16-104101 Electrical
City of Federal Way Permit #: 16-104101-00-EL
Community&Econ.D ev.Services
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
Project Name: PHO TRANG
Project Address: 31248 PACIFIC HWY S Unit A-1 Parcel Number: 092104 9109
Project Description: Upgrade service from 125-amp to 175-amp; lighting,receptacles and wiring for tenant
improvements.
Owner Applicant Contractor
HAI PHUC TRAN CHAU ELECTRIC CHAU ELECTRIC
21806 29TH AVE S APT C 5028 HIGHLAND DR CHAUEEL844JF(4/6/18)
DES MOINES WA 98198-7750 AUBURN WA 98402 5028 HIGHLAND DR
AUBURN WA 98402
•
Additional Permit Information
Electrical Work Valuation? 4000 Is this an Online or O.T.C.application Yes
Is Use Educational or Institutional? No Service greater than 999 Amps? No
Electrical Fixtures
Circuits-Commercial 16
PERMIT EXPIRES Saturday, August 19, 2017
Permit Issued on Friday,August 19, 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
the City of Federal Way.
Owner or agent: Date: '- l9-4
LED
•
, Aik, -• THIS CARD IS TO REMAIN ON-SITE , , , .
{CITY OF Construction Ins ection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 16-104101-00-EL Address: 31248 PACIFIC HWY S Unit A-1
Project: HAI PHUC TRAN 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.
❑ UFER Ground(4295) ❑ Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
ElPool Bonding(4195) -❑ Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
El Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By 0_1Datet —L1-►'moi By CW..,- Date 1 v -t c'1
•
❑ Final-Electrical(4055)
Approved
B�C� Date / ^)
Rough Electrical
Final Electrical
Right of Way
EDApproved ElRoughElApproved
By Date By Date By Date •
... ELECTRICAL
CITY OF
Federal Way AUG 19 2016 PERMIT APPLICATION
CITY OF FEDERAL WAY
CDS PERMIT NUMBER /16 /0 y /
SUITE/UNIT/SPACE#
SITE ADDRESS: L ` n
3 / 7 /246)f) l�t.� -5-
...- {-� 1
PROJECTP. VALUATION ASSESSOR'S TAX/PARCEL# '/'�/ CURRENT/PROPOSED/ /..,..---/-
PROJECT
USE
$ L-j, D J 0 0 7 v�- I. 6 V - ! / 0 7 /1,,/..,FI./-
PROJECT NAME I� 7'
(Tenant or Homeowner Last Name) 7r h O J r a Hy
/ e.14e)+ Z,7o..,vc,-,.n) Elf YrA c Jcivl� .2.571s
Co-,Co , / %i /75-11-
PROJECT DESCRIPTION tiq.,.�-L6 c i ra vdr
Detailed description of work to 4i J, /D e i r c.✓Ji-
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER //4 i T.,A h ('i l 7 ) 1/og - 37 c
MAILING ADDRESS E-MAIL
"/ Zs-/ S A.`;ri,‹ A / S
CITY STATE ZIP FAX
re AYrn1 G./q/ LyA 9 80oY ( ) _
NAME PRIMARY PHONE
CIla.v J/ c,Tr,c LLC (25.3)3/a - 9747(
MAILING ADDRESS E-MAIL
ELECTRICAL 4.O 2.7 /-/;5,41,,e1 9r 1,E=
CONTRACTOR CITY STATE ZIP FAX
Autlu,,v1 64-4i 9 '/ ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
CHR u`6r-F%-14/.7
LI / 6- /i 1
NAME PRIMARY PHONE
APPLICANT ✓ t,if' i-/vrray (L3"3 ) 31.2_ -97• L(
MAILING ,7 ADDRESS// / ,r+�� E-MAIL
r°2-L' $ /7tc�N/ . ,? Or E
CITY J STATE ZIP FAX
Avbvrh 1/4 F4./c29 ( ) _
NAME PRIMARY PHONE
PROJECT CONTACT
el ir.„., /'"I..r✓el (2,c3 ) 3/z -979,C
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: ftfsy?7hkttDDATE 7//PRINT NAME: J rL
I M v v✓r^v
Bulletin#160—April 14,2016 Page 1 of 1 k:\1-Iandouts\Electrical Permit Application