16-102333 • 1 v r -3 Electrical.
City of Federal Way
Community&Econ.Dev.Services Permit #: 16-102333-00-EL
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
FILE
Project Name: NGO
Project Address: 37119 17TH AVE S Parcel Number: 721266 0430
Project Description: Electrical work for replacement of furnace and installation of A/C.
Owner Applicant Contractor
NGOC VAN NGO M M COMFORT SYSTEMS(GENERAL) M M COMFORT SYSTEMS(ELECTRICAL)
DIEM HUY HUONG 18103 NE 68TH SUITE C-200 MMCOMCS85ORB(11/30/17)
37119 17TH AVE S REDMOND WA 98052 18103 NE 68TH SUITE C-200
FEDERAL WAY WA 98003 REDMOND WA 98052
Additional Permit Information
Electrical Work Valuation? 275 Is this an Online or O.T.C.application? Yes
Is Use Educational or Institutional? No
Electrical Fixtures
Circuits-Residential 2
PERMIT EXPIRES Tuesday, May 16, 2017
Permit Issued on Monday, May 16, 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
and the City of Federal Way.
Owner or agent: I Date: 1,6 1(�
' THIS CARD IS TO REMAIN ON-SITE
'11TY of Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 16-102333-00-EL Address: 37119 17TH AVE S
Project: NGOC VAN NGO FEDERAL WAY, WA 98003-7701
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) El Ditch cover(4030) El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
o Pool Bonding(4195) Temporary Power(4275) ' El Service(4235)
Approved Approved Approved
By Date By Date By Date
•
o Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
❑ Final-Electrical(4055)
Approved
By '. Date ' _ `•1, Ql .
❑ Rough Electrical El Final Electrical Ei
Right of Way
Approved Approved Approved
By Date By Date By Date
0 0
. RECEIVED \Q
A
CITY OF MAY i 6 Zo 16 ELECTRICAL
Federal Way PERMIT APPLICATION
CITY OF FEDERAL WAY
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PERMIT NUMBER/ 6 .. / / J 3 5 3-
SUITE/UNIT/SPACE#
SITE ADDRESS: '61
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fl` /� c q�T
PROJECT vALUATION 1. ASSESSOR'S TAX/PARCEL C (• CURRENT/PROPOSED USE
$ '1 ,6° 1 'Z \ z C� (, - 0 4- 30
PROJECT NAME gam ' /� ( 1
(Tenant or Homeowner Last Name) ' l�/
T "9 1 Ltd e'. .-Gurr tG .e Li tw La.') • GSCat.,
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PROJECT DESCRIPTION � (.
Detailed description of work to
be included on this permit only
NAME PRIMARY HONE,
PROPERTY OWNER I V UL)C. (J co 476
MA ��
01 �� r1 - ( E-MAILMAILING ADDRESS
CM'.
STATE ZIP FAX
'" l //1 V\ f viA °?S ( ) -
/ NAME PRIMARY PHONE
a�o
S MDM COMFORT SYSTEMS ( 425 ) 881 -7920
MAILING ADDRESS EMAIL
ELECTRICAL 18103 NE 68TH ST,C-200
CONTRACTOR CITY STATE ZIP FAX
REDMOND WA 98052 ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE It
MMCOMCS85ORB 11/30/17 20-07-100701-00-BL
NAME
PRIMARY PHONE
APPLICANT SAME AS CONTRACTOR ( )
MAILING ADDRESS EMAIL
CITY STATE ZIP FAX
( ) -
NAME PRIMARY PHONE
PROJECT CONTACT JANETTE WELLS ( 425) 881 - 7920
I certify under penalty of perjury that I am the property owner or authorised 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 reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as apart of this application.
v
SIGNATURE: il
ii DATE 11F'
PRINT NAME: cfvl I'(e.„1 lAilue
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application