17-104705 _. •
Electrical
Cityryv t Permit #:17-104705-00-ELC
Community .
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: MADERA WEST CONDOMINIUMS BLDG D UNIT 102
Project Address: 31500 33RD PL SW Parcel Number:500790 0260
Project Description: 100 AMP panel change and outlets for kitchen island
Owner Applicant Contractor
KANGHEE LEE NW ELECTRIC SERVICES INC NW ELECTRIC SERVICES INC
31500 33RD PL SW UNIT D102 32419 3RD AVE SW NWELEES925DL(3/30/18)
FEDERAL WAY WA FEDERAL WAY WA 98023 32419 3RD AVE SW
USA
FEDERAL WAY WA 98023
Additional Permit Information
Is this an Online or O.T.C.application? Yes
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Alt.Srvc/Feeder 0 to 200 ami 1 Circuits-Residential 1
PERMIT EXPIRES Tuesday,2 October,2018
Permit Issued on Monday,October 2,2017
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 ag . � Date: /d —002 —a?V
004THIS CARD IS TO REMAIN ON-SITE
Fecleraf Wa Construction Inspection Record
INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 104705 00 Address: 31500 33RD PL SW Unit D-102
Project: KANGHEE LEE FEDERAL WAY WA 98023-5915
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 tight,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.
0 UFER Ground(4295) 0 Ditch cover(4030) 3❑ 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 By Date By Date
7❑ Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
El Final-Electrical(4055)
Approved
By t1, Date t o --1',
•
•
-
El Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED ELECTRICAL
art OF
Federal Way OCT 0 2 2017 PERMIT APPLICATION
CITY OF FEDERAL WAY 17" 04- 7-0150D
COMMUNITY DEVELOPMENT PERMIT NUMBER
SUITE/UNIT/SPACE#
SITE ADDRESS: 3/ ....
(y U 3 r dl (a� `-_ / p 10.2_
l
PROJECT VALUATION ASSESSOR'S TAX/PARCEL0 - O O CURRENT/PROPOSED USE
PROJECT NAME ��T CONi>0' ' , l
(Tenant or Homeowner Last Name) t1 A>C A W�J�1 1 /A) V!IS
tfi . tie-.e.aK'e r G k aQ,,,,. .SZ� 10 0 A-11P
PROJECT DESCRIPTION t �i'��1�^ 8 "'- < < 5(4, ) steer/
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER Chi i�� T ..e. slot", ( ) -
MAILING ADDRESS / E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
4/!,.7 �e-CrR(C ,s'ERI/l C 6 5 eiv Q----
MAILING
---MAILING ADDRESS E-MAIL " 4 444,-/
ELECTRICAL 7�'�1 7 3 roi 18.(/ z 5k) e nett l..r' ,
CONTRACTOR cr." STATE ZIP FAX
(4.e.1 e.r4 ra -A co A9- y„f-,o 2.5 ( )
WA STATE CONTRACTOR'S ENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
N kJ a i (424-p
NAME(�. PRIMARY PHONE
APPLICANT
(.4/2r,.2_ K, ( ) -
MAILING ADDRESS �/J E-MAIL
cc i . rd
STATE ZIP FAX
Wa-v— 11264' fe 2?
NAME PRIMARY PHONE
PROJECT CONTACT - ee,4* ) 56/ -- e6
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 o this application.
411/
SIGNATURE: ��� DATE (O — a 2 ,-O t
PRINT NAME: -e �r
Bulletin#160-April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application