12-104893City 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: NGUYEN - PIKE
Project Address: 31313 42ND PL SW
Electrical
Permit #: 12 -104893=00 -EL
Inspection Request Line: (253) 835-3050
Project Description: Adding/altering (6) circuits for associated kitchen remodel work
Parcel Number: 873199 0250
Ownr
Al2RIican
Contractor
VAN NGUYEN
MARKEY ELECTRIC
MARKEY ELECTRIC
31313 42ND PL SW
8109 19TH AVE E
MARKEE*902OL (9/13/14)
FEDERAL WAY WA 98023
TACOMA WA 98404
8109 19TH AVE E
TACOMA WA 98404
Additional Permit Information
Is Use Educational or Institutional?.......................No
Electrical Fixtures
Circuits - Residential.... 6P
wf�
PERMIT EXPIRES Wednc
Permit Issued on Friday,
I hereby certify that the above information is correct and that
the occupancy and the use will be in accordance with the
and the e
Owner or agent: %
0
10
019124, 201
26, 2012
rules and
al Way. V
bove described property and
of the State of Washington
Date: /6 —;?,/. - /2
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 12 -104893 -00 -EL Address: 31313 42ND PL SW
Project: VAN NGUYEN FEDERAL WAY, WA 98023-2118
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
LIFER Ground (4295)Ditch
cover (4030)
Final Electrical
Approved
Slab/Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date
Pool Bonding (4195)
Temporary Power (4275)
Final Electrical
Approved
Service (4235)
Approved
By
Approved
Approved
By
Date
By
By Date
By
Date
Feeders/Sub-panels (4045)
E] Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By S Date 10—k?—7—_
By
Date
Final - Electrical (4055)
Approved
By Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
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:
PRINT NAME:
/6-xz' /2
33325 80'Avenue South ♦ Federal Way ♦ WA ♦ 98003-6325 ♦ 253-835-2607 ♦ fax: 253-835-2609 ♦ www.cityoffedemlway.com
Bulletin #160 —January 1, 2011 Page I of 2 k:\Handouts\Electrical Permit Application
CITY OF 4A��
Federal Way
ELEC'T'RICAL
-
RECEIVED PERMIT APPLICATION
OCT 26�0�
* ost electrical permits may be obtained on-line at www. cityo ederalway.com**
IN
SITE ADDRESS:
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SUITE/UNIT/SPACE M
ASSESSOR' TAX/PARCEL #
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CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
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PROJECT DESCRIPTION
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Detailed description of work to
be included on this permit only
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NAME
PRIMARY PHONE
PROPERTY OWNER
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MAILING ADDRESSu
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NAME
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PRIMARY PHONE
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ELECTRICAL
MAILING ADDRESS_
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CONTRACTOR
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FAX
WA STATE CONTRACTOR'S LICENSE N EXPIRATION DATE
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FEDERAL WAY BUSINESS LICENSE M
NAME _
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PRIMARY PHONE
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APPLICANT
MAILING ADDRESS
E-MAIL
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CITY STATE I 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 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:
PRINT NAME:
/6-xz' /2
33325 80'Avenue South ♦ Federal Way ♦ WA ♦ 98003-6325 ♦ 253-835-2607 ♦ fax: 253-835-2609 ♦ www.cityoffedemlway.com
Bulletin #160 —January 1, 2011 Page I of 2 k:\Handouts\Electrical Permit Application