17-102838 Electrical
City of Federal Way Permit #:17-102838-00-EL
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax (253)835-2609
Project Name: HOME& HOME
Project Address: 31515 PETE VON REICHBAUER WAYS Parcel Number:092104 9302
Project Description: Connect sign wire to existing circuit inside. Sign says "Saem" and is located within Home and
Home.
Owner Applicant Contractor
YOUNG JAE KIMBROADWAY-32ND STREET ROY MYUNGWHITE SIGNS WHITE USA INC(ELECTRICAL)
REALTY 4714 SW 211TH ST WHITEUI933BP(1/11/19)
1610 BOUNDARY BLVD LYNNWOOD WA 98036
AUBURN WA 98087 15107 HWY 99 SUITE A
LYNNWOOD WA 98087-2319
1
Additional Permit Information
Is this an Online or O.T.C.application9 Yes
Electrical Fixtures
Circuits-Commercial 1
PERMIT EXPIRES Wednesday, 13 June,2018
Permit Issued on Tuesday,June 13,2017
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
/a the City of Federal Way.
Owner or agent: 2 Date: s /(3// 7
THIS CARD IS TO REMAIN ON-SITE
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 17 102838 00 Address: 31515 PETE VON REICHBAUER WAY S I
Project: YOUNG JAE KIM FEDERAL WAY WA 98003
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) 3❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
❑ Pool Bonding(4195) e❑ Temporary Power(4275) ® Service(4235)
Approved Approved Approved
By Date By Date s By Date
0 Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
El Final-Electrical(4055)
Approved
By L\ \ Date ...c..._44- 4f
0 Rough Electrical El Final Electrical U Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED ELECTRICAL
1
CITY of JUN 1 3 2017
Federal Way PERMIT APPLICATION
CITY OF FEDERAL WAY
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PERMIT NUMBER 741 II_ t / � -
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SUITE/UNIT/SPACE#
SITE ADDRESS: (j/5 7 - V42 �"J(
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
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PROJECT NAME
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(Tenant or Homeowner Last Name) f/( �
PROJECT DESCRIPTION -0>` �1-1 ( ,>- -c_i_ t A l)i$ '
Detailed description of work to
be included on this permit only
NAME �/ PRIMARY PHONE
PROPERTY OWNER 1 l2"10,,v,_ ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
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NAME PRIMARY PHONE
(it)L,i •Z ,1..4 SA Fn C— ( 41-'1117 - e,7,4
MAILING ADDRESS E-MAIL
ELECTRICAL / �/ // 1[' Y 9 q t, to s'=p, .02 O 4A sy
CONTRACTOR CITY STATE ZIP FAX C --
(,741) 1111M u,pc 5yc'? ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
(Av(—flTE TIJ '23391' / /
NAME j� PRIMARY PHONE
Fey ( ( - L— �i S ( )
APPLICANT MAILING ADDRESS E-MAIL
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CIT STATE ZIP FAX
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NAMEPRIMARY PHONE
PROJECT CONTACTz_ 7 ( ) -
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 Iocal, state, or federal Iaws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to arty 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 cit including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this applicati .
/9„....-"7,,,73-1/111
SIGNATURE: DATE
PRINT NAME: k'3 Y 14 Y Ll N L)
Bulletin#160-January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application