-, DEC 2 3 2013
Federal Way PERMIT APPLICATION
CITY OF FEDERAL WAY
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PERMIT NUMBER / 3 _ /• ® S I
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SITE ADDRESS: .
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PROJECT VALUATION ASSESSOR'S R/P CEL R CURRENT/PROPOSED USE
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PROJECT NAME � ki2A'LLI &1^-' ()I'. JTenant or Homeowner Last Name
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PROJECT DESCRIPTION �����
Detailed description of work to
be included on this permit only
NAME -1 PRIMARY PHONE
PROPERTY OWNER ( ) -
MAILING ADORES E-MAIL
CITY STATE ZIP FAX
( )
NAME / -/ PRIMARY PHONE
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MAILING ADDRESS r E-
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CONTRACTOR CITY Iu -
STATE ZIP FAXl,4 k/A- 9,3e-7/ ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME a PRIMARY PHONE
APPLICANT -A,,bn--/ t/. s ,, ' V ( )
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAM PRIMARY PHONE
PROJECT CONTACT ] � y �/- ( rte . --7?
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 a part of this application.
SIGNATURE: /��/i it_`, DATE /2"" • ."--le
r.PRINT NAME: #,
Bulletin#160—January 1,2013 Page 1 of 2 k:AHandouts\Electrical Permit Application