16-102287 A
• • Electrical
City ofEco .D Way Permit #: 16-102287-00-E L
EM'Community Dev.Services
33325 8th Ave S
Federal Way,ax ssoo3 Inspection Request Line: (253) 835-3050
• Ph:(253)835-2607-Fax:(253)835-2609 p q
Project Name: KONG
Project Address: 28817 28TH PL S - Parcel Number: 042104 9251
Project Description: Replace meter socket and latch.
Owner Applicant Contractor
THEODORES T KONG THEODORES T KONG OWNER IS CONTRACTOR
3925 S 188TH ST 3925 S 188TH ST
SEATAC WA 98188-5081 SEATAC WA 98188-5081
Additional Permit Information
Electrical Work Valuation? 50 Is this an Online or O.T.C.application? Yes
Is.Use Educational or Institutional? No
•
Electrical Fixtures
Mast or Meter Repair(Residential! 1
PERMIT EXPIRES Friday, May 12, 2017
Permit Issued on Thursday, May 12, 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: -5 / 2_, /
.N. THIS CARD IS TO MAIN ON-SITEA ' -
CITY OF ;. - 0 Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 16-102287-00-EL Address: 28817 28TH PL S
Project: THEODORES T KONG FEDERAL WAY, WA 98003-7901
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) ❑ Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
o Pool Bonding(4195) ❑ Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
.-... .
'El Feeders/Sub-panels(4045) 0 Rough Electrical(4225) - Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
Final-Electrical(4055)
Approved
By C'a .
` Rough Electrical Final Electrical El Right of Way
El
Approved Approved Approved
By Date By Date By Date
21/4 al, RECEIVED
ELS C'TRI CAL
CITY OF MAY 1
Federal Way PERMIT A2 2016PPLICATION
CITY OF FEDERAL WAY
CDS j / 7
PERMIT NUMBER _ f z,. '{ -
C
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SUITE/UNIT/SPACE#
SITE ADDRESS: � j �e/�Q
PROJECT VALUATION L ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ 4. (� / - Z 5
PROJECT NAME
(Tenant or Homeowner Last Name)
9(ike)-1
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME , PRIMARY PHONE
PROPERTY OWNER / �� 101%,J ( � �� �/2
MAILING ADDRESS ° E-MAIL
CI 9'9' � 9 68 E ZIP l"e `� AX I
7 I NAME PRIMARY PHONE
(%fr ( ) -
MAILING ADDRESS E-MAIL
ELECTRICAL
CONTRACTOR CITY STATE ZIP FAX
( )
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PRIMARY PHONE
APPLICANT / (36/J4(/// ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
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 of this application.
SIGNATURE: DATE / `
PRINT NAME: ) j
- - e
Bulletin#160—April 14,2016 Page 1 of 1 k:AHandouts\Electrical Permit Application