16-100866.- 0
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: LAU
Project Address: 3830 SW 331ST ST
Project Description: 0-200 AMP SERVICE CHANGE OUT
0
Electrical
Permit #: 16 -100866 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 873213 1380
Own
Al2RIicant
Contractor
MARK LAU
E G ELECTRICAL CONTROL
E G ELECTRICAL CONTROL
3830 SW 331ST ST
PO BOX 58984
EGELEC*OOOOR (9/19/16)
FEDERAL WAY WA 98023
RENTON WA 98058
PO BOX 58984
RENTON WA 98058
Additional Permit Information
Electrical Work Valuation?....................................1500.00 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 Thursday, February 16, 2017
Permit Issued on Wednesday, February 17, 2016
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: /6
THIS CARD IS TO' 'MAIN ON-SITE
CITY 6F � +- -
CITYFFederal WayConstruction In ction Record
INSPECTION REQUE TS: (253) 835-3050
PERMIT #:
Project:
16 -100866 -00 -EL
MARK LAU
Address: 3830 SW 331 ST ST
FEDERAL WAY, WA 98023-2637
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.
❑ Pool Bonding (4195) ® Temporary Power (4275) ® Service (4235)
Approved Approved Approved
By Date By Date By Date
® Feeders/Sub-panels (4045) Rough Electrical (4225) Ceiling Cover. (4020)
Approved Approved Approved
By Date By Date By Date
El
Final - Electrical (4055)
Approved
By Date
Rough Electricalal F,lectrical Right of Way
Approved Approved Approved
By Date By mate By' Date
UFER Ground (4295)Ditch
cover (4030)
Slab/Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
❑ Pool Bonding (4195) ® Temporary Power (4275) ® Service (4235)
Approved Approved Approved
By Date By Date By Date
® Feeders/Sub-panels (4045) Rough Electrical (4225) Ceiling Cover. (4020)
Approved Approved Approved
By Date By Date By Date
El
Final - Electrical (4055)
Approved
By Date
Rough Electricalal F,lectrical Right of Way
Approved Approved Approved
By Date By mate By' Date
CITY OF 'A
Federal Way
PERMIT NUMBER
ELECTRICAL
PERMIT APP NNON
0 0 0 FEB 17 2016
CITY OF FEDERAL WAY
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SITE ADDRESS:
SUITE/UNIT/SPACE #
PROJECT VALUATION
.Y
ASSESS TA&PARCEL#k� � -
((�J Z
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CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAMEn ,�� {� �� ���
Vl(
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.PRIMARY PHONE
( ) -
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
ELECTRICAL
CONTRACTORaG
NAME /'
PRIMARY PHONE
MAILING ADDRESS p+-
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EMAIL
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ZIP �
FAx
WA STATE CO/N'TRAC O ' ICENSE # EXPIRATION DATE
v
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME
PRIMARY PHONE
( )
MAILING ADDRESS
E-MAIL
CITY
STATE I
ZIP
/ FAX
1 ) -
PROJECT CONTACT
NAME
Del yxo
PRIMARY PHONE
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 apart of this ap ca ion.
SIGNATURE:
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