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14-104914 r s C 111 Electrical Cityof FeWay Permit #: 14-104914-00-EL1 Community&Econ.on.Dev.Services 33325 8th Ave S Federal Way,WA 98003 Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050 Project Name: KWON ADULT FAMILY HOME Project Address: 33132 41ST LN S Parcel Number: 618141 0210 Project Description: Remove and rewire existing wiring and(3)circuits in bathroom and bedroom Owner Applicant Contractor , MIRA KWON JUST CALL KIM ELECTRIC JUST CALL KIM ELECTRIC JAMES KWON 6106 S AINSWORTH AVE JUSTCCK927CE(2/13/16) 153 SW 311TH ST TACOMA WA 98408 6106 S AINSWORTH AVE FEDERAL WAY WA 98023 TACOMA WA 98408 Additional Permit Information ' Is this an Online or O.T.C.application Yes Is Use Educational or Institutional? No Electrical Fixtures Circuits-Residential 3 PERMIT EXPIRES Monday, March 23, 2015 Permit Issued on Wednesday, September 24, 2014 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 the City of Federal Way. Owner or agent: Date: D 7./:-54/191- , IFINALED • ' THIS CARD IS TO IN ON-SITE CITY OF • Construction In ection Record ' Federal Way INSPECTION REQUE TS: (253)835-3050 PERMIT#: 14-104914-00-EL Address: 33132 41ST LN S Project: MIRA KWON FEDERAL WAY, WA 98001-5174 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 ❑ Pool Bonding(4195) ' ❑ Temporary Power(4275) ID 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 `B :: :: Date t ......Z_ (4 By Date , O Final-Electrical(4055) Approved 132: ------------ Date lu j III ❑ Rough ElectricalEl Final Electrical Right of Way Approved Approved Approved By Date By Date By Date • ill) FTWEL C'TRICAL eral Way PERMIT APPLICATION 0aens� PERMIT NUMBER 14 - 1 4 c (_, ..,41-, _ oO SEP 242014 SITE ADDRESS: GlaatrO I L WAY -1s--- LI Fedi (�. wj4 ) COS OJ�� UQATIO�N ASSE830�'S TA${ ►RC> ii4 - © / O CURRENT/PROPOSED USE $ 0 CO PROJECT NAME1,� ) /�,/�, ' �/� '�/�(Tenant or Homeowner Last Name) /(k,l[2A A// vty I ! '.PROJECT DESCRIPTION Yt�1,ff f�''!/1oi 3 r_:hCU;+s - 0Y I» "i t1_e- kuCeDetailed description of work to be included on this permit only NAME /�, / PRIMARY PHONE PROPERTY OWNER C�le h W' A) (2'3) Cox- IFj(�8MAILING ADDRESS E-MAIL e,�3 6' ?i/-ftp sr CITY STATE ZIP FAS iiade�:1 tt4 9 0)-3 ( ) - NAME - PRIMARY PHONE WSJ- IC vn ec�`r iC ( 3) a 3 - c / MAILING ADDRESS E_�L ELECTRICAL [D6 S /4 t) L)O 44-(ri Ur:CONTRACTOR CITY STATE ZIP FAS T�c.atrik WA 9i0° ( ) - WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE N / / NAME-{ PRIMARY PHONE q APPLICANT J W Sf L K/u1) of,9f li`C (, t3) ,�-3t- �/ MAILING ADDRESS E-MAIL b/Pe S R%ns1►oj4t1 Av€ _ CITY STATE ZIP FAX •—4 co1411\ tiii A 9.60 c ( ) - PROJECT CONTACT NAME 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 a part of this a••lication. SIGNATURE: DATE ©77c / //7- PRINT NAME: h e> x//n ////// Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application