17-103574 a.
v.
Electrical
City of Federal Way Permit #:17-103574-00-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: KIM
Project Address: 3746 S 321ST ST Parcel Number:321165 0080
Project Description: Connection for PSE
Revised 7/25/17 Inspect meter base to restore power.
Owner Applicant Contractor
DOUG KIM MYONG KIM NW ELECTRIC SERVICES INC
3746 S 321ST ST 3746 S 321ST ST NWELEES925DL(3/30/18)
FEDERAL WAY WA 98001 FEDERAL WAY WA 98001 32419 3RD AVE SW
USA USA
FEDERAL WAY WA 98023
Additional Permit Information
Is this an Online or O.T.C.application? Yes
PERMIT EXPIRES Wednesday,25 July,2018
Permit Issued on Tuesday,July 25,2017
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
JJ � �,{ f QWashington and the City of(Federal Way.
Owner or agent: (it��-C�t Cd-ed e,<<}rll V� Date: S) ) t/ 7
YII /
,,t_lY�s1�
THIS CARD IS TO.REMAIN ON-SITE
`mom Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 103574 00 Address: 3746 S 321ST ST
Project: MYONG H KIM FEDERAL WAY WA 98001-5161
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) ® Ditch cover(4030) Q Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date , By Date By Date
® Pool Bonding(4195) 0 Temporary Power(4275) ® Service(4235)
Approved Approved Approved
By Date 11-•By Date By Date
® Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020)
Approved Approved Approved
By Date ; By Date , By Date
0 Final-Electrical(4055)
Approved
By 0,04 s- Date es --19—p-i
El Rough Electrical 0 Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
AILCITY OF y/
JUL 25 2017 ELECTRICAL
Federal Way CITY
O FD ERALWAY PERMIT APPLICATION
CO
DEVELOPMENT
PERMIT NUMBER I 1 - f 0 ..
5 7 I - e
SUITE/UNIT/SPACE#
SITE ADDRESS: 374.6 ,..s,‘1 3215-t- 2 FecI r€J0 / V/� ?d '
PROJECT VALUATION ASSESSOR'S TAX/PARCEL LI /� � CURRENT/PROPOSED USE
$ \52-PO 3 2-- 1 t k .)- - b 22 0
PROJECT NAME
(Tenant or Homeowner Last Name) 1/,II
1
C nneci711h 1'z7 - p . v IE
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME �(,� PRIMARY PHONE
PROPERTY OWNER /" 7'n Hee K-7/71 (Z ) 3�- 3307
MAILING ADD E-MAIL
3/�9 S, ch ri s � p1' Ilya ng�h ihctnw`I,copCITY STATE ZIP rev-ail Cl FAX
rec/erJ 04OA SIA %Q003 ( ) -
NAME l/ PRIMARY PHONE
OWe'ler' 1.s C®/'1fi-Ackir ( ) -
MAILING ADDRESS E-MAIL
ELECTRICAL
CONTRACTOR CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME PRIMARY PHONE
APPLICANT
e� ( )
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( ) -
NAME PRIMARY PHONE
PROJECT CONTACT ( )
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 plication.
'19
SIGNATURE: /+ ✓ DATE �/� LJ L{ / '2
PRINT NAME: /" ' °ri C fleenil / �vj
Bulletin#160-January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application