15-101683 • • Electrical
City of FeWay Permit #: 15-101683-00-EL
Community&Econ.on.Dev.Services
33325 8th Ave S
Federal Way,WA 98003I LE
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
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Project Name: PRANGE
Project Address: 28701 20TH AVE S Parcel Number: 422200 0390
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Project Description: 0-200 amp service changeout and (1)circuit for-acklitiett Gp
Owner Applicant Contractor
JAMES PRANGE CHIN'S ELECTRIC LLC CHIN'S ELECTRIC LLC
28701 20TH AVE S 34102 13TH PL SW CHINSEL908BD(1/6/16)
FEDERAL WAY WA 98003 FEDERAL WAY WA 98023 34102 13TH PL SW
FEDERAL WAY WA 98023
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 Circuits-Residential 2-
PERMIT EXPIRES Monday, October 5, 2015
Permit Issued on Wednesday, April 8, 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 Feder�_Way.
Owner or agent: Date: yA-As
• THIS CARD IS TO'MAIN ON-SITE
CITY of '� ,__, Construction Insj�ection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT#: 15-101683-00-EL Address: 28701 20TH AVE S
Project: JAMES PRANGE FEDERAL WAY, WA 98003-3234
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.
UFER Ground (4295) 0 Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
0 . 0 ` .
❑ Pool Bonding(4195) El Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) ❑ Rough Electrical (4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
0 Final-Electrical (4055)
Approved
By Date t} f(o I iS.-
P
ElRough Electrical Final Electrical P Right of Way
Approved Approved Approved
By Date By Date By Date
'A
E CTRICAL
CITY OF
• Federal Way PERMIT APPLICATION
' PERMIT NUMBER 5 _ �./ I _ 00
APR 08
2015
SITE ADDRESS: 2 '7 0 I •,2.O ILs cs s CDS
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# Q Q ^ ^ CURRENT/PROPOSED USE
PROJECT NAME r�, �y
(Tenant or Homeowner Last Name) -I K'1-1A)
(- 700 14-1 P . 1 0- e 1-(rxfs'Ti' )
PROJECT DESCRIPTION NsCi' 4` 0
Detailed description of work to (,�444.e, .• , : • 1/
be included on this permit only ( fff
NAME PRIMARY PHONE
PROPERTY OWNER .' f niSS GA IL P' i/t)(-Z7 (2 3) 3f ! 73
MAILING ADDREE-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
/4) 1- C 1 C C7UZ1 C L Lc (M) _ 5
334
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MAILING ADDRESS f� / E-MAI
ELECTRICAL i��� .� S C�� ll,� l�ffti�1z� 1��
CONTRACTOR CITY STATE ZIP FAX r CT 0 I
( L t �, C)� ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME � r--, PRIMARY PHONE
APPLICANT 7/I) S L 1 ( LL ( ) -
MAILING ADDRESS E-MAIL
<, s� SSI ——P
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
PROJECT CONTACT j/IA) Cr ,L//M (2,S3) .--2S----33 Cr
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. '7
SIGNATURE: DATE 1-(7 ( ( t
r
PRINT NAME: 4 r ' 0 `�
Bulletin#160—January 1,2013 Page 1 of 2 k:\J landouts\Electrical Permit Application