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16-101080 l E1 ' ca City of Federal Way Community&Econ.Dev.Services Permit #: 16-101080-00-EL 33325 8th Ave S •t Federal Way,WA 98003 Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050 Project Name: LONG Project Address: 31008 20TH AVE S Parcel Number: 053700 0593 Project Description: 200 amp service and wiring for new single family residence Owner Applicant Contractor LONG VAN PHAN LONG VAN PHAN OWNER IS CONTRACTOR 31000 20TH AVE S 31000 20TH AVE S FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 Additional Permit Information Electrical Work Valuation9 5000.00 Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No Electrical Fixtures New Service: Residential 1 PERMIT EXPIRES Thursday, March 2, 2017 Permit Issued on Wednesday, March 2, 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 age . / Date: -2,- Ze i-C THIS CARD IS TO REMAIN ON-SITE CITY OF` ' Construction Inspection Record Federal Way INSPECTION REQUESTS: (253) 835-3050 PERMIT#: 16-101080-00-EL Address: 31008 20TH AVE S Project: LONG VAN PHAN FEDERAL WAY, WA 98003 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. El UFER Ground (4295) ❑ Ditch cover(4030) ❑ Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date 01,1 6 By Date By Date o Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235) Approved Approved Approved By Date `By Date `By C- ✓v � -� Date a3 %_) h ❑ Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) - ❑ Ceiling Cover(4020) Approved Approved Approved By Date By Date 6 —3 11_ 1 , By Date 0 Final-Electrical(4055) Approved By .„1 Dateci , 1 Q-1 k, • El Rough Electrical Final Electrical El Right of WayApproved Approved Approved By Date By Date By Date CITY OF 1 ELECTRICAL Federal Way PERMIT APP ION PERMIT NUMBER I - ( o 1 0 6 0 _ (3 0 MAR 0'2 2016 CITY OF FEDERAL WAY SUITE/UNIT/SPACE# SITE ADDRESS: 3/(f'Og - rt'1,2_ S , ' .-40.,-,1u),,,-7 PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE s 5 .�—— 0 5- 3 1- tz - v 5 3 a Air,p PROJECT NAME 1-0-71d �� L (Tenant or Homeowner Last Name) /d /la+. P-9,---SI C& •V PROJECT DESCRIPTION )71 ( h02._ ( - T Fj `ict Detailed description of work to /// be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER L-© Mct- p-H-e , (' 9 ) - f r- g772- MAILING ADDRESS G/ E-MAIL . / / o - CITY STATE ZIP FAX �, rdki 0-- 7>O ( ) - NAME \ PRIMARY PHONE 1-c,,-)C-- 1-/A-A-1( ou)/L-r- LE)fr�v q ( ) - MAILING ADDRESS � E-MAIL ELECTRICAL .--e-__ -.-$ e ) 9 f e r CONTRACTOR CITY STATE ZIP FAX ( ) - WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# / / NAME PRIMARY PHONE APPLICANTAta — G251 ) / S � MAILADDRESS E-MAIL /04--/ --.• S. (`—c- C fl & S • .6014 gden2.Ca I. CITY STATE ZIP G F �l /a...c-trm �!l- 776/6 Cf5___— ( ) - NAME PRIMARY PHONE PROJECT CONTACT /e ucL /-4m R7 '/ - 5S0 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 Iaws. 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 \ DATE J 2 �/h PRINT NAME: moi% ' Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application