14-104217- i
o. . Elect,wical
City Econ.Federev. S Permit #: 14 1042'i 7 0{ E L
Community &Econ. Avev. Services FILE
33325 8th vS
Federal Way, WA 98003 �
Inspection Request Line: 253 835-3050
Ph: (253) 835-2807 Fax: (253) 835-2809 p q
ti.
Project Name: CHAN
Project Address: 206 SW 301ST ST
Parcel Number: 233730 0350
Project Description: Adding/altering up to (3) circuits to relocate (2) outlets and laundry dryer
Owner
Anolicant
Contractor
GUNG MOON CHAN
GUNG MOON CHAN
SHIMER ELECTRIC
206 SW 301ST ST
206 SW 301ST ST
SHIMEE*931QM (11/14/15)
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
34820 53RD AVE S
AUBURN WA 98001
Additional Pennit Information
Is this an Online or O.T.C. application?.................Yes
Electrical Fixtures
Circuits - Residential ...................... 3
Is Use Educational or Institutional?.......................No
PERMIT EXPIRES Tuesday, March 17, 2015
Permit Issued on Tuesday, August 19, 2014
I hereby certify that the above information is correct and that the construction on the above described properly and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
d the City of Federal Way.
Owner or agent: _ Date: I�
f Y
Electrical
City o6ederai way
Community &Econ. Dev. Services Permit #: 14 -1 -04217 -06 -EL
33325 8th Ave S
Federal Way, WA 96003 Inspection Request tine: 253 $35050
Ph: (253) 835-2607 fax: (253) 835-2609 p 4
Project Name: CIiAN
Project Address: 206 SW 301ST ST Parcel Number: 233730 0350
Project Description: Adding/altering up to (3) circuits to relocate (2) outlets and laundry dryer
Owner
GUNG MOON CHAN
Aonlican
GUNG MOON CHAN
Contractor
OWNER IS CONTRACTOR
206 SW 301ST ST
206 SW 301ST ST
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
AI Permit Information
Is this an Online or O.T.C. application? ................. es Is Use Educational or Institutional? ....................... No
le dal. Fbdureu
Circuits - Residential ...................... 3
PERMIT EXPIRES Sunday, February 15, 2015
Permit Issued on Tuesday, August 19, 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
and the City of Federal Way.
Owner or agent. Date: l Z�/
CITY Oi'
Federal Way
• THIS CARD IS TO MAIN ON-SITE
Construction In ction Record'
INSPECTION REQ TS: (253) 835-3050
PERMIT #: 14 -104217 -00 -EL
Address: 206 SW 301 ST ST
Project: GUNG MOON CHAN FEDERAL WAY, WA 98023-3934
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
By Date pt
LIFER Ground (4295)Ditch
cover (4030)
Temporary Power (4275)11
Slab/Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date pt
Pool Bonding (4195)
Temporary Power (4275)11
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
Rough Electrical (4225)
Ceiling Cover (4020)
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
By
C Date
By
Date
Final - Electrical (4055)
Approved
By Date pt
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF
Federal Way
ELECTRICAL
PERMIT APPLIION
PERMIT NUMBER 14 _ 104— Z ` 7—_ 00
AUG 19 2014
kVA
SITE ADDRESS:
206 s a d
S
-1'/ /�S
S �e�r.�1r t os
PROJECT VALUATION
$ 2-,0 c
ASSESSOR'S TAR/PARCEL #
2- 3_ 3
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
/ �
W
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
f v
o 0
PROPERTY OWNER
NAME
A.A ao
G
PRIMARY PRONE
6
MAILING ADD
8-01
"mAD,
d*chaae;1`
,CIT/Y
ry G /
STATE
ZIP
FAX
ELECTRICAL
CONTRACTOR
NAME
PRIMARY PHONE
MAILING ADDRESS C4,?,he ?,h e C/
E•KAIL
CITYSTATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY NUSINESS LICENSE k
APPLICANT
NAME
C ®r0
PRIMARY PHONE
(_
MAILING ADDRESS ,Q
V
E-MAIL.
CITY
STATE
ZIP
(/ FAX
l
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 application.
SIGNATURE: ��Z DATE shl
PRINT NAME:
Bulletin #160 — January 1, 2013 Page 1 of 2 k: l-landoutsTlectrical Permit Application
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