15-101530 d. Electrical
City of Econ.
Way Permit #• 15-101530-00-E L
Community& con.'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: DAFFODIL STO G -
Project Address: 34202 16TH AVE S Parcel Number: 212104 9017
Project Description: install wiring for remodeled office space and new lights in storage area.
**Updated permit to include repair of conduit for exterior sign.**
Owner Applicant Contractor
SUN DO CHUNG MATT BERQUIST BERQUIST ELECTRIC INC
LIM(TR)YOUNG 16720 224TH AVE E BERQUEI920M5(7/28/16)
25420 39TH PL S ORTING WA 98360 PO BOX 1993
KENT WA ORTING WA 98360
98032
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Service greater than 999 Amps? No
Electrical Fixtures
Circuits-CommerciaL 12
PERMIT EXPIRES Saturday, September 26, 2015
Permit Issued on Monday, March 30, 2015
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
(�,, p and the City of Federal Way.
Owner or agent t`�1 re \ -eJ1Ny\ , —71 ` 15— Date:
p/fr4
%
THIS CARD IS TO REMAIN ON-SITE . , _
cm OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 15-101530-00-EL Address: 34202 16TH AVE S
Project: SUN DO CHUNG FEDERAL WAY, WA 98003-6801
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) El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By {M13 Date 1 I vel ( 5- By Date
O Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
O Feeders/Sub-panels(4045) El Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date By ��N "? C
Date , ` ,....;31 �,t,‘ . By Date
•
GI Final-Electrical(4055) iii
Approved
`- Dateq_g_ CC
0 Rough Electrical El Final ElectricalEl Right of Way
Approved Approved Approved
By Date By Date By Date
•
-_ RECEIVED
clrve,F y IL MAR 3 0 2015 ELECTRICAL
Federal Way CITY of FEDERa� waY PERMIT APPLICATION
j CDS
PERMIT NUMBER /5 _ /
/ 3 _ E L
SUITE/UNIT/SPACE#
SITE ADDRESS: ?-\ o \ 2„..14-, fP.vt 6 _ q��\ �0,u1
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# J J CURRENT/PROPOSED USE
$ 2 / .2 r a y - gi o //// 7
PROJECT NAME
(Tenant or Homeowner Last Name) Ock4OrCJ 1 t C .(-•
1�\ ,._!,('l r- cg-c-►Ge. r �
v c)r\
PROJECT DESCRIPTION `A21W ‘1:5/^3c`, b c 5k�a� ` ("47-(N
Detailed description of work to `�
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER 0aWnt 1` GA aCaJ , ( 2G3)(,' 4 - 03
MAILING ADDRESS E-MAIL
3k-k?A Z ll; -Fkn aktL S
CITY STATE ZIP FAX
CP.Je1U` W�� 14)0,\ ( ) -
NAME PRIMARY PHONE
k..-4- i ke.��rl L (Zs3) Z\Z- 5054I
MAILING DRESS E-MAIL
ELECTRICAL PO fix, l°1r13
CONTRACTOR CITY STATE ZIP FAX
dt}i 00,‘ L) °1%b3 O ( ) -
WA STATE CON ACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
t3 ..R a o zz.ck21>'M5 -1- 25 /i6
NAME PRIMARY PHONE
APPLICANT
Same__ as Cor ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP 'FAX
( ) -
NAME PRIMARY PHONE
PROJECT CONTACT ek a3-6-3\,,-k- (,ts3 )( 1 - 031.S
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.
/0
SIGNATURE: it,'Fa_ 1111 ' it 1)LY` DATE 3."' ,.,>"*.\S
PRINT NAME: 11 Wtk}- a(Srtyi`
Bulletin 14160-January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application