16-103716 Electrical
City of FederalWay Permit #• 16-103716-00-E L
Community&Econ.
Dev.Services
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: SUNRISE PROPERTIES
Project Address: 31101 18TH AVE S Parcel Number: 785360 0171
Project Description: Move light switch in bathroom move and add receptacle for bathroom& hot water tank.
Owner Applicant Contractor
SUNRISE PROPERTIES LLC QUOC WAN NGO OWNER IS CONTRACTOR
9835 16TH AVE SW SUNRISE PROPERTIES LLC
SEATTLE WA 98106 9835 16TH AVE SW
SEATTLE WA 98106
Additional Permit Information
Electrical Work Valuation 300 Is this an Online or O.T.C.application Yes
Is Use Educational or Institutional? No Service greater than 999 Amps? No
No Fixtures Associated With This Permit!!
PERMIT EXPIRES Tuesday, August 1, 2017
Permit Issued on Monday,August 1, 2016
I hereby certify that the abov- ' formation is correct/nd that the construction on the above described property and
the occupancy and the u will be in accordanc- ; ith the laws, rules and regulations of the State of Washington
-•• t - City of Federal Way.
Owner or agent: Date:
THIS CARD IS TO REMAIN ON-SITE
«►• 40&
Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 16-103716-00-EL Address: 31101 18TH AYE S
Project: SUNRISE PROPERTIES LLC FEDERAL WAY,WA 98003-4951
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.
❑ LIFER Ground(4295) ❑ Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
O Pool Bonding(4195) 0 Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
O Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date Date , ,,),-1,2._.t6, By Date
❑ Final-Electrical(4055)
Approved
By o 111,.vN+ Date Ot— ) `o
Rough Electrical Final Electrical Right of Way
❑ ApprovedEl Final
❑ Approved
By Date By Date By Date
A. RECEIVE® ELECTRICAL
CITY OF
Federal Way AUG 01 2016 PERMIT APPLICATION
CTT( OF FEDERAL WAY 7 /
CDS PERMIT NUMBER / (2 _ / D J co �-t.
SUITE/UNI /SPACE# ,a
SITE ADDRESS:31 1 �q / /�/' _ t/ � ��
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# 6.43CURRENT/PROPOSED USE e4i-,X6,2 I&A., V
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PROJECT NAME
(Tenant or Homeowner Last Name) S 0 / ( e C C e-C
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PROJECT DESCRIPTION A'aV (&-- ? " ;4)A • i2. �C(� (\eI v
Detailed description of work to /"/J ( L
be included on this permit only /QG��� 4 4- 0(
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11A-01i•t_ I'(. q- SI i0 tj
NAME.6,
PRIMARY PHONE
PROPERTY OWNER 1/4i.0 .0a/LrV /v G-V . -�(_/J(p) 60-Z e fqL
MAILING ADDRESS E-MAIL
e.tieziA 1, .6,43 Witta,
CITY ZIP 4... g ,
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NAME PRIMARY PHONE
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MAILING ADDRESS E-MAIL
ELECTRICAL
CONTRACTOR CITY STATE ZIP
FAX
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WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME PRIMARY PHONE
APPLICANT
MAILING nDnxEss ( )
E-MAIL
CITY STATE ZIP FAX
NAME � ) ( ) PRIMARY PHONE
PROJECT CONTACT Zv r( (24') r. '2 011'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 • o any claim(including costs, expenses, and attorneys'fees incurred in
the investigation and defense such claim), which may - - ade by any person,including the undersigned,and filed against the city,
but only where such clai• arises out of the relianc- .f the city, includi officers and employees, upon the accuracy of the
information supplied to e city as a part of this ap. ' •tion.
SIGNATURE: f DATE i
PRINT NAME:
Bulletin#160—April 14,2016 Page 1 of 1 k:AHandouts\Electrical Permit Application