13-100138 • • Electrical
City of onDev.
FederalWay Permit #: 13-100138-00-EL
Community&Econ. Services
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph (253)835-2607 Fax (253)835-2609
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Project : 420
Project AddressName: 28XU
809 23RD AVE S Parcel Number: 422250 0050
Project Description: Replace 0-200 amp service and meter base
Owner Applicant Contractor
RENDING XU S M P ELECTRICAL SERVICES S M P ELECTRICAL SERVICES
28809 23RD AVE S 16915 SE 272ND ST SMPELES937K1(6/8/13)
FEDERAL WAY WA COVINGTON WA 98042 16915 SE 272ND ST
COVINGTON WA 98042
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 Mast or Meter Repair(Residential/ 1
PERMIT EXPIRES Tuesday, July 9, 2013
Permit Issued on Thursday, January 10, 2013
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: /-1,e,—/
n
C/41//3
THIS CARD IS TO MAIN ON-SITE
CITY of 1 � •
Construction In ection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 13-100138-00-EL Address: 28809 23RD AVE S
Project: RENDING XU FEDERAL WAY, WA 98003-7922
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 LIFER Ground (4295) 0 Ditch cover(4030) El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
O Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date Bye L1J-, Date _ i)-.9
❑ Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
O Final-Electrical(4055)
Approved
By C k.._ Date 0 ,.,(7_13
❑ Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
41111
Iii. ELI, CTRICAL '
CITY OF ° ,,.
Federal Way PERMIT APP ON
PERMIT NUMBER l 3 _ ) O `/ ( 38- 00 JAN 10 2013
CITY OF FEDERAL WAY
SITE ADDRESS: rd surimiu nsAcE#
a��a� a Ave.S. !- ct t wcc
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PROJECT 5-VALUATION e O ASSESSOR'S TAX/PARCEL# - O CURRENT/PROPOSED USE
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PROJECT NAME l �' `
(Tenant or Homeowner Last Name) v
tOtce t;3 c4I.K0 PC1Ile,' aLCL arc./-,Y 130 5€
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER V'lA1 v_V X U (�5'5) 320-6114S
MAILING ADDRESS E-MAIL
CITY_ STATE ZIP FAX
-,ec��e, l c, t �- 40"C) 3 ( ) -
NAME PRIMARY PHONE
>vl4e E-(eJri°ca( ,rutt e' (26-3)6,, -.5-66,5-
MAILING
ADDRESS E-MAIL
ELECTRICAL l64l6— 7) — 5' v12 100-�C O
CONTRACTOR CITY STAT ZIP FAX
WSTATE CONTRACTOR'S LICENSE# 4101-1;-IODATE FEDERAL WAY BUSINESS LICENSE#
S e Le Sc1_3`7 K-1- 6/� / 13 _
NAME ,�,- PRIMARY PHONE . _.
APPLICANT c;i� { Pc k v5� ( ) —
MAILING ADDRESS E-MAIL
24-6,e.- et..5 L,w t--✓le, 1-ar
CITY STATE ZIP FAX
( ) -
PROJECT CONTACT
NAM q/Os l )3 ►'eI. e., ( ) 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 • a part of this application.
SIGNATURE: / DATE
PRINT NAME: /
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application