19-100882City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 8352609
Project Name: YUN
Project Address: 34837 13TH AVE SW
Electrical
Permit #:19 -100882 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 542242 0540
Project Description: Electrical work to include relocation of existing receptacles in kitchen.
Owner
Applicant
Contractor
JANE YUN
THOMAS D KIMGREEN TECHNOLOGY
GREEN TECHNOLOGY INC
34837 13TH AVE SW
INC
GREENT1883C7 (2/27/20)
FEDERAL WAY WA 98023
PO BOX 112497
PO BOX 112497
TACOMA WA 98411
TACOMA WA 98411
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
PERMIT EXPIRES Tuesday, 25 February, 2020
Permit Issued on Mondav, February 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: 2-0 ( Q
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
Federal way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 19100882 00 Address: 3483713TH AVE SW
Project: JANE YUN FEDERAL WAY WA 98023-7015
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)
ID
Ditch cover (4030)
0
S12b/Concrete Floor (4255)
El
Approved
Approved
1BY
Approved to place concrete
By
Date
By
Date
By
Date
0
Pool Bonding (4195)
®
Temporary Power (4275)
®
Service (4235)
El
Approved
Approved
IBY
Approved
By
Date
By
Date
By
Date
0
Feeders/Sub-panels (4045)
®
Rough Electrical (4225)
®
Ceiling Cover (4020)
El
Approved
Approved
IBY
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date
E]
Rough Electrical
El
Final Electrical
El
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
CITY OF 4A
Federal Way
RECENED
FEB 2 5 2019
ELECTRICAL
PERMIT APPLICATION
CITY O, p VELOPMEW
( 6mmus PERMIT NUMBER 1 _ O D _ �/ v
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, andfiled against the city,
but only where such claim arises out of the reliance of the city, including its ofjlcers and employees, upon the accuracy of the
information supplied to the city as apart of this application.
ko
PRINT NAME:
�6 21 201 1
Bulletin # 160 —April 14, 2016 Page 1 of 1 k:\Handouts\Electrical Permit Application
SUITE/UNIT/SPACE #
SITE ADDRESS: 1;40 3 13-{-h /Ue_ S LJ
PROJECT VALUATION
—
ASSESSOR'S TAR/PARCEL #
5 2 Z- q 0 5
CURRENT/PROPOSED USE
�-�
1 _
PROJECT NAME
(Tenant or Homeowner Last Name)
�-Fchti� ov :o
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PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME I
PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
t; - so X30 -Eh PL -
CITY
STATE
I ZIP
FAX
NAME
PRIMARY PHONE (�
MAILING ADDRESS
E-MAIL
ELECTRICAL
PdP P -6X 1 2
CITY
STATE
Z
FAX
CONTRACTOR
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
7 l 3C
NAMEIn \
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PRIZ YPHOONNE
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APPLICANT
MAILING ADDRESS
E-MAIL
j
cilry
STATE
ZIP
FAX
PROJECT CONTACT
NAME -
6 R an
PRIMARY PHONE
3 0 �
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, andfiled against the city,
but only where such claim arises out of the reliance of the city, including its ofjlcers and employees, upon the accuracy of the
information supplied to the city as apart of this application.
ko
PRINT NAME:
�6 21 201 1
Bulletin # 160 —April 14, 2016 Page 1 of 1 k:\Handouts\Electrical Permit Application