17-105201 N
Electrical
City of Federal Way Permit #:17-105201-00-EL
Community 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: KIM
Project Address: 33838 35TH AVE SW Parcel Number: 536020 0052
Project Description: Install electrical wiring for new entry electric gate in driveway
Owner Applicant Contractor
SU KIM SU KIM OWNER IS CONTRACTOR
33838 35TH AVE SW 33838 35TH AVE SW
FEDERAL WAY WA 98023 FEDERAL WAY WA 98023
USA USA
Additional Permit Information
Is this an Online or O.T.C.application? Yes
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Low Voltage-Other(Resident 1
PERMIT EXPIRES Saturday,27 October,2018
Permit Issued on Friday,October 27,2017
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
Washi gton and the City of Federal Way.
Owner or agent: 2 i' ,� Date: L% ,t) .7 /
/ 7-
THIS CARD IS TO REMAIN ON-SITE
Construction In
Federal Waspectlon Record
y INSPECTION REQUESTS: (253)835-3050
PERMIT#: 17 105201 00 Address: 33838 35TH AVE SW
Project: SU CHOI KIM 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.
® UFER Ground(4295) 0 Ditch cover(4030) ® Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
❑ Pool Bonding(4195) al Temporary Power(4275) ® Service(4235)
Approved Approved Approved
By Date By Date By Date
® Feeders/Sub-panels(4045) El Rough Electrical(4225) ® Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
ti__.
1E. Final-Electrical(4055)
Approved
By ' t ta,;�: Date I . - D 1 ....1-7
El Rough Electrical ❑ Final Electrical0 Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED ELECTRICAL
CITY OF '
Federal Way OCT 2 2017 PERMIT APPLICATION
CITY OF FEDERAL WMY I7- I G 5 z 0 1 0 0
COMMUNITY DEVELOPMENT
PERMIT NUMBER _ _
I l
SUITE/UNIT/SPACE#
SITE ADDRESS: �3 3 !� // v SW , Fr e,rail Wye, to `�$O.L3
PROJECT VALUATION ASSESSOR'S TAX/PAROCEL ii �� O � �� CURRENT/PROPOSED USE
$ ;it 0 . Cc (/f( -
PROJECT NAME
(Tenant or Homeowner Last Name) K I Wi
liomt Dr;\IN> "l&rtfr,`c gates
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER S u. C h o o K ► U] (.,LS 3 ) -9/5 - cI� ?L/
MAILING ADDRESS E-MAIL
33838 354'11 A-ve SW Kjobd1ds006/Jna.,( .Coit
CITY STATE ZIP FAX
Federal'l' Way lt,A qls., t i. 3 ( )
NAME PRIMARY PHONE
Si,t CIU ( I' i iii (25-3 ) 31 - (-I4--1c1
MAILING ADDRESS E-MAIL
ELECTRICAL
CONTRACTOR CITY STATE ZIP FAX
( )
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME I �/ PRIMARY PHONE
APPLICANT
CIA C/1,0 I K r?111 ( 3 ) -:3t 5 - ciq-3V
MAILING ADDRESS E-MAIL
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 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/p of this application.cla' ), which may be made by any person, including the undersigned, and filed against the city,
but only where such claim arises out the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a
SIGNATURE: r , 7� DATE /0/2,7 / / 7
PRINT NAME:
Bulletin#160—April 14,2016 Page 1 of 1 k:AHandouts\Electrical Permit Application