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13-101449 Electrical City oa Federal Way . Community&Econ.Dev.Services Permit #: 13-101449-00-EL 33325 8th Ave S Federal Way,WA 98003 Ins ection Request Line: (253) 835-3050 Ph:(253)835-2607 Fax:(253)835-2609 p q Project Name: AGATE AFH Project Address: 2635 SW 335TH CT Parcel Number: 132103 9080 Project Description: Adding/altering up to(4)circuits for new outlet and smoke detector Owner Applicant Contractor ZHU HONG ZHU HONG OWNER IS CONTRACTOR AGATE ADULT FAMILY HOME AGAPE ADULT FAMILY HOME 2635 SW 335TH CT 2635 SW 335TH CT FEDERAL WAY WA 98023 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 Circuits-Residential 4 PERMIT EXPIRES Wednesday, September 25, 2013 Permit Issued on Friday, March 29, 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 ti ---- : City of F-s- al Way. Owner or agent: Date: , 441....„1, THIS CARD IS TO REMAIN ON-SITE CITY OF ` • Construction Infection Record Federal Way INSPECTION RE UESTS: (253) 835-3050 Y Q PERMIT#: 13-101449-00-EL Address: 2635 SW 335TH CT Project: ZHU HONG FEDERAL WAY, WA 98023 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) ❑ Ditch cover(4030) ❑ Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date • O Pool Bonding(4195) El Temporary Power(4275) ❑ Service(4235) Approved Approved Approved By Date By Date By Date ❑ Feeders/Sub-panels(4045) 0 Rough Electrical(4225) ❑ Ceiling Cover(4020) Approved Approved Approved By Date By Date yk._ 1 1'22) , By Date O Final-Electrical(4055) Approved B ' _ _ ate --Z, 3—i ❑ Rough Electrical Final ElectricalCI Right of Way Approved Approved Approved By Date By Date By Date 41/4 11111, EL CTRICAL CITY OF < '' . Federal Way PERMIT APP fAgTA OST R��I�E PERMIT NUMBER , - 01 4- 6T, _ © O MAR 2 9 2013 CITY OF FEDERAL WAY SITE ADDRESS: P" /jY '2 L.7±6, /' (-_ _.. Y/>'� ri/t v; ?3 ;� suITE/u rrACE G� 11! J PROJECT VALUATION ASSESSOR'S TAX/PARCEL# � � - � O � CURRENT/PROPOSED USE $ PROJECT NAME )4 GA 7L /� FH- (Tenant or Homeowner Last Name) j �C 5 4A.ri(%'P iv'y'�C e: `.(-C/.k,,r r e PROJECT DESCRIPTION ./ t 6 +'�5 Detailed description of work to be included on this permit only NAME �, PRIMARY PHONE PROPERTY OWNER I� lv �=� ( ,z-a) 4 6 O--1 3‘g MAILING ADDRESS E-MAIL CITY STATE ZIP FAX fed-erd 1,(74e-1 wk ?(-6.25 ( Ar ( ,) ...6--:i r, - .2,?'i r I NAME PRIMARY PHONE G'wlA ( �7 ) Y> i -6C`gg" MAILING ADDRESS E-MAIL ELECTRICAL CONTRACTOR CITY STATE ZIP FAX ( ) _ WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# / / NAME PRIMARY PHONE .141 APPLICANT 2/IAA ( ) ;�z f MAILING ADDRESS � E-MAIL l�// CITY_ A STAT5, ZIP d z FAX r� G✓ L 4 C)) ( 2�)) r j a_ % 1 ( NAME PRIMARYPHONE PROJECT CONTACT ^ ^ `� 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 oft ' •.plication. SIGNATURE: ��q f� DATE 0 j _ PRINT NAME: r°�l i(,‘ Bulletin#160—January 1,2013 Page 1 oft k\Handouts\Electrical Permit Application