14-104539 c Electrical
City of Federal Way Permit #: 14-104539-00-EL
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253
)835-3050Ph:(253)835-2607 Fax:(253)835-2609
FILE
Project Name: COONTZ
Project Address: 29211 7TH PL S Parcel Number: 515270 0060
Project Description: Rewiring for 450 square foot remodel.
Owner Applicant Contractor
MICHAEL COONTZ CHIN'S ELECTRIC LLC CHIN'S ELECTRIC LLC
29211 7TH PL S 34102 13TH PL SW CHINSEL908BD(1/6/16)
FEDERAL WAY WA 98003 FEDERAL WAY WA 98023 34102 13TH PL SW
FEDERAL WAY WA 98023
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional' No
Electrical Fixtures
Alt.Serv./Feeder:0 to 200 amps(F 1
PERMIT EXPIRES Tuesday, March 3, 2015
Permit Issued on Thursday, September 4, 2014
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 ill.", Date: .1/.//')t^
•
4
•
THIS CARD IS TO IN ON-SITE ,
CITY OF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 14-104539-00-EL Address: 29211 7TH PL S
Project: MICHAEL COONTZ FEDERAL WAY, WA 98003-3608
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.
0 UFER Ground (4295) ❑ Ditch cover(4030) `❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
El Pool Bonding(4195) El Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date •
.El Feeders/Sub-panels(4045) �0 Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
`By Date ------By -- - Da _ m4 By Date
0 Final-Electrical(4055)
Approved
By a Date 6 8....„s
Rough Electrical CI Final Electrical Right of Way
Approved Approved Approved
By " Date By Date By Date
f
RECEIVED
k.".P41P42014
CITY OF E C TRIGAL
Federal Way crr''' OF FEDERAL WAY PERMIT APPLICATION
PERMIT NUMBER / 9 _ / / / lif S 7J _ L-
' SUITE/UNIT/SPACE#
SITE ADDRESS:
,2�� 17 7."7k
�L � S�
PROJECT VALUATION ASSESSOR'S TAX/PARC # CURRENT/PROPOSED USE
PROJECT NAME / L.
(Tenant or Homeowner Last Name) 29,2 / l t f ( V
450f ' l&-Nviel
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
Ni P Y PHONE
PROPERTY OWNER �) V.5/— ?g 7i
MAILING ADDRESS E-MAIL
I1 (0 Sakti, 4s
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
it 1:/6 1) s ' (
4 � 73 3C&
MAILING ADDRESS E-MAIL
ELECTRICAL 3'//o 2 /P PL , -Ceti
CONTRACTOR CITY STATE ZI FAX
r:elks ifs- ��?� (2-9 2.3C- 53/ 6
WA STATE CONTRACTOR'S LIC SE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
aH/A)sEc.9� 8-94 / / 6 //6
NAME ,e�1 �( PRIMARY PHONE
APPLICANT ` //f(" SLI r ` "M ( )
MAILING ADDRESS E-MAIL
(—CO $& •s em
CITY - STATE ZIP FAX
( )
NAME PRIMARY PHONE
PROJECT CONTACT
Off z-cvr /� (4,. LarL3)g-61S-33w-
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: c--� DATE I/9/X
PRINT NAME: .1 / k//11
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Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Applicatioxi