16-105346 A
Electrical
City Federal Wermit #:16-105346-00-EL
Community Development
33325 8th Ave S 1
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: VO
Project Address: 1310 S 303RD ST Parcel Number:025300 0140
Project Description: Wiring for conversion of garage to ADU.
Owner Applicant Contractor
KIM N IRAN LOC VO OWNER IS CONTRACTOR
1310 S 303RD ST 1310 S 303RD ST
FEDERAL WAY WA FEDERAL WAY WA
Additional Permit Information
Is this an Online or O.T.C.application? Yes
Alt. Se
rv./Feeder:0 to 200 am] 1
PERMIT EXPIRES Tuesday,7 November,2017
Permit Issued on Monday,November 7,2016
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy a d 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: // j—l4
./;•e-
` THIS CARD IS TO REMAIN ON-SITE
`r"� Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 16 105346 00 Address: 1310 S 303RD ST
Project: LOC VO FEDERAL WAY WA 98003-4111
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.
,1
ID UFER Ground(4295) 2❑ Ditch cover(4030) 3❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
•By Date „By Q , Date i L_1 ,, I k , By Date
® Pool Bonding(4195) L=1 Temporary Power(4275) ® 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 DateC S Date i 2_t Z_l+o • By Date
10 Final-Electrical(4055)
Approved
By C•sl+.IJ Date
0 Rough Electrical 0 Final Electrical E Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
CITY OF A NOV 07 2016 ELECTRICAL
Federal WaycrrY OF FEDERAL WAY PERMIT APPLICATION
CDS
PERMIT NUMBER f Jn _ s 1 �/ 5 l-r --._ e /
C� i 4 s SUITE/UNIT/SPACE#
SITE - • : -..._ .
1 (0 S3o3 ✓4 SI
PROJECT VALUATION •:SSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
ot 2_ �c� x- 5' 3 0 6 _ / �/ O
PR* ' E
(Tenant or Homeowner Last Name) Vo
PROJECT DESCRIPTION i W i 'e Q.4 Gf tA7 I�'e 1 f u c/
Detailed description of work to ,-`i f.✓c�° �; h ,'1 4 L e./ I ( �[C .
be included on this permit only r s
heel ince`
/ ,.j';t,., P.,e bye—.
NAME PRIMARY PHONE
PROPERTY OWNER L, C. ��) ( )qr, -C'�1
MAILING ADDRESS E-MAIL
1310 s > id ft.
CITY STATE ZIP FAX
'rhera IAA k ' wA C i -)3 (. ) -
NAME PRIMARY PHONE
'^ ( )
—
MAILING ADDR S E-MAIL
ELECTRICAL
CONTRACTOR CITY STATE ZIP FAX
( ) —
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME PRIMARY PHONE
APPLICANT �" - Vo (Z<�e )% -�� SE
MAILING . 'DRESS E-MAIL
! /c) 3CS Y`! c Lik.- Gdi11 e yC 01—,
CITY// STATE ZIP FAX
NAMEF (& 1 Loti A q'cc 3 ( ) -
PROJECT CONTACT J PRIMARY PHONE
P\ se ( �'-0 Vu 1:a )grr — a43F
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 suppliedto the city as a part of this application.
SIGNATURE: t T DATE _. i
PRINT NAME: _ "0
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application