20-100068 s
Electrical
City of Federal Way Permit #:20-100068-00-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: WASHINGTON PLACE AFH
Project Address: 32417 8TH AVE SW Parcel Number:926492 0670
Project Description: Electrical work for conversion of a portion of garage to a bedroom,including lighting,outlets,
switches,smoke detector and electrical base board heater.
Owner Applicant Contractor
LINA HYUN JU SOHN DON PARKWASHINGTON PLACE LLC TENANT IS CONTRACTOR
32417 8TH AVE SW 32417 8TH AVE SW
FEDERAL WAY WA 98023 FEDERAL WAY WA 98023
Additional Permit Information
Is this an Online or O.T.C.application? Yes
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Circuits-Residential 2
PERMIT EXPIRES Wednesday,6 January,2021
Permit Issued on Tuesday,January 7,2020
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy and the se will be in accordance with the laws, rules and regulations of the State of
// ash',. o and the City of Federal Way.
Owner or agent: ! Ao,. Date: i 41/20).....0
THIS CARD IS TO REMAIN ON-SITE
Cn"� Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 20 100068 00 Address: 32417 8TH AVE SW
Project: LINA HYUN JU SOHN FEDERAL WAY WA 98023-4902
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.
, '
® UFER Ground(4295) 9 Ditch cover(4030) 3❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
® Pool Bonding(4195) ® Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
® Feeders/Sub-panels(4045) ® Rough Electrical(4225) j•® Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
El Final-Electrical(4055)
Approved
Date y,���� •
y/aq,
O Rough Electrical 0 Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
g �A� ELECTRICAL
CITY F O 8 2020
Federal WayM OFFEDEI�gLyyAY PERMIT APPLICATION
COMUNfly DEVELOpMEM'
PERMIT NUMBER A 0 _ / 0 ) O / I _ f...., L.--
p } n� SUITE/UNIT/SPACE#
SITE ADDRESS: 241, (�� / � S. �J., {-c�p--e L. lN141 kJ A _l c 02.3
PROJECT VALUATION I ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
Op
.300"" — — — - -
PROJECT NAME �( p 2 A Ff./(Tenant or Homeowner Last Name) �>w4121< � �{
�,
pt,4 -ih3 Ct room 7" 11t Aretge
PROJECT DESCRIPTION Cled-r t4 3 ask ,oci-(-,4-.e.--( DI.t.(Ief , 1-+5ti, Nif SIN`a/ •e.
Detailed description of work to Del-Re f-or 1.
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER L I iLA S 0 tN ( 2 c3) -p$ - ti 02--
MAILING
2MAILING ADDRESS E-MAIL
.. 2-e2'' Its A i 5 9.106ne yAl400. e 0141
CITY STATE ZIP FAX
-V11,1ArZ11 WA 012"°01 ( ) -
NAME PRIMARY PHONE
Te,fri, art.. ( ) -
MAILING ADDRESS E-MAIL
ELECTRICAL
CONTRACTOR CITY STATE ZIP FAX
( ) -
WA.STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/
NAME PRIMARY PHONE
1)0tV PAYZK (2bb) qrl - I ) P4.
APPLICANT MAILING ADDRESS E-MAIL
24`1 0 AJC- S. fn} • dovl��,
l� rk@Io#o►a;(.covet
CITY STATE ZIP / FAX
k--t OL t— JAN,' t..1A 1 Q 023 (zo,b ) 21 - b 3;4"
NAME PRIMARY PHONE
PROJECT CONTACT D bi,.\ GokK (Zo( ) - ) I b4
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 relianc • the city, including its officers and employees, upon the accuracy of the
information supplied to the city • : part of this a••licati•, .
SIGNATURE: _ �.,. DATE i/4/ 7 o -0
NW- y-� I
PRINT NAME: • V C'7i4 A YLY-
Bulletin 4160—April 14,2016 Page 1 of I k:\Handouts\Electrical Permit Application
��TYaF
Property Owner
Federal Way Electrical Work Permit Application
Applying For'Your Electrical,Pe it
F
": 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.
4,0
S' QS FS.'az t'X- Es
E As authorized under RCW 19.28.261, I, nN fi4 i2 - . hereby apply'
(Printed name 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 Trot take out this permits
❑ I own this property.
Your name or your company's name must be shown on the deed to the property.Real estate agents'property
management companies, relatives, etccannot purchase permits for the property owner.
ph 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.
A
i:Select your property type(Mark,only one If none apply,you may not lake out this permit.) s E
f ❑ 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 electricalwork.
❑ 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
} 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 Is.www.cityoflederalway.com permitcenter@cityoffederalway.com
Bulletin#080—June 6,2018 Page 1 of 2 k:\Handouts\Property Owner Electrical Work Application
El 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 affidavit is true and .• I ate. I
understand that if I make false statements or misrepresentations, I may .e assessed .enalti .
b _ YE�
Printed Name of Property Owner,Renter,or Lessee Sig ature
/ ?0`1—O
Date
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e : 11( ,a-a 7 7:1`m T,77x;x c*
'roes flwn�r andnspe�tl<one 3no�rmt<on
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Property Owner's Name(Last,First)or Compiny Name
2-2-x4 5IS1 Au60e4 7ooi
Mailing Address Unit/Apt.# City State Zip
— SOS • 90v 0 Avi ?-1 av►eo. 1411
Daytime Phone Email Address
•
4-11
A -- j
e(c Sl 2-3
• 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)
• SLI Y1 CD04A 1 r
he
(
DEPARTMENT OF COMMUNITY DEVELOPMENT/33325 8TH AVENUE SOUTH/FEDERAL WAY,WA 98003-6325
253-835-2607 www.cityoffederalway.com 2s permitcentera,cityoffederalway.com
"Bulletin#080–June 6,2018 Page 2 of 2 k:\Handouts\Property Owner Electrical Work Application