17-102833 Electrical
City of Federal Way Permit #:17-102833-00-EL
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: CHUNG
Project Address: 834 S 296TH PL Parcel Number:515160 0580
Project Description: Install 30A line for sewer pump.
Owner Applicant Contractor
NATASHA CHUNG KYLE WOLDEMERALD CITY ELECTRIC EMERALD CITY ELECTRIC
834 S 296TH PL 317 S 120TH ST EMERACE901JZ(4/18/18)
FEDERAL WAY WA 98003-3728 SEATTLE WA 98168
317 S 120TH ST
SEATTLE WA 98168
Additional Permit Information
Is this an Online or O.T.C.application? Yes
a ,
PERMIT EXPIRES Wednesday, 13 June,2018
Permit Issued on Tuesday,June 13,2017
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: 1(L. "t6t Date: 1063/261
ki
THIS CARD IS TO REMAIN ON-SITE
CITY OF Construction Inspection Record u
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 102833 00 Address: 834 S 296TH PL
Project: IL KYUNG CHUNG FEDERAL WAY WA 98003-3728
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) ; E Ditch cover(4030) El 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 By Date . By Date
,0 Feeders/Sub-panels(4045) N.
® Rough Electrical(4225) ,• '
® Ceiling Cover(4020)
Approved Approved Approved
.By Date By Date By Date
,
El Final-Electrical(4055)
Approved
idlICAM' Dat --( •
S-
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date ` By Date By Date
DECEIVED ELECTRICAL
CITY OF
Federal Way JUN 13 2017 PERMIT APPLICATION
CITY OF FEDERAL WAY
COMMUNITY DEVELA ,TNumBER 1 1 - ) 0 2 g 3 3 - £ L
SUITE/UNIT/SPACE#
SITE ADDRESS: v SI c. a Co tt. P o (Ay
PROJECT ASSESSOR'S TAX/PARCEL# � � � O � � \ CURRENT/PROPOSED USE
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PROJECT NAME 'uL
(Tenant or Homeowner Last Name) C T ' vC,7 p
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PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
MptccD ;
C t ►-k 1 F Ecv- (9bb ) 0)5' -V-1/6
MAILING ADDRESS E-MAIL
ELECTRICAL 7 C 1 4)A EArk t\c)C l 1`( r LV-CiThi i cC
CONTRACTOR CITY STATE ZIP FAX (�
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
CON11'�€& AC's 90 ( �NAME , ,.v r PRIMARY PHONE
APPLICANT K1 v o`(1 (9 D ) g)-4- - T(I 3-b
MAILING ADDRESS E-MAIL
3 l 7 1, (N' It
CITY STATE ZIP FAX
Ce1-4U.. iA P\ °181(1 ( ) -
NAME PRIMARY PHONE
PROJECT CONTACT K1( v.J J 1 (k ( 04)\, ) p(y..- y40),(2
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: 6 i, DATE ql 7I 16`t/
PRINT NAME: K7(t \100k
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application