14-102708 f ar 3
• • Electrical
City of FederalWay Permit #: 14-102708-00-EL
Community&Econ.n.D ev.Services ;���'*'
33325 8th Ave S w
Federal Way,wA 98)03 Ins ection Re uest Line:
Ph:(253)835-2607 Fax:(253)835-2609 p q (253)835-3050
Project Name: TRAN
Project Address: 2455 S 283RD PL Parcel Number: 326081 0550
Project Description: Adding/altering(5)circuits for new outlets,lighting for associated new sunroom
Owner Applicant Contractor
DZUNG TRI TRAN DZUNG TRI TRAN OWNER IS CONTRACTOR
2455 S 283RD PL 2455 S 283RD PL
FEDERAL WAY WA FEDERAL WAY WA
98003 98003
•
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Electrical Fixtures
Circuits-Residential 5
PERMIT EXPIRES Sunday, December 7, 2014
Permit Issued on Tuesday, June 10, 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
-•, .•- City of Federal Way.
r /
Owner or agent: _,,� � Date: �(// L7//T
THIS CARD IS TO IN ON-SITE 0
CITY OF Construction In ection Record •
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 14-102708-00-EL Address: 2455 S 283RD PL
Project: DZUNG TRI TRAN FEDERAL WAY, WA 98003-2970
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.
0 UFER Ground (4295) ❑ Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
• •
❑ Pool Bonding(4195) 0 Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
`❑ Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date By V4 Date I 0 ( 6 [I k By 0145 Date 10 f b ( I 4
[E] Final-Electrical(4055)
Approved
[By Date u
Rough Electrical Final Electrical Right of Way
ElApproved ElRoughElApproved
By Date By Date By Date
OF �r
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E CTRICAL
CITY
Federal Way PERMIT APPLICATION
VED
PERMIT NUMBER (" _ 10 Z F- 0E- 00 JUN 1 0 2014
CITY OF FFDERAL WAY
SUITE/UNIT/SPpCot
SITE ADDRESS: ,Z 4 S 5 S ZQ 3 R" P L- 10 e}-1 L tv)4 �.LJ
PROJECT VALUATION ASSESSOR' 'r PARC #� I CURRENT/PROPOSED USE
$ CJ SCC//�� ((�V//,", UU Jv' )
PROJECT NAME 02,A N
(Tenant or Homeowner Last Name)
At) D 5 c ( )2CUtTS
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER Dr-a-0 N tic T (ZC0 3 s-21-. 7-Va U
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME PRIMARY PHONE
( )
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 E) (Zap - 8.(00
MAILING ADDRESS E-MAIL
S. P F1. 0/z 2L yakoo.c
CITY STATE ZIP FAX
1=cCa19-L WAY CISOOS )
NAME PRIMARY PHONE
PROJECT CONTACT p 2 0 N ; A Nl
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 Iaws 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 l d/i ,.
PRINT NAME:_D Z(..): /
t\1 r{2 j
Bulletin#160—January 1,2013 Page 1 of 2 k:\landouts\Electrical Permit Application