15-104892 •
14
Electrical
City of Federal Wayqa—'4"
Community&Econ.Dev.Services ; f. Permit #: 15-104892-00-EL
33325 8th Ave S • 1
Federal Way,WA 98003 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 P q
Project Name: YU
Project Address:.,31714 5TH AVE S . . . Parcel Number: 794170 0380
•
Project Description: Replacing main electrical load center panel.
Owner Applicant Contractor
LIEN YU LIEN YU OWNER IS CONTRACTOR
317145TH AVE S 317145THAVES .
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
Additional Permit Information
Is this an Online or O.T.C.application9 Yes Is Use Educational or Institutional? No
Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 amps(F 1
PERMIT EXPIRES Saturday, March 26, 2016
Permit Issued on Monday, September 28, 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
f` d the City Federal Way.
Owner or agent:
1°4-1—L--- Date: Y )'
- • THIS CARD IS TO RE1.N ON-SITE
CITY OF '' Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT#: 15-104892-00-EL Address: 31714 5TH AVE S
Project: LIEN YU FEDERAL WAY, WA 98003-5205
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) 0 Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
O Pool Bonding(4195) ❑ Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
O Feeders/Sub-panels(4045) ' ❑ Rough Electrical (4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
❑ Final-Electrical(4055)
Approved
Date( ( (. /:r
1
Ell Rough ElectricalLI Final Electrical III Right of Way
Approved Approved Approved
By Date i By Date By Date
,
.ECEIVED
LECTRICAL
CITY OF 4 SEP 2 8 2015
Federal WayPERMIT APPLICATION
Cm, OF FEDERAL WAY
CDS /�
PERMIT NUMBER / 5 _ / V V l- "7 — 1 C
" 11 SUITE/UNIT/SPACE#
SITE ADDRESS: 3 iii k±I 4e 60 . r-ed e/ k)a�l 1,1*- ?Q 43
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# / CURRENT/PROPOSED USE
400 5 20 - c - a
PROJECT NAME / )
(Tenant or Homeowner Last Name) [_/e / (�
P.eD�Ge I.o yljG i pkr L 1 fa, 1�ris�e°�
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER ii-e4 7 ( 2 d) 4/01- lid,
MAILING ADDRESS E-MAIL
3/'7/14 SLfh (4y S u L S 32- Mil Ca.r
CITY STATE ZIP FAX
4Cre'-I ' i lac) J�
NAME ,T PRIMARY PHONE
MAILING ADDRESS EMAIL
ELECTRICAL
CONTRACTOR CITY STATE ZIP FAX
( )
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PRIMARY PHONE �2
APPLICANT L ' / 14 ( )0d) 4i- ?7017/
l Q l/
MAILING ADDRESS E-MAIL
3/ 2/4" Die So . YuLs321/ lS�YG�7oa•G/�)1
CITY ZIP
d e//!.i/ if/x}-/ /1/ t f-.1 6) ( ) FAX
PROJECT CONTACT L 1 ! PRIMARY PHONE j
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.
t � 3._ / c,
SIGNATURE: Z-e- ( F DATE , k.c
PRINT NAME: L r Sr, p,7\6.4
6.1
Bulletin#160-January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application