15-103343 S
RECEIVED
CITY OF „A.
JUL 1 0 2015 ELECTRICAL
Federal Way CITY OF FEDERAL WAY PERMIT APPLICATION
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PERMIT NUMBER _ 4:7 i �' /v _ 0
�(- �! '7 SUITE/UNIT/SPACE#
SITE ADDRESS: /06 S. 2'i3O,5 /e)z IZ L wn-y ce.O i(��
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE $
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PROJET
(Tenant or Homeowner Last Name) A' D/t)' 1'27/.-.4 LA-Ty N
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PROJECT DESCRIPTION 1
Detailed description of work to
be included on this permit only N
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NAME , 1 //�� J� q ,�,'$�N'*PHONE
PROPERTY OWNER l�iip itiie&0 /06.6 'eja.,4a , (!e -Qefirc, .
MAILING ADDRESS E-MAIL
Zo4°2 12442 Ave $ 1///0,12k276, 4J44”
CITY STATE ZIP FAX
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NAME PRIMARY PHONE ��
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MAILING ADDRES , / E-MAIL
ELECTRICAL L �► /,�'SA / ..-----
CONTRACTOR
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CONTRACTOR CITY / (/ y�Yil ({TE IP FAX
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WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
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NAME /// PRIMARY PHONE
APPLICANT p�LINO S^/&/-// () E-MAIL
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CITY STATE ZIP FAX
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NAME, PRIMARY PHONE
PROJECT CONTACT , //` L._, - Q ) ZTD_9W/
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: Ck V - .._ — DATE 1_77/1) f/
PRINT NAME: '.7111p Na,‘',1, 121•04 Liel
l y
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application
! 0
Electrical
City of Federal Way
Community&Econ.Dev.Services Permit #: 15-103343-00-EL
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: NGONEVOLALATH
Project Address: 106 S 293RD ST Parcel Number: 720250 0120
Project Description: New construction for single family home.
' Owner Applicant Contractor `
THIP&NICOLE NGONEVOLALATH THIP NGONEVOLALATH OWNER IS CONTRACTOR
2002 62ND ST SE 2002 62ND ST SE
AUBURN WA 98092 AUBURN WA 98092
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Electrical Fixtures
New Service:Residential 1
PERMIT EXPIRES Sunday, July 10, 2016
Permit Issued on Friday,July 10,2015
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
Ov'
, and the City of Federal Way. //'
Owner or agent: L Date: ��;/ //X
7,3/-_,64,5 = �0 7 b ' / CY- L�✓rrrv.�/ > /i,, //t)4: .
pvt/l-
Rt IVB
MAY 032016
CITY OF FEDERAL WAY
CDS
,ANS, exam tilLECTRICAL
CITY OF .x
Federal Way MAY 03 2016 PERMIT APPLICATION
CITY OF FEDERAL WAY
CDS PERMIT NUMBER
' SUITE/UNIT/SPACE#
SITE ADDRESS: , 7I 5 2 g3 5 F6,Da G 7',71..„,-A j'rvv l
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ 5-PL)G; -
PROJECT NAME J �J / �I
(Tenant or Homeowner Last Name) /V�p�`� ��T ��
5/j21 .4.14/7.4 L
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME / PRIMARY PHONE
PROPERTY OWNER 74✓/✓�4-1.diCG7/6 /U60.t) 1 ' (24S1 ,..52..:
MAILING ADDRESS E-MAIL
iz-25/ 69490
CITY STATE ZIP FAX
ice-.//t/1-11 4/1 L712- (3t4r�) 5 27 3
NAME PRIMARY PHONE
A-'1LC4 y a. 7I ( 2-7
MAILING ADDRESS , r E-MAIL
ELECTRICAL 41.5- Al �G'N66L-Y j
CONTRACTOR CITY STATE ZIP FAX
i3L�cv y wry 32/ ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS ICENSE#
/�TCGr2Y6-G4) 241-4
NAME PRIMARY PHO
APPLICANT l/ i,�`' 41.Ce7Z /1.) 17A/ -
MAILING ADDRESS E-MAIL
2 � D 51
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 Iocal, 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: �--- DATE /7:/9 /i 6
PRINT NAME: 'f///0 Ala DA,,-6 -,4..„4/4--7?-7
Bulletin#160—April 14,2016 Page 1 of 1 k:AHandouts\Electrical Permit Application
Electrical
City of Federal Way 15-103343-00-EL
Community&Econ.
D
Services #:
33325 8thth Avee Permit
SFILE
Federal Way,WA 98003
Ph:(253)835-2607 Fax(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: NGONEVOLALATH
Project Address: 106 S 293RD ST Parcel Number: 720250 0120
Project Description: New construction for single family home.
Owner Applicant Contractor
THIP&NICOLE NGONEVOLALATH THIP NGONEVOLALATH MCCOY ELECTRIC&COMM INC
2002 62ND ST SE 2002 62ND ST SE MCCOYEC924KZ(5/9/18)
AUBURN WA 98092 AUBURN WA 98092 9211 227TH AVE E
BUCKLEY WA 98321
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Electrical Fixtures
New Service:Residential 1
PERMIT EXPIRES Sunday, July 10, 2016
Permit Issued on Friday,July 10, 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
and the City of Federal Way.
Owner or agent: ONLINE Date:
T1kO NA
CiGCJb
Electrical
Community
City of&Econ.[Federaev.Sl Way Permit #: 15-103343-00-EL
ervices
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 F LEInspection Request Line: (253)835-3050-
Project Name: NGONEVOLALATH
Project Address: 106 S 293RD ST Parcel Number: 720250 0120
Project Description: New construction for single family home.
Owner Applicant Contractor
THIP&NICHOLE NGONEVOLALATH THIP NGONEVOLALATH OWNER IS CONTRACTOR
2002 62ND ST SE 2002 62ND ST SE
AUBURN WA 98092 AUBURN WA 98092
Additional Permit Information
Is this an Online or O.T.C.application'? Yes Is Use Educational or Institutional' No
Electrical Fixtures
New Service:Residential 1
PERMIT EXPIRES Wednesday, January 6, 2016
Permit Issued on Friday,July 10, 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
and the City of Federal Way.
Owner or agent Date: 1� /G>�/
• THIS CARD IS TO REMAIN ON-SITE • • y
�,n OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 15-103343-00-EL Address: 106 S 293RD ST
Project: THIP & NICHOLE NGONEVOLALA1 FEDERAL WAY, WA 98023
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) El Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Vt Date 714h5- By lti.ry Date G--( to( i V By Date
o Pool Bonding(4195) 0 Temporary Power(4275) '❑ Service(4235)
Approved Approved Approved
By Date By Date By Wi, Date 5-1 i 0 it,
.0 Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ,1:1 Ceiling Cover(4020)
Approved Approved Approved
By Date By 1,14i Date 15 I t o (It, By Date
o Final-Electrical(4055)
Approved
By PArb Date to[ti I t'1
❑ Rough Electrical El Final ElectricalEl Right of Way
Approved Approved Approved
By Date By Date By Date