19-100425City of Federal Wry
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 8352607 Fax (253) 8352609
Project Name: WONG
Project Address: 36503 2ND AVE SW
Project Description: Strip all wiring and clean up panel to be code legal.
Electrical
Permit #:19-100425-00=EL
Inspection Request Line: (253) 835-3050
Parcel Number: 113960 0220
Owner
Applicant
Contractor
STEPHANIE WONG
MANSOOR CHAUDRYPHASE ON SOLAR
PHASE ON SOLAR & ELECTRIC
36503 2ND AVE SW
& ELECTRIC
PHASESE914LJ (6/14/19)
FEDERAL WAY WA
PO BOX 58821
PO BOX 58821
RENTON WA 98058
RENTON WA 98058
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes e
Alt. Serv./Feeder: 0 to 200 ami
PERMIT EXPIRES Saturday, 25 January, 2020
Permit Issued on Friday, January 25, 2019
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:
v
crrr or 40 4M&
Federal Way
PERMiT #: 1910042500
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
Address: 36503 2ND AVE SW
r'
Project: STEPHANIE WONG FEDERAL WAY WA 98023-7376
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.
®
UFER Ground (4295)
I
Ditch cover (4030)
®
Slab/Concrete Floor (4255)
Approved
1By
1BY
Approved
1By
Approved to place concrete .
By
Date
By
Date
EY
Date
®
Pool Bonding (4195)
0
Temporary Power (4275)
®
Service (4235)
Approved
1BY
Approved
Approved
By
Date
By
Date
EY
_ Date
0 Final - Electrical (4055)
Approved
By 0 AIN, 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)
Approved
By 0 AIN, Date
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
CITY OF 'A
Federal Way
RECEIVED ELEC'T'RICAL
JAN 25 2019 PERMIT APPLICATION
CITY OF FEDERAL WAY /^
COMMUNfTY DEVELOPM IT NUMBER _I� _ D 7'
SITE ADDRESS: 3Z-5— N
SUITE/UNIT/SPACE #
PROJECT VALUATION
5-o
ASSESSOR'S TAR/PARCEL #
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
Q P7
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAMEPRIMARY
It a k L (/C,D yr
PHONE
( Y151 8/`-$ S'rt'/
MAILING ADDRESS
36!�-63 2h_� !� .Sr -v
E-MAIL
CIT�—�
STATE
ZIP�)2_3
( ) FAX
NAME
PRIMARY PHONE
MAILING ADDRESS
eO 1
E-MAIL
ELECTRICAL
Pt of
CITY
STATE
ZIP
FAX
CONTRACTOR
-
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
�► G5 e e LI-
N E
ME
PtRIIMARY PHONE
APPLICANT
! y 6 Z�
MAIL S
E-MAIL
7s -
CITY
STATE
ZIP
FAX
( )
PROJECT CONTACT
NAME"
w o/ v- C" /,
PRIMARY PHONE
Y5 y- Q
I certify under penalty of perjury that 1 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 Iocai, 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 i officers and employees, upon the accuracy of the
information supplied to the city as a part of this application. /
01
SIGNATURE: G�2/Z+ DATE
PRINT NAME:
Bulletin # 160 —April 14, 2016 Page 1 of 1 kMandoutsTlectrical Permit Application