18-100638f
i
.
Contractor
QUANG DUC PRAM
City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax (253)835-2609
Electrical
ermit #:18 -100638 -00 -EL
Inspection Request Line: (253) 835-3050
Project Name: PHAM
Project Address: 104 S 295TH PL Parcel Number: 543721 0190
Project Description: Electrical work for office space including addition of outlets, switches, recessed lights, wall
heater and outdoor lights.
Owner
Applicant
Contractor
QUANG DUC PRAM
QUANG DUC PHAM
OWNER IS CONTRACTOR
104 S 295TH PL
104 S 295TH PL
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Circuits - Residential 2
PERMIT EXPIRES Saturday, 9 February, 2019
Permit Issued on Friday, February 9, 2018
I hereby certify that the above information is corn and that the construction on the above described property
and the occupancy and the use will be in rdance with the laws, rules and regulations of the State f
Washin n and a City of Federal Way.
Owner or a Date: O.L
THIS CARD IS TO REMAIN ON-SITE
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Federal Way Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERNW #: 18100638 00 Address: 104 S 295TH PL
Project: QUANG DUC PHAM FEDERAL WAY WA 98003-3659
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 Final - Electrical (4055)
Approved
By Date L_1 ik
Feeders/Sub-panels (4045)
®
Rough Electrical (4225)
Q
Ceiling Cover (4020)
Rough Electrical
Approved
Right of Way
Approved
Approved
By
Date
By t,
Date
By
Date
0 Final - Electrical (4055)
Approved
By Date L_1 ik
❑
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
bate
By
Date
40k
CITY OF Pte../
Federal Way
RECEIVED ELEC'T'RICAL
FEB 0 9 2018 PERMIT APPLICATION
CITY OF FEDERAL WAY
COMMUNrN DEVELOPMENT PERMIT NUMBER
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SITE ADDRESS: ��
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SUITE/UNIT/SPACE #
PROJECT VALUATION
ASSESSOR'S TAX/PARCEL #
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
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PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
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PROPERTY OWNER
NAME
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PRIMARY PHONE
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MAILING ADDRESS
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E-MAIL
CITY
STATEZIP
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FAX
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ELECTRICAL
CONTRACTOR
NAME C/ZC/%L /
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/ PRIMARY PHONE
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MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAMEL.�k✓[/`""
�MAILING
PRIMARY PHONE
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ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME /
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PRIMARY PHONE
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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 t�ownerlresponsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the Cityay as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation and defense of such clai , which maybe made by any person, including the undersigned, and filed against the city,
but only where such claim arises out f the reliaryee of the city, including its officers and employees, upon the accuracy of the
information supplied to the citu as a of this an6lication-
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Bulletin #160 —April 14, 2016 Page 1 of 1 k:\Handouts\Electrical Permit Application