15-104868 ii
R ,,, • Electrical
Com-Citymunity
of Federal D Way Permit #: 15-104868-00-EL
Community Econ.Dev.Services i „ -,
33325 8th Ave S
• Federal Way,ax 98003 • Inspection Request Line: (253)835-3050
Ph:(253)835-2807 Fax:(253)835-2609 p q
Project Name: NGUYEN .
Project Address: 3815 SW 339TH ST Parcel Number: 921150 0330
Project Description: 200 AMP panel replacement
. `
Owner Applicant Contractor
JIMMY NGUYEN WESTBRIGHT ELECTRIC LLC WESTBRIGHT ELECTRIC LLC
3815 SW 339TH ST 119 143RD ST SW WESTBEL864CJ(2/11/16)
FEDERAL WAY WA 98023-2973 LYNNWOOD WA 98087 . 119 143RD ST SW
•
LYNNWOOD WA 98087
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Electrical Fixtures
Alt.Serv./Feeder:0 to 200 amps(F 1
PERMIT EXPIRES Tuesday, March 22, 2016
Permit Issued on Thursday, September 24, 2015
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 C ., Date: 9/0y/z 6IS
S
FiNii. Q.
THIS CARD IS TO ON-SITE
city oelfA • Construction In ction Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 15-104868-00-EL Address: 3815 SW 339TH ST
Project: JIMMY NGUYEN FEDERAL WAY, WA 98023-2973
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.
❑ IJFER Ground (4295) El Ditch cover(4030) El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
❑ Pool Bonding(4195) El Temporary Power(4275) *0 Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) 0 Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
'0 Final-Electrical(4055)
Approved
Dat _2 . --‘
El Rough Electrical Final Electrical CI Right of Way
Approved Approved Approved
By Date By Date By Date
• '. 63 ►it
EL C'TRICAL
CITY OF 4111&
Federal Way / PERMIT APPLICATION
IF
RECEIVED
PERMIT NUMBER 15 _ i oqg _
SEP 24 2015
‘8TEDERAL WAY
SITE ADDRESS: 3 j75
SL) 3 ci fh ST Fe ckti I Wer i 11 A. °I go z 3 CDS
PROJECT A1 ( Lsco -3O
O�TAPARCL# CURRENT/PROPOSED USE
PROJECVTV NAME
(Tenant or Homeowner Last Name) 116u f y e/)
PROJECT DESCRIPTION 3 v/A f' an o 14 200A frip etne l 4 r a it€r✓ ?co Amp /Oqn e i.
Detailed description of work to
be included on this permit only
NAME 1 PRIMARY PHONE
PROPERTY OWNER t)1,i M`/ Nol ci y e n (z06)1459 - 2 Z 6 5
MAILING ADDRESS f l E-MAIL
3a15 6 SO 339 '1' ST
CITY STATE ZIP FAX
' 4 Uri I 1,JA y VA c'gUZ3 ( ) -
NAME PRIMARY PHONE
We,--J 1771 tlecIh,c ac (206 )473 - 999I'
MAILING ADD E-MAIL
ELECTRICAL /19 /q3' ST 3(-1 3w1.nlcr1%tewes,b9%)1 tied-fa.
CONTRACTOR CITY STATE ZIP D FAX C,0.1n
/1n
CJwA uJ. (" (001)7 ( ) -
WA STATE CONTRACTOR'S LICENSE k EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE S
IAJE5T r3.0 6)6(-/C .1 / l I / 16
NAME, 1 /�I PRIMARY PHONE
Jesus es uS ,4iaA' Z (Zo6 ) 413 - 777/
MAILING ADDRESS JCt"J
E-MAIL
I)� 'T lrl2Jrl J�1' ;ra•wtan:tQivel4-br:j' kil:jei.4r;c .
CITY STATE ZIP FAX Gov't
614A l kiA ' co Y7 ( ) _
NAMEPRIMARY PHONE
PROJECT CONTACT Je,.Sv 4-!an 1 Z (70 6 )to 3 - ilea'
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 taws 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. I
SIGNATURE: 3 DATE g/ 2 y 4015
PRINT NAME: Je$i5 /4l' PI.z !!!
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application