17-101977 a
Electrical
Community City Devetopmentederal Dept. Permit #:17-101977-00-EL
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: LE
Project Address: 1924 S 308TH ST Parcel Number:092104 9132
Project Description: Upgrade existing panel
****REVISED on 5/2/17 TO INCLUDE CONDUIT,WIRING,OUTLETS,LIGHTING AND
ELECTRICAL FOR HEATING&BATHROOM FAN.***
Owner Applicant Contractor
CECELIA LE CECELIA LE OWNER IS CONTRACTOR
1924 S 308TH ST 1924 S 308TH ST
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
Additional Permit information
Is this an Online or O.T.C.application9 Yes
i h
Alt. Serv./Feeder:0 to 200 ami 1
PERMIT EXPIRES Wednesday,2 May,2018
Permit Issued on Tuesday,May 2,2017
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
QRe
Washington and the City of Federal Way.
Owner or agent: f� /t U� -e Sr( A)Vi Date: 5- f 2'1 (
Electrical
City ofFedc pm Permit #:17-101977-04-EL
Corn City o Development
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: LE
Project Address: 1924 S 308TH ST Parcel Number:092104 9132
Project Description: Upgrade existing panel
Owner Applicant Contractor
CECELIA LE CECELIA LE OWNER IS CONTRACTOR
1924 S 308TH ST 1924 S 308TH ST
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
Additional Permit Information
Is this an Online or O.T.C.application? Yes
Alt.Serv./Feeder:0 to 200 aml 1
PERMIT EXPIRES Wednesday,2 May,2018
Permit Issued on Tuesday,May 2,2017
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
Wa, ingto an the City of Federal Way.
Owner or agent: i" Date: ( 2 I 17
•
♦ 1.
THIS CARD IS TO REMAIN ON-SITE # r_..
►� Construction Inspection Record
Federal vvay INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 101977 00 Address: 1924 S 308TH ST
Project: CECELIA BACH-NHAN LE FEDERAL WAY WA 98003-4821
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) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date •:By�j Date�� 3 17 By Date
•0 Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date . By Date
El Feeders/Sub-panels(4045) 0 Rough Electrical(4225) ® Ceiling Cover(4020)
Approved Approved Approved
B f-- Date S—.-"34J—Fay B Date �—iici—( - By Date
'i4 Final-Electrical(4055)
Approved
By Date L'2?
El Rough Electrical ❑ Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
CITY oFalk, MAY 01 2017 ELECTRICAL
Federal Way CITY OF FEDERAL WAY . PERMIT APPLICATION
COMMUNITY DEVELOPMENT
PERMIT NUMBER 1 1 _ ) O ' 1 -
SUITE/UNIT/SPACE#
SITE ADDRESS: G 1 L(� S S 0'5
T
PROJECT VALUATION ASSESSOR'S l \ ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ 0 00 0 q Z l o ff 9
PROJECT NAME
(Tenant or Homeowner Last Name)
Ceu r C q __Jsz.,c k-y-) ca C, bc)S--
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME r / RIMARY PHONE
PROPERTY OWNER � C �, ( i=t 1s) C( (��I�
t/
Ce
MAILING�lq,DRE -/ E-MAIL
� ac U c 0 ; � S E
CITY STATE ZIP FAX
hAj WA
C(
NAME r 1 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 �l `t/_`�n `/ ( )
MAILING ADDRESS S E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
PROJECT CONTACT ( )
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 arty 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 t r Hance of the city eluding its officers and employees, upon the accuracy of the
information supplied to the city as p f' s ap ' ation.
_ �� l�
SIGNATURE: ��rr /� l DATE
PRINT NAME: ( ,-r r t- L A" L
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