19-101540 ' Electrical
City of Federal Way Permit #:19-101540-00-EL
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: BOOCHA JUN LLC
Project Address: 30001 14TH AVE S Parcel Number:025300 0265
Project Description: Electrical to restore service.
Owner Applicant Contractor
BOOCHA JUN,LLC SUNEET DIWAN A&D ELECTRICAL SERVICES LLC
30001 14TH AVE S 1900 S PUGET DR UNIT 203 ADELEES818D2(3/22/21)
FEDERAL WAY WA 98003 RENTON WA 98055
USA 6503 34TH AVENUE CT E
TACOMA WA 98443
Additional Permit Information
Is this an Online or O.T.C.application9 Yes
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PERMIT EXPIRES Wednesday, 15 April,2020
Permit Issued on Tuesday,April 2,2019
I hereby certify that the above information is correct iid that the construction on the above described property
and the occupancy and the use will be in acco ace with the laws, rules and regulations of the State of
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s ington d thCity of Federal Way.
Owner or agent: Date: L�� /
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^ THIS CARD IS TO REMAIN ON-SITE
a^ Construction Inspection Record
`I aderai Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 101540 00 Address: 30001 14TH AVE S
Project: BOOCHA JUN,LLC FEDERAL WAY WA 98003-4107
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.
O UFER Ground(4295) x❑ Ditch cover(4030) El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
® Pool Bonding(4195) $❑ Temporary Power(4275) ® teie Service 3y I
Approved Approved Approved(42
By Date By Date By Date
Feeders/Sub-panels(4045) ®. Rough Electrical(4225) Q Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
E a Final-Electrical(4055) '
Z5
Approved
By ����/ Date---- /2,
gP P'-.3 - 1,
•
Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
ELECTRICAL
CITY OF A APR 0 2 2019
Federal Way coMM OFFEDERAI.yyAy PERMIT APPLICATION
UNITY DEVELOPMENT
PERMIT NUMBER I _ C 1 5
' SUITS/UNIT/SPACE#
SITE ADDRESS
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PROJECT VALUATION ASSESSOR'S
ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
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✓0(� -
PROJECT NAME Sec-NA-C.C.
or Homeowner Last Name) Iv t.`'v 5
PROJECT DESCRIPTIONPc)` `t"� `j` c���
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER 13,0L t .)-�(t L L Swizz-A- ( 2j3) 7 4 3 3?
MAILING ADDRESS E-MAIL
k.70 S, Nci<A-- DB �3 Sunnlei;Wane h I. cow)
CITY STATE ZIP FAX
't& ( )
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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 PRIMARY PHONE
APPLICANT l ✓ ef )
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
PROJECT CONTACT `�ri� Ocv (4°‘ 253) q6)
336
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: /,, DATE
1A1.7
PRINT NAME: ��€E- O) CA-,
Bulletin#160-April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application
CITY OF s4- Property Owner
Federal Way Electrical Work Permit Application
pP Yi g c
A 1 n Fot--Your'�;iec#ricai Permit -j
In Washington, only licensed electrical contractors may perform electrical work. Property owners s
may apply for an exemption from these requirements by completing this application and signing g
the affidavit below before beginning electrical work.
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- : z `w: : . 'Affdavit'. 'r .. , -k
t As authorized under RCW 19.28.261, I, �Me-e-A" Ji hereby apply,
(Printed name of property owner,renter,or lessee)
for an exemption from the electrical licensing and certification requirements ofRCW 19.28 by t •
submission of this affidavit.
1
Which statement describes you? (Mark only one.If none apply,you may not take out this permit) - 1
1.-..
I own this property. r
q Your name or your company's name must be shown on the deed to the property. Real estate agents'property
i management companies, relatives, etc. cannot purchase permits for the property owner. i
t
❑ I rent or lease this property.
We need a copy of your rental agreement showing you have permission to perform electrical work.
I ❑ I am an officer for a 501(c)(3)nonprofit corporation,or a nonprofit religious organization.
The total market value of electrical work must be$30,000 or less and all electrical work must be done by a 1
non-compensated appropriately certified electrician.
f
Select your property type(Mark only one.If none apply,you may not take out this permit.)
t' ❑ New single family residence that is not intended for rent,sale, or lease,where I will be living for
i. at least 24 months after completing the electrical work. I will be personally doing the electrical 1
work. I
❑ New 2,3,or 4 unit residential building,owned by me,that is intended for rent, sale, or lease. I
will be living in one of the units for at least 24 months after completing electrical work. I, x
personally, and/or a regularly employed employee(s),will be doing the electricalwork.
o New place of business,farm,or other property:Any new structure that is not intended for rent,
sale,or lease. I,personally,and/or a regularly employed employee(s),will be doing the electrical work.
Existing residential property,place of business,or farm.I, personally,and/or a regularly f,
employed employee(s),will be doing the electrical work.
DEPARTMENT OF COMMUNITY DEVELOPMENT/33325 8TH AVENUE SOUTH/FEDERAL WAY,WA 98003-6325
253-835-2607 www.cityoffederalway.com permitcenteracityoffederalway.com
Bulletin#080—June 6,2018 Page 1 of 2 k:\Handouts\Property Owner Electrical Work Application
• 4
0 501(c)(3) or nonprofit religious organization owned property: The total market value of the .
electrical work must be$30,000 or less,and all electrical work will be performed by appropriately
certified electricians,or certified and properly supervised trainees, who are volunteering and not '
being compensated for the electrical work per RCW 19.28.091(7).
Your signature is required below:
I believe I should be exempt from the requirements to obtain an electrical license,or use a certified
electrician, as provided under RCW 19.28.261. 4
By signing below,I certify the information I am providing on this affidavit is true and accurate. I
' understand that if I make false statements or misrepresentations,I may be assessed penalties.
Printed Name of Property Owner,Renter,or Lessee Signature
Date
'P•roperty Owner'and Inspection Site Information':PSI : 4.-i'i
5LA4,c-c_ Dr w ren 1-5o..c..h 1�41 I,1-c—
Property Owner's Name(Last,First)or Company Name
l�� S, ( �fi Or �3 P-e-n1 t ate' y
Mailing Address • Unit/Apt.# City State Zip
27Th q(01'-' �7
7` J� ✓1r4.181W0,e VhGt1 i , C.�'-
D ime Phbne Email Address •<•
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30Db 1 Ilii., I'VE f-ecru► v144 qezn
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Inspection Site Address(if different) Unit/Apt.# City State Zip
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County Electrical Power Company/Serving Utility
i
Description of work being done(Example:adding outlets in the kitchen,second floor break area,etc.)
�/`�� urs i nS(�c�i'i aln
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DEPARTMENT OF COMMUNITY DEVELOPMENT/33325 8TH AVENUE SOUTH/FEDERAL WAY,WA 98003-6325
253-835-2607 zs.www.cityoffederalway.com Is.permitcenter@cityoffederalway.com
Bulletin#080—June 6,2018 Page 2 of 2 k:\Handouts\Property Owner Electrical Work Application