19-10055046
City of Federal Way,
Applicant
C--C--t,y Develop -eat
33325 8th Ave S
NW ELECTRIC SERVICES INC
Federal Way, WA 98003
32419 3RD AVE SW
Ph: (253) 835-2607 Fax: (253) 835-2609
FEDERAL WAY WA 98023-5426
Project Name: SHIN
Project Address: 32030 15TH PL SW
Project Description: Outlets, lights and switches for bathroom remodel.
• " .,
Electrical
Permit #:19 -100550 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 010450 0650
Owner
Applicant
Contractor
KYUNG SHIN
NW ELECTRIC SERVICES INC
NW ELECTRIC SERVICES INC
32030 15TH PL SW
32419 3RD AVE SW
NWELEES925DL (3/30/20)
FEDERAL WAY WA 98023-5426
FEDERAL WAY WA 98023
32419 3RD AVE SW
FEDERAL WAY WA 98023
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Circuits - Residential 2
PERMIT EXPIRES Saturday,1 February, 2020
Permit Issued on Friday, February 1, 2019
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:
Cory or V&
Federal Way
PER!MTr #: 19100550 00
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
Address: 3203015TH PL SW
Project: KYUNG SHIN FEDERAL WAY WA 98023-5426
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
UFER Ground (4295)❑
Ditch cover (4030)
0
Slab/Concrete Floor (4255)
Approved
Approved
Approved
Approved
By
Approved to place concrete
By
Date
By
Date
By
Date
0
Pool Bonding (4195)
® Temporary Power (4275)
® Service (4235)
®
Approved
of Way
Approved
Approved
By
Date
lBy
By Date
By Date
0
Feeders/Sub-paneh; (4045)
®
Rough Electrical (4225)
®
Ceiling Cover (4020)
of Way
Approved
]By
Approved
lBy
Approved
By
Date
By
Date
0 Date
By
Date
10 Final - Electrical (4055)
Approved
By Lj4a.. Date Z
Rough Electrical
Final ElectricalRight
of Way
Approved
Approved
J
Approved
By
Date
By
Date
By
Date
Ak
CITY Of
Federal Way
RECEIVED
B 0 1 2019
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT
ELECTRICAL
PERMIT APPLICATION
PERMIT NUMBER
C -
SITE ADDRESS: 32 0 �� l ��(,� L 5
SUITE/UNIT/SPACE#
PROJECT VALUATION
ASSESSOR'S TAR/PARCEL #
CURRENT/PROPOSED USE
$ 1.06a,
_L 0- _�_f -
PROJECT NAMEr��
Homeowner Last Name)
(Tenant or
ti P Re^ 0e
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME - /
�
PRIMARY PHONE
PROPERTY OWNER
6/! hi
-
MAILING ADDRESS
L �✓
E-MAIL
;AO 30 /c�'�h
CITY
r/I 4 k]
ZIP
FAX
-
NAME V
A/A) VC -TRIC SIC -S 1,V C_
PRIMARY PHONE
( -3
MAILING ADDRESS /
32 V-/ rCT /� l�G S�✓
E-MAIL -
ELECTRICAL
3
j�rrL►
STATE ZIP
z
FAX
CONTRACTOR
ti/a
�✓ ye, j
( ) -
WA STATE CONTRACTO S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
STATE
ZIP
FAX e
PROJECT CONTACT
NAME /<--;
r.��) P l -7;; '
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 thi lication.
d
d
SIGNATURE: DATE Z
PRINT NAME:
Bulletin #160 —April 14, 2016 Page 1 of I k:�Handouts\Electrical Permit Application