13-105536City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
N. . ",. I I
Electrical
Permit #: 13 -105536 -00 -EL
Project Name: KENYAN CHRISTIAN FELLOWSHIP CHURCH
Project Address: 30315 PACIFIC HWY S Unit A
Project Description: LIghting install and outlets
Inspection Request Line: (253) 835-3050
Parcel Number: 042104 9237
Owner
Annlicant
Contractor
VAN WONG
GOLD ELECTRIC LLC
GOLD ELECTRIC LLC
VC INVESTMENTS LLC
PO BOX 2156
GOLDEEL870JZ (4/9/15)
2101 SE 2ND PL
AUBURN WA 98071
PO BOX 2156
RENTON WA 98056-8864
AUBURN WA 98071
Additional Permit Information
Is this an Online or O.T.C. application? ................. es Is Use Educational or Institutional?....................... No
Service greater than 999 Amps? .............................No
Electrical Fixtures
Circuits - Commercial .................... 4
PERMIT EXPIRES Tuesday, June 10, 2014
Permit Issued on Thursday, December 12, 2013
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
5�7and the f Fede Way.
Owner or agent Date:
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• , 0 THIS CARD IS TO REMAIN ON-SITE ' .P +T
urs Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 13 -105536 -00 -EL Address: 30315 PACIFIC HWY S Unit A
Project: VAN VUONG 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.
Feeders/Sub-panels (4045) Rough Electrical (4225) 0 Ceiling Cover (4020)
Approved Approved Approved
By Date By Date By Date
0 Final - Electrical (4055)
V&- ^ N w Approved
By }', 9, Date y ,
Ditch cover (4030)
Pool Bonding (4195)
Final Electrical
Approved
Service (4235)
Approved
By
Approved
Approved
By
Date
By
Date
By
Date
Feeders/Sub-panels (4045) Rough Electrical (4225) 0 Ceiling Cover (4020)
Approved Approved Approved
By Date By Date By Date
0 Final - Electrical (4055)
V&- ^ N w Approved
By }', 9, Date y ,
Rough Electrical
Approved1:1
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
Federal Way
PERMIT NUMBER 13
RECEIVEDPERMIT APPLICATION
DEC 1.2 2013
Tf ZDC TARGET DATE
SITE ADDRESS
SUITE/UNIT M
A
PROJECT VALUATION
ZONING
ASSESSOR'S TAR/PARCEL N
$ �v v -�—
S
— —— — — —
TYPE OF PERMIT
❑ BUILDING El PLUMBING El MECHANICAL C3DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
Z/ / W t' /77 nL G!
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
NAME �`� � fIC
(
PHONE
-7z
MAILING ADDRESS
E MALL
/C oou&L
CONTRACTOR
CITY
urr�
STATE
&4
ZIP
�;'8e7
FAX
WA STATE CONTRACTOR'S LICENSE N
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE M
NAME
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
NAME
PRIMARY PHONE
PROJECT CONTACT
;9,777772 70 XXIII
fN ADD
'2
E-MAIL'
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
❑ OWNER -FINANCED
Required value of $5,000 or more
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
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 application.
SIGNATURE: DATE
PRINT NAME: d a7
Bulletin #100 — January 1, 2013 Page 1 of 3 k: HandoutsTermit Application