15-105186City of Federal way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: QI
Project Address: 30566 6TH AVE SW
Project Description: 200 AMP REPLACEMENT
Electrical .
Permit #: 15 -105186 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 178880 0890
Ownr
AR12lican
Contractor
JIANG Al QU
GREAT WALL ELECTRIC INC
GREAT WALL ELECTRIC INC
30566 6TH AVE SW
6523 31ST AVE S
GREATWE954CG (2/7/17)
FEDERAL WAY WA 98032
SEATTLE WA 98108
6523 31 ST AVE S
SEATTLE WA 98108
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes Is Use Educational or Institutional? ....................... No
Service greater than 999 Amps? .............................No
Electrical Fixtures
Alt. Srvc / Feeder 0 to 200 amps (C 1
PERMIT EXPIRES Saturday, April 9, 2016
Permit Issued on Monday, October 12, 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 Federal Way.
Owner or agent: = Date:
b '"A [
CITY Of
Federal Way
PERMIT #:
15 -105186 -00 -EL
THIS CARD IS TO REAW ON-SITE r .
Construction Inspe ion Record
INSPECTION REQUE TS: (253) 835-3050
Address: 30566 6TH AVE SW
Project: JIANG Al QU FEDERAL WAY, WA 98023-3919
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.
Final - Electrical (4055)
Approved
B Date
UFER Ground (4295)1:1
Ditch cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
®
Approved
Approved
Final Electrical
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
B Date
Pool Bonding (4195)
0
Temporary Power (4275)
®
Service (4235)
Approved
Final Electrical
Approved
Right of Way
Approved
Approved
Date
Approved
By
Date
By
By
Date
By
Date
E]
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
B Date
0
®
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF 1A
Federal Way
� &
PERMIT APPL
OCT 12 205
PERMIT NUMBER (� _ ✓ ( (4P _
CITY OF FEDERAL WAY
CDS
/
SITE ADDRESS: ,j 0, C t
SUITE/UNIT/SPACE #
PROJECT VALUATION
aQ
ASSESSOR'S �PAR� #
�
CURRENT/PROPOSED USE
�
-
PROJECT NAME
(Tenant or Homeowner Last Name)
'
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
-
MAILING ADDRESS
3d56zs ��' i4 -v2 5 �
E-MAIL
CITY
STATE
ZIP
FAX
NAMEPRIMARY
—y�-kf QIPA�� E%ze
PHONE
p
MAILING ADDRESS /,�
e `��f
E-MAIL
V' e ✓c Ae.. pg (? AX ,0, c0-1
ELECTRICAL
of ,
CITY
STATE
ZIP
FAX
CONTRACTOR
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
u-AC-,9%`�✓� %-�S�Cg c�
FEDERAL WAY BUSINESS LICENSE #
NAME
yu /�—
PRIMARY PHONE
(o?Q6) 9W- F42
APPLICANT
MAILING ADDRESS
E-MAIL
493 /a
-ZIP
CITY
STATE
T
� �
FAX
PROJECT CONTACT I�qj
NAME
PRIMARY PHONE
u
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 apart of this application.
SIGNATURE:
PRINT
`el%OZl i
Bulletin 4160 - January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application