16-102395 Ele tr
[ commervices FILE Permit #: 16-'102 9 -00-EL
ka1
33325 8th Ave S
•
Federal Way,WA 98003 Inspection Ctl Request Ph:(253)835-2607 Fax (253)835-2609 Line: 253 835-3050
Project Name: TRAN
ift
Project Address: 400 SW 363RD PL • Parcel Number: 859490 0060
Project Description: Replace existing panel,add (4)circuits and wire 800 square foot remodel.
Owner Applicant Contractor
THANG VAN TRAN VINCE ROSCELLI EDGEWOOD ELECTRIC INC
400 S 363RD PL EDGEWOOD ELECTRIC INC EDGEWEI950CW(2/16/13)
FEDERAL WAY WA 98023 11925 43RD ST CT E 11925 43RD STREET CT E
EDGEWOOD WA 98372-2373 EDGEWOOD WA 98372
Additional Permit Information
Electrical Work Valuation? 5000 Is this an Online or O.T.C.application? Yes
Is Use Educational or Institutional? No
Electrical Fixtures
Alt.Serv./Feeder:0 to 200 amps(F 1 Circuits-Residential 4
PERMIT EXPIRES Thursday, May 18, 2017
Permit Issued on Wednesday, May 18, 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
j J i4and the of Federal Way.
Owner or agent: �J Date: .1-1' )
THIS CARD IS TO REMAIN ON-SITE
CITY�OF `410.2. Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 16-102395-00-EL A I'4
Address: 1400 SW 363RD PL
Project: THANG VAN TRAN 'FEDERAL WAY, WA 98023-7350
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.
O UFER Ground(4295) 0 Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
❑ Pool Bonding(4195) El Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By J Date v_�� .
o Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date 4V - Date 1,— (G By Date
O Final-Electrical(4055)
Approved
By 0 `41.`113 r)--11-r)_19_ l
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
. ---.
RECEIVED
CITY OF ` MAY 18 2016 ELECTRICAL
Federal Way CITY OF FEDERAL WAY PERMIT APPLICATION
CDS I C _ v Z 3 _ c C�
PERMIT NUMBER
SITE ADDRESS: 0) J SUITE/UNIT/SPACEA #
00 314) 36 y L
PROJECT VALUATION ASSESSOR'S TAX PARCEL# CURRENT/PROPOSED USE
$ �� O0 8 5 II 9 U _ O G
PROJECT NAME — — — —
(Tenant or Homeowner Last Name) 7r 1/,
PROJECT DESCRIPTION 441 7 P_ r 1.^7l E' c if` i ca 4 I Seryl ( C
Detailed description of work to C eL A Sc't> v (Z �j� n C� 4 I
be included on this permit only R�'C
N PRIMARY PHONE
PROPERTY OWNER le y1 Fir<*+,i,/
CITY � ( '$g ) 3/, %- t I g3
MAILING ADDRESS E-MAIL
/ STATE ZIP FAX
C-._e]P r cr,,J try j'kJ19 T til 01? ( ) -
NAME -d GIA c (.� �D 1!;,e t r , rel�, (���) 9 f �=EBARY)O I
MAILING ADDRESS
ELECTRICAL /I q 2_ �° `I 3 r0 SiC t V rvS(Q rl7.°/ka(r.h.,,,,,,\CONTRACTOR CITY STATE ZIP FAX J
�i e L.') u,-41 ?(l ..7 ( — ) _ ----
WA STttATE CONTRACTOR'S LICENSE�# / EXPIRATIONIT #
ATE FEDERAL WAY BUSINESS LICENSE
,l i t L� 1,0 1. CS 141 C l-/ 16 /1 7NAME PRIMARY PHONE
APPLICANT E`d 5,Q Lo 3 3 C) Li l e ( l(V( c,` ( ) -
MAILING ADD E-MAIL
CITY STATE ZIP FAX
( ) -
NAME / i / PRIMARY PHONE
PROJECT CONTACT l 1 Lk C(? re,,,S( / (! ( ) - Sl2
.....
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 authorised 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 relianc f the city, including its officers and employees, upon the accuracy of the
information suppliedito the city as
a asa part of this appj1c on.
SIGNATURE: Vfi^'‘\7-g
"'4S .� : DATE `f - i> Ij�LPRINT NAME: a �—e, •w_ � e
PERMIT CENTER+33325 86'Avenue South+Federal Way,WA 98003-6325
253-835-2607+FAX 253-835-2609+permitcente ncityoffederalway.com
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application