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19-100426
Electrical City of Federal Way Permit #:19-100426-00-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: HONG Project Address: 31402 10TH AVE S Parcel Number: 787540 0210 Project Description: Upgrade 200-amp panel. **REVISED on 5/1/19 to include re-wiring in basement as needed.** Owner Applicant Contractor XUAN HONG XUAN HONG OWNER IS CONTRACTOR PO BOX 4393 PO BOX 4393 FEDERAL WAY WA 98063-4393 FEDERAL WAY WA 98063-4393 Additional Permit Information Is this an Online or O.T.C.application9 Yes Alt. Serv./Feeder:0 to 200 ami 1 PERMIT EXPIRES Saturday,25 January,2020 Permit Issued on Friday,January 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: A)%Seg/( b.e Date: u ► I ::F + I , .,,a„ Electrical City of Federal WryL;V ^5 Community Development Dept. Permit #:19-100426-00-EL 33325 8th Ave S Federal Way,WA 98003 Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fain(253)835-2609 Project Name: HONG Project Address: 31402 10TH AVE S Parcel Number:787540 0210 Project Description: Upgrade 200-amp panel. Owner Applicant Contractor XUAN HONG XUAN HONG OWNER IS CONTRACTOR PO BOX 4393 PO BOX 4393 FEDERAL WAY WA 98063-4393 FEDERAL WAY WA 98063-4393 • Additional Permit Information Is this an Online or O.T.C.application9 Yes Alt.Serv./Feeder:0 to 200 am] 1 PERMIT EXPIRES Saturday,25 January,2020 Permit Issued on Friday,January 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 Y t \ Date: 1//4;—/ ( 9 r .I.& THIS CARD IS TO REMAIN ON-SITE Construction Inspection Record �C�EFI INSPECTION REQUESTS:(253)835-3050 PERMIT#: 19 100426 00 Address: 31402 10TH AVE S • Project: XUAN HONG FEDERAL WAY WA 98003-5356 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) Y❑ Ditch cover(4030) 0 Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date El Pool Bonding(4195) ® Temporary Power(4275) © Service(4235) Approved Approved Approved II By Date By Date By A Date 's El Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020) Approved Approved�^ ^ Approved By Date By Date 7 /t By Date ® Final-Electrical(4055) Approved By �� Date il>51-10 0 Rough Electrical 0 Final Electrical Right of Way Approved Approved Approved By Date By Date By Date RECEIVED `, 25 2019 ELECTRICAL CITY OF 4 JAN Federal Way �M UNfTY OFFERERDEVELW AY PERMIT APPLICATION • PERMIT NUMBER J _ / D 6 G _ e >(SITE ADDRESS: 3 / O > i o ,�, SUITE/UNIT/SPACE# PROJECT VALUATION ASSESSOR'S TAX/PARCEL# v� CURRENT/PROPOSED USE )Cs .S D v 7 S O _ U ICU PROJECT NAME (Tenant.or Homeowner Last Name) CI O PROJECT DESCRIPTION PG' e...)i Detailed description of work to be included on this permit only • NAME 't PRIMARY PHONE • PROPERTY OWNER vl c, U, On 6, 0 )2 f - (OD .l � MAILING ADDRESS _.��>� . --. E-MAIL 71) CITY STATE ZIP /� f FAX `r o ) 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 r\cPRIMARY PHONE C'W( , APPLICANT ) MAILING ADDRESS ( E-MAIL CITY STATE ZIP FAX ( ) NAME PRIMARY PHONE PROJECT CONTACT ( ) • 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 . N.>". !yOir\ PRINT NAME: C, R„nPr;,,fi1An_en,41 in 7M4 D .e� of ,..,Tt _a ...,a,_ __,n__ :. ♦__v__.:__ 19 - / 0oYa( RECEIVED CITY OF `c;^�`" "•,7-'+.:..a+'r Atd 25 2019 Property Owner Federal Wa CpM YOFFUNITY DEVELOPMENT Electrical Work Permit Application Applying For Your Electrical.Permit 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 s the affidavit below before beginning electrical work. z.. Affidavit • As-authorized under RCW ].9.28.26]., 1, X kA tk.An 1r-10h riL- 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. i. i _.. Which.statement describes you? (Mark only one If none apply,you may not take;out this permit.) :,t; I own this property s 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. - - R a t ❑ I rent or lease this property. •E We need a copy of your rental agreement showing you have permission to perform electrical work. • t ❑ I am an officer for a 501(c)(3)nonprofit corporation,or a nonprofit religious organization. The total market value of electrical work mist 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 1 at least 24 months after completing the electrical work. I will be personally doing the electrical work. t ❑ 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,personally,and/or a regularly '{ 1. employed employee(s),will be doing the electrical work. DEPARTMENT OF COMMUNITY DEVELOPMENT/33325 81"AVENUE SOUTH/FEDERAL WAY,WA 98003-6325 253-835-2607 Zs_www.citvoffederalway.com-rs.permitcenter( citvoffederalway.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). r Your signature is required below: I believe I should be exempt from the requirements to obtain an electrical license,or use a certified k electrician,as provided under RCW 19.28.261. k F affidavittrue By signing below, I certify the information I am providing on this is and accurate.I understand that if I make false statements or misrepresentations, I may be assessed penalties. G !' UIGt.s�' t1oV1G; t, r Printed Name of Property Owner,Renter,or Lessee Signature ►/2 5/ 19 Date Property Owner.:and Inspection Site information. -- 0(n �--IA 0,-,in 5. Property Owner's Name(Last,First)or Company Name ?. o , . oX 4 3 9 3 Fed erod vu A. W 9 S 0 O 3 `' Mailing Address ' Unit/Apt.# City State Zip Daytime Phone Email Address • .; 3ILi-D2 iQ /\y'e• S Recite ,. ,., ‘ yA/'; `�(9 : )`�, Inspection Site Address(if different) Unit/Apt.# City State Zip �<'i {� Y County < Electrical Power Company/Serving Utility , Description of work being done(Example:adding outlets in the kitchen,second floor break area,etc.) � c t r.^ �l . "v') i- t 7 ('j('.', DEPARTMENT OF COMMUNITY DEVELOPMENT/33325 8TH AVENUE SOUTH/FEDERAL WAY,WA 98003-6325 253-835-2607)s.www.citvoffederalway.com zii.permitcenteracitvoffederalway.com Bulletin#080—June 6,2018 Page 2 of 2 k:\Handouts\Property Owner Electrical Work Application .