17-100752 Electrical
City ofFederilWay Permit #:17-100752-00-EL
Community Development Dept. FILE
33325 8th.Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: CHOU
Project Address: 1422 S 303RD ST Parcel Number: 025300 0165
Project Description: Update Service 200AMP
Owner Applicant Contractor
SING CHOU GARY CHOWR&T ELECTRIC INC R&T ELECTRIC(02)
1422 S 303RD ST PO BOX 1001 RTELETE904QW(11/16/18)
FEDERAL WAY WA 98003 RENTON WA 98057 PO BOX 1001
USA
RENTON WA 98057
Additional Permit information
Is this an Online or O.T.C.application? Yes
E •
Alt. Serv./Feeder: 0 to 200 ami 1
PERMIT EXPIRES Thursday, 15 February,2018
Permit Issued on Wednesday,February 15,2017
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:
ONLINE
Icj,N
qLE
d
AATHIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
Federal Way INSPECTION REQUESTS :(253)835-3050
PERMIT#: 17 100752 00 Address: 1422 S 303RD ST
Project: SING CHOU FEDERAL WAY WA 98003-4112
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.
/ .�
E UFER Ground(4295) Q Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
® Pool Bonding(4195) Temporary Power(4275) ® Service(4235)
Approved Approved Approved
By Date •4 By Date By Date
I \I \I
® Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020)
Approved Approved Approved
By Date ' By Date By J 5 Date 2149.
'
i Final-Electrical(4055)
Approved
,By Dat ---k el— \�
❑ Rough Electrical ❑ Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
ELECTRICAL
CITY OFIPA' FEB 15 20
Federal Way 'ERMIT APPLICATION
CITY OF FEDERAL WAY
0
CDS
PERMIT NUMBER 1 1 _ 1 0 7 5 2 _ C
SUITE/UNIT/SPACE#
SITE ADDRESS: L142-7- S 303 rb `)-1--
Fat-. wt&y c/ v 3
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ 3soo OZ53O 0 _ 0 l (v .S.-
PROJECT NAME C1v
ti
(Tenant or Homeowner Last Name)
2Cx) 0601--t p 52Y l)I CQ- CI,ct( �vb ,the
PROJECT DESCRIPTION r`J q
Detailed description of work to
be included on this permit only
NAME ,,j PRIMARY PHONE
(J
PROPERTY OWNER 31 vt L)vv (041r. )667 - ?4 3°
MAILING ADDRESS E-MAIL
1 q zz S 303/4 5-t
CITY STATE ZIP FAX
-rel. way IA/(s 6/%0(0 ( ) -
NAME ..--- _-- PRIMARY PHONE
R' T 6 - t'c-, /1,,,_ . (f) 2 2$- g 7
MAILING ADDRESS E-MAIL
ELECTRICAL Po B- s 1(.12(
CONTRACTOR CITY STATE ZIP FAX
j2"CA/1+o i., U.&- /5505 7 ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
IZTtLErE q0 LI 0vV ll / it /1y(
NAME PRIMARY PHONE
APPLICANT &lark/ Ca.J ( 2 ) 2W- g gCl.7
MAILING ADDRESS E-MAIL
5 .ti. 61,--, ot bo�a--
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
PROJECT CONTACT GAY CLcr....) (2 ) 22, - gSlci7
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 enviro•ment,1 laws.
I further agree to id h• less the City of Federal Way as to any claim(including costs,expenses, and attorneys'fees incurred in
the investigation an• •efen'- of such claim), which may be made by any person,including the undersigned,and filed against the city,
but only where su• •lai I
arises out of the rel •nce of the city, including its officers and employees, upon the accuracy of the
information suppli=d t' th=city as a part of this a plication. //
SIGNATURE: �' 1� DATE u`/S ` 7
PRINT NAME: aCLo�✓>
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application