13-104725 • 0 Electrical
City of Federal Way
Community&Econ.Dev.Services Permit #: 13-104725-00-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: PHASAVATH/PRASEUTH
Project Address: 29650 1ST AVE S Parcel Number: 052104 9140
Project Description: Underground existing 200 amp service and wiring for addition
Owner Applicant Contractor
VICKI B PRASEUTH VICKI B PRASEUTH OWNER IS CONTRACTOR
PHET PRASEUTH 29650 1ST AVE S
29650 1ST AVE S FEDERAL WAY WA 98003-3640
FEDERAL WAY WA 98003
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
Alt. Serv./Feeder: 0 to 200 amps(F I
CONDITIONS:
Due to the valuation of the addition permitted under Permit 11-101298-SF,overhead utility connections shall
be placed underground per Federal Way Revised Code Section 11.05.120. -KP 06/07/2012
PERMIT EXPIRES Monday, April 21, 2014
Permit Issued on Wednesday, October 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:e /0 —2 3 / 3
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THIS CARD IS TO IN ON-SU
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CITY OF
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 13-104725-00-EL Address: 29650 1ST AVE S
Project: VICKI B PRASEUTH FEDERAL WAY, WA 98003-3640
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.
O UFER Ground (4295) - ❑ Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
'By oita Date til 2,5 I (? By e_.4.64,..., Date o-)_„^l , 'By Date
o Pool Bonding(4195) 0 Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
❑ Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date Bygi\ilv„ Date Ci, rJxii., A.c. By Date
O Final-Electrical(4055)
Approved
By �` ....) DateIli 2_71
„ t In
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
• •
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CITY OF ELECTRICAL
Federal Way PERMIT APPL N
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PERMIT NUMBER l' - 1 �/ Z S (�/. ' OCT 2 3 2013
CITY OF FEDERAL WAY
SITE ADDRESS: // f SUITE/UNIT/i! #
PROJECT VALUATION ASSESSOR'S TAX/PARCEL#
fV,e� CURRENT/PROPOSED USE
$ c U GO � Z1 O4 - C' /1C)
PROJCT NAME \/ /�
(Tenant or Homeowner Last Name) SA F ,77- / rr/'1 ��{
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PROJECT
.PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNERi- )�_ �� ��14-
JCA �� (2Cb ) 65[ cls S
MAILING ADDRESS
E-MAIL
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CITY STATE ZIP FAX i, •y1
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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 ( )
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME ( )PRIMARY PHONE
PROJECT CONTACT
N 177 -IDpi4-5 14`k—/4- -71-/ (.26b ) 656- 96 S 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.
42—
SIGNATURE: /,--- ,2-----....___., DATE 70 2 3 "/3
PRINT NAME: 7/16>-----f 214/--514✓sq 7,271
Bulletin#160—January 1,2013 Page 1 of 2 k:AHandouts\Electrical Permit Application