17-103582 Electrical
City Federal Way Permit #:17-103582-00-EL
Cotmnunity 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: CHEN
Project Address: 31618 42ND AVE SW Parcel Number: 873198 2760
Project Description: Connection for PSE
Revised 7/25/17 Inspect meter base to restore power.
Owner Applicant Contractor
YANGQIONG CHEN YANGQIONG CHEN OWNER IS CONTRACTOR
31618 42ND AVE SW 31618 42ND AVE SW
FEDERAL WAY WA 98023 FEDERAL WAY WA 98023
Additional Permit Information
Is this an Online or O.T.C.application? Yes
No Fixtures Associated With This Permit!!
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
Washington and the City of Federal Way.
Owner or agent: --ev i(3 .66 Date: /� / l
r
f ,
THIS CARD IS TO REMAIN ON-SITE
Construction
Inspection Record Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 17 103582 00 Address: 31618 42ND AVE SW
Project: YANGQIONG CHEN FEDERAL WAY WA 98023-2121
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) ® Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
Ill Pool Bonding(4195) ® Temporary Power(4275) ® Service(4235)
Approved Approved Approved
By Date By Date By Date
i
® Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
1Final-Electrical(4055)
Approved
By clil...1._ Date c.,,—t 4o^17
E] Rough Electrical El Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
A.
RECEIVED
CITY OF
2017
fo
JUL 2 5 ELECTRICAL
Federal Way PERMIT APPLICATION
CITY COM UNITY DEV OPRAL MENT
PERMIT NUMBER / / _ 1 V t 5 ' .2 _ k. C�
SITE ADDRESS: g 801; 212) SUITE/UNIT/SPACE#
SIC ! 8 2ivD A 'E E w , f-EDERAL \AA1 , VA
PROJECTVALUATION ASSESSOR'S TAX/PARCEL# � � - � � � � CURRENT/PROPOSED USE
55c
PROJECT NAME
(Tenant or Homeowner Last Name) C HEW
f
PROJECT DESCRIPTION ie--e-e./0 AAA e_c p,),e4- •
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER X61 M'tIn q l,'en ( a I1) 6o- 1 g38
MAILING ADDRESS J Ql g 013-2121 E-MAIL
:31(18 4,21\1D 4vL SW , I-- DE 1 1- wAy.. voA ,'x01)13 .h u a l i 3 Q ictku o
CITY STATE ZIP FAX .f
c--1)t=RI}L . A- viv i s� )Iz ► ( ) -
NAME PRIMARY PHONE
(/ ) frQ/ ( ) -
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 0 ( V ( )
MAILING ADDRESS
E-MAIL
CITY STATE ZIP FAX
NAME ( ) PRIMARY PHONE '^�
PROJECT CONTACT _
...71J i CM M i r 1 Gkem ( 6141 ) 40 - .7
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: )z( it 6`1/601_, DATE 17)-(1-20 11
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