12-104548I
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
^Electirical
Permit #: 11 2 -104548 -00 -EL
Inspection Request Line: (253) 835-3050
Project Name: NGUYEN
Project Address: 505 S 303RD ST Parcel Number: 064310 0100
Project Description: Adding/altering (3) circuits for associated kitchen addition
Owner
ARplican
Contractor
TIM NGUYEN
TIM NGUYEN
OWNER IS CONTRACTOR
505 S 303RD ST
505 S 303RD ST
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
Ad
Is Use Educational or Institutional?.......................No
Circuits - Residential ...................... 3
PERMIT EXPIRES Tuesd
Permit Issued on Thursday,
I hereby certify that the above information is correct and
the occupancy and the use will be in accordance with tl
and tag
Owner or agent:
/'2,
A*
A2
ber
construct' n on the above described property and
r les gulations of the State of Washington
a
Date:
1�C1W OF
Federal Way
Building Division
33325,Eighth Avenue South
Federal Way, WA 98003-6325
Phone 253-835-2607 Fax 253-835-2609
CORRECTION NOTICE
ADDRESS: PERMIT#: ri--\ l3jA S U S - %�s
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IF YOU HAVE QUESTIONS CALL (253) 835-
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS.
% C�. '5 -\a,
DATE
INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
CITY OF 1OP&,
Federal Way
PERMIT #:
Project:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
12 -104548 -00 -EL Address: 505 S 303RD ST
TIM NGUYEN FEDERAL WAY, WA 98003-4016
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
UFER Ground (4295)El
Ditch cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
Service (4235)
Approved
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date
Pool Bonding (4195)
❑
Temporary Power (4275)
❑
Service (4235)
Right of Way
Approved
Approved
Date
Approved
Date
Approved
By
Date
By
Date
By
Date
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
V- % %?! C.
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF Building Division
33325 Eighth Avenue South
Federal Wa Federal Way, 98003-6325
y Phone 253-835-2607 Fax
253-835-2609
CORRECTION NOTICE
ADDRESS: S'It�. S S, `ls% �� �' — PERMIT#: I Ll 'S �� - c�
O
Ck
g�.k� .s C%.% QUA
sl i
IF YOU HAVE QUESTIONS CALL
(253) 835- 'a, �- 271
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS.
�`1 Qi- I ti
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
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: DATE
PRINT NAME:
33325 8'" Avenue South ♦ Federal Way 1 WA 1 98003-6325 1 253-835-2607 ♦ fax: 253-835-2609 ♦ ww-w.cityoffederalway.com
Bulletin #160 - January 1, 2011 Page I of 2 k:\Handouts\Electrical Permit Application
CITY OF
Federa! Way
ELEC'T'RICAL
-
RECEIVED PERMIT APPLICATION
OCT 04
2t
* electrical permits may be obtained on-line at Www. cityo ederalway.com**
SITE ADDRIW,
F12
�9
Q.3
`S, :3
SUITE/UNIT/SPACE #
ASSESSOR'S TAX/PARCEL # 1 O
L - -
CURRENT/PROPOSED USE
PROJECT NAME
r
777
(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 _
303
E.MAIL
CITY STATE
ZIP
FAX
NAME
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
ELECTRICAL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE #
NAME
vGV/1eyl` (
PRIMARY PHONE
) -
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP /
FAX
t
)
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 apart of this application.
?.
SIGNATURE: DATE
PRINT NAME:
33325 8'" Avenue South ♦ Federal Way 1 WA 1 98003-6325 1 253-835-2607 ♦ fax: 253-835-2609 ♦ ww-w.cityoffederalway.com
Bulletin #160 - January 1, 2011 Page I of 2 k:\Handouts\Electrical Permit Application