18-104881 Electrical
Cmnity uof Federal Way
Permit #:18-104881-00-EL
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax(253)835-2609
Project Name: HUYNH
Project Address: 29847 23RD AVE S Parcel Number:768380 0207
Project Description: NEW 2760 SQ FT SERVICE SFR
Owner Applicant Contractor
OLAJUWAN ANH-TUAN HUYNH OLAJUWAN ANH-TUAN HUYNH OWNER IS CONTRACTOR
2980 S 296TH ST 2980 S 296TH ST
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
Additional Permit Information
Is this an Online or O.T.C.application? Yes
•
New Service:Residential 1
PERMIT EXPIRES Wednesday,16 October,2019
Permit Issue' ' . :'ay,October 16,2018
I hereby certify that the al). information is co t and that the construction on the above described property
and the occupancy - d the use will be'. -ccordance with the laws, rules and regulations of the State of
W-: ngton - . the City of Federal Way.Owner or agent: Date: /001
r/40,)
t
R 1
e „AIL
THIS CARD IS TO REMAIN ON-SITE '~
e1�F �i 1A/ay Construction Inspection Record
INSPECTION REQUESTS:(253)535-3050
PERMIT#: 18 104881 00 Address: 29847 23RD AVE S
Project: NGU HUYNH FEDERAL WAY WA 98003
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to
(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is sequentialkorderipas ctorpossiblef
you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back ofthis card. with yourinspector
El UFER Ground(4295) 0 Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
0 Pool Bonding(4195) 0 Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date ,, '
0 Feeders/Sub-panels(4045) ® Rough Electrical(4225) El Ceiling Cover(4020)
ApproVed Approved Approved
By Date _, By •L i Date)'d ..1 By Date
•al Final-Electrical(4055)
By �" /�17
Rough Electrical El Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
_I
C,TMOF ELECTRICAL
Federal Way RECEIVED PERMIT APPLICATION
OCT 162018
PERMIT NUMBER j g _ I O 1 L z___.CITY OF FEDERAL WAY — _ -
COMMUNITY DEVELOPMENTr `/� ��-^p
2 9�'h 7- ,23 ~�A-U v / e-4 -a �4, SUITE/UNIT/SPACE#
SITE ADDRESS: o,
Y tea- grao3
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ ittab /�; a a0 '7 1° e 3 g 0 _ 0 2 0 7
PROJECT NAME
(Tenant or Homeowner Last Name) Q L A-Tu(,f O AX 11!,t `lA f/-( /
--/Z-th1' / Pty-y)-,: 0/e)A.. ex.- /2 et../ c' i /— dtt r6-
PROJECT
EPROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER C L A Tu(^I Opt[ frllil.�//v/i (2,C6 Z ?J-iii *-t8t 9-
MAILING ADDRESS E-MAIL
6.?i1..1 Me x:o(Ian 5 .
CITY STATE ZIP FAX
M%/41'? �✓ f t3.-ii ( ) _ -
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 O L/'��- � 11 A-IA16/ u` Ar/--/ (`?.t` o 23 it -',Pe-
MAILING ADDRESS E-MAIL
6.211 it?ex/4 eah -
CITY STATE ZIP FAX
M-`/tom "i titrA- '7t 3 1.---4 ( ) -
NAME PRIMARY PHONE
PROJECT CONTACT 6L A-Tu 1410 Al dim y/✓h' (2,d C) L3 4--f U a-
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), w ay be made by any person, including the undersigned, and filed against the city,
but only where such claim arises out of nce of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a p• •pplication.
SIGNATURE: DATE ie// to/l I
PRINT NAME: °LA J j41,,)a A/ /1 u. x/V)--'
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application
RECEIVED
OCT 1b 2018
CITY OF - Property Owner
Federal VVI CITY OF FEDERAL WAY
I COMMUNnYDEvEi ical Work Permit Application
� g - IOLJc)gl
Applying For-Your Electrical Peirmit
In Washington, only licensed electrical contractors may perform electrical work. Property owners
may apply for an exemption from these requirements by completing this application and signing
the affidavit below before beginning electrical work.
• Affidavit:- ; : ,:,
As authorized under RC W 19.28.261, I, U/ /./(4✓U/V HU yh Ahereby apply:
(Printed me of property owner,renter,or lessee)
for an exemption from the electrical licensing and certification requirements of RCW 19.28 by
submission of this affidavit.
Which statement describes you? (Mark only one.If none apply,you may not take out this permit.)
I own this proper .
t3'
Your name or your company's name must be shown on the deed to the property. Real estate agents'property
management companies, relatives,etc. cannot purchase permits for the property owner.
❑ I rent or lease this property.
We need a copy of your rental agreement showing you have permission to perform electrical work.
❑ 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
non-compensated appropriately certified electrician.
Select your property type(Mark only one.If none apply,you may not take out this permit),
New single family residence that is not intended for rent, sale, or lease,where I will be living for
at least 24 months after completing the electrical work. I will be personally doing the electrical
work.
❑ 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,
personally,and/or a regularly employed employee(s),will be doing the electrical work.
❑ 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, personall ,and/or a regularly
Y
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 permitcentercr cityoffederalway.com
Bulletin#080—June 6,2018 Page 1 of 2 k:\Handouts\Property Owner Electrical Work Application
}
• ❑ 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.
By signing below,I certify the information I am providing on this affidav • true and accur. I
understand that if I make false statements or misrepresentations, I ma a assessed pe i. les.
4 1- ��LJ ait/ HU yti/H atti
Printed Name of Property Owner,Renter,or Lessee Signature
/odic/i g
Date
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Property Owner.and.Inspectiion.Site Information
; Property Owner's Name(Last,First)or Company Name
Mailing Address Unit/Apt.# City State Zip
Daytime Phone Email Address
Inspection Site Address(if different) Unit/Apt.# City State Zip
County Electrical Power Company/Serving Utility
Description of work being done(Example:adding outlets in the kitchen,second floor break area,etc.) ?.
= n
DEPARTMENT OF COMMUNITY DEVELOPMENT/33325 8TH AVENUE SOUTH/FEDERAL WAY,WA 98003-6325
253-835-2607 zs www.cityoffederalway corn permltcentercitvoffederalway.com
Bulletin#080—June 6,2018 Page 2 of 2 k:\Handouts\Property Owner Electrical Work Application