15-104874 Ati ... . .• . .,, . .
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Electrical
City of Federal Way
Community&Econ.Dev.Services Permit #: 15-104874-00-EL
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line:
Ph:(253)835-2607 Fax:(253)835-2609 p q (253) 835-3050
Project Name: CHOI
Project Address: 30305 6TH AVE S Parcel Number: 064310 0130
Project Description: NEW 200 AMP SFR, SQ FT 2917
Owner Applicant Contractor
WONJOON CHOI HERTZ ELECTRIC(ELECTRICAL 01) HERTZ ELECTRIC(ELECTRICAL 01)
HAEJIN CHOI 757 116TH ST S HERTZE*903K1(5/22/16)
30305 6TH AVE S TACOMA WA 98444 757 116TH ST S
FEDERAL WAY WA 98003 TACOMA WA 98444
Additional Permit Information
Is this an Online or O.T.C.application9 Yes Is Use Educational or Institutional? No
Electrical Fixtures
New Service: Residential 1
PERMIT EXPIRES Tuesday, March 22, 2016
Permit Issued on Thursday, September 24, 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: (59/
f
;
THIS CARD IS TO AIN ON-SITE ' '
CITY OF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 15-104874-00-EL Address: 30305 6TH AVE S
Project: WONJOON CHOI FEDERAL WAY, WA 98003-4014
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.
EIUFER Ground (4295) El Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By ) Date 1 25" I - By Date By Date
•
❑ Pool Bonding(4195) .0 Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
-..]By Date By Date By Date
Fj Feeders/Sub-panels(4045) ' ElRough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By q`,.A4/3 Date i2(4 ( 1 S-- By Date
Final-Electrical(4055)
Approved
Date "eG--/6
C Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
• II
CITY OF ,, ELECTRICAL
Federal Way PERMIT APPLICATION
RECEIVED
00
PERMIT NUMBER _ 4- 6 / _
4-
- - - - SEP 242015
SITE ADDRESS: C "' E WAY
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PROJECT VALUATION ASSESSOR'S TAX/ RCELCURRENT/PROPOSED USE
$ o )/ °1'� O C A k O _ 0 ( 3 O
PROJECT NAME ���a-� ^ b o�� c4101
(Tenant or Homeowner Last Name) r VU �V
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PROJECT DESCRIPTION a Lo r''1 Uo(
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER a V\ V Can C f t 0 ( ) -
MAILING ADDRESS E-MAIL
0205' K , S
CITT STATE ZIP FAX
PivO.. k u.)-- ---) (h) U\ Z' < ( )
NAME -� PRIMARY PHONE
-t-el -1 -Z- G� "V1c ( ) -
MAILING ADDRESS E-MAIL
ELECTRICAL ( S ti� (l 6 4)1 -7-d-- 7'-(')
CONTRACTOR
CONTRACTOR CITY STATE ZIP FAX
---(1)•-C2), C'k `'J& P �� - ( ) -
WA STATE CONTRACTOR'S LICENSE E IRATION DA FEDERAL WAY BUSINESS LICENSE#
�-f c—f x'17_.. f e t / /
NAME PRIMARY PHONE
APPLICANT
o C] ( )
MAILING ADDRESS E-MAIL
771 1, 6 41 C °
CITY STATE ZIP FAX
-r� cd Ll" C- V 7 - ( ) -
NAME PRIMARY PHONE
PROJECT CONTACT Cki O la f ( /) 9 �) I
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify thatthto 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:
a4.."?7:-----"‘"
DATE ? / /i
PRINT NAME: C� e� (�'/�✓� r
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application