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19-100081 Electrical City of Federal WayPermit #:19-100081-00-EL Community Development Dept. tr=31 33325 8th Ave S " r °7 Federal Way,WA 98003 „ Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax(253)835-2609 Project Name: NGUYEN Project Address: 31527 27TH AVE SW Parcel Number: 122103 9157 Project Description: Electrical work to include wiring new addition and re-wire existing home damaged by fire. Owner Applicant Contractor TUY THI NGUYEN TUY THI NGUYEN OWNER IS CONTRACTOR PO BOX 88204 PO BOX 88204 SEATTLE WA 98138 SEATTLE WA 98138 Additional Permit Information Is this an Online or O.T.C.application? Yes PERMIT EXPIRES Saturday,4 January,2020 Permit Issued on Friday,January 4,2019 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 Wash ingtgn.aid-th a City of Federal Way. Owner or agent: •.moi Date: u-1/71#G.t/.(9' THIS CARD IS TO REMAIN ON-SITE ��ders. Construction In spectZon Record way INSPECTION REQUESTS:(253)835-3050 PERMIT#: 19 100081 00 Address: 31527 27TH AVE SW Project: TIDY THI NGUYEN FEDERAL WAY WA 98023-2267 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 my of the inspections or the inspection sequence. On-going inspections are logged on the back of this card. ID UFER Ground(4295) CI Ditch cover(4030) E] Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date El Pool Bonding(4195) El Temporary Power(4275) © Service(4235) Approved Approved / Approved By Date / By Date By Date2'-9,..2 0 El Feeders/Sub-panels(4045) ® Rough Electrical(4225) El Ceiling Cover(4020) Approved Approved Approved . By Date By lIel Date .2 j-ZC By Date PO Final-Electrical(4055) ht imp pproved t,y By -.7 .-71F- Date--7141° tL12 9ty laoao 0 Rough Electrical 0 Final Electrical 0 Right of Way Approved Approved Approved By Date By Date By Date RECEIVED JAN 04 2019 ELECTRICAL CITY OF 4 A- Federal Way coat FEDERAL MEY PERMIT APPLICATION PERMIT NUMBER 1 1 - 1 D O U 8 ' - L/ (� SUITE/UNIT/SPACE# SITE ADDRESS: 3/S-17- 2,7 Aire e PROJECT VALUATION ASSESSOR'S TAX/PARCEL# �/ CURRENT/PROPOSED USE $ 6ereyo. .. I 22 / 0 3 - q / 5 ^7 PROJECT NAME (Tenant or Homeowner Last Name) 1 PROJECT DESCRIPTION ^'At Or Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNERLam, (2a) 31.3... DDII127 MAILING AS E-MAIL f o 6-or g szoct CITY STATE ZIP FAX 24 W $1- •gri&S' ( ) NAME / PRIMARY PHONE Q-ti/ cti ( ) 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 �'1 ( ) MAILING DRES �� E-MAIL CITY STATE ZIP FAX ( ) NAME PRIMARY PHONE PROJECT CONTACT 14,(1 Air"-r^ WA-6) ?S-% /Z 77 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 o city, including its officers and employees, upon the accuracy of the information supplied to the city as a part of this ap ation. _411, ' - o1 SIGNATURE: DATE jD PRINT NAME: I 7 Aj Bulletin#160-April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application RECEIVED ,c —1 Q0 D Si JAN 042019 MY o� 1§1. 1.6, CITY OF FEDERAL WAY -' COMMUNITY DEVELOPMENT Property Owner F" l Electrical Work Permit Application Applyiing F©r Your Electrical,,':Permit In Washington, only licensed electrical contractors may perform electrical work. Property owners Imay apply for an exemption from these requirements by completing this application and signing the affidavit below before beginning electrical work t. a t' ,f,�' vi :,, lif:lil:'511::',74::';;gr::tlir ::Ci;ttl'f:;;',:i:,:i. As authorized under RCW 19.28.261, 1, [ �/�jf Zu�� hereby apply (Printed not prop�'htyowner,renter,or lessee) 1 for an exemption from the electrical licensing and certification requirements of RCW 19.28 by 1 r submission of this affidavit. 1 Which Statement describes,you? (Mark only one.If none apply you may not take out this perri tt. 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, etc. cannot purchase permits for the property owner. lip I rent or lease thisproperty. We need a copy of your rental agreement showing you have permission to perform electrical work. P'P' ❑ I am an officer fora 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. =1' t t Select your property type(Mark only'one. If none apply,you may not;take out thispermit),- ❑ 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. i 1 ( ❑ 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 otherproperty: new structure that is not intended for rent,Any sale,or lease. I,personally,and/or a regularly employed employee(s),will be doing the electrical work. I 1 Existing residential property,place of business,or farm.I, personally,and/or a regularly A employed employee(s),will be doing the electrical work. 1 DEPARTMENT OF COMMUNITY DEVELOPMENT/33325 8TH AVENUESOUTH/FEDERAL WAY,WA 98003-6325 253-835-2607 www.cityoffederalway.com permitcenter@cityoffederalway.com Bulletin#080—June 6,2018 Page 1 of 2 k:\Handouts\Property 0wner Electrical Work Application ❑ 501(c)(3)or nonprofit religious organization owned property: The total market value of the 11 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). E 'Yotir.signature is required below: ti I believe I should be exempt from the requirements to obtain an electrical license,or use a certified 1 i electrician, as provided under RCW 19.28.261. ti By signing below,I certify the information I am providing on this affidavit is true and accurate. I understand that if I make fal - _ : - ents or misrepresentations,I may be assessed r-•, ties. � W / ��« Printed Name of Property Ow --r, 'en er,or Lessee Signature til /au /if Date i ' OpeftSr Q,wner aict i1sp0,et10l« $ite tftij,r** tktn Property Owner's Name(Last,First)or Company Name Mailing Address • Unit/Apt.# City State Zip teage 10. Oyo x U 2-o 4 - ,g'�•19 ,a,:�`' '� ��,�*� iDaytime Phone Email Address 31 7_ -7 4Ve �'urti4--ecetAt wIt-- ,re23 1 Inspection Site Address(if different) Unit/Apt.# City State Zip 1 r 1, County Electrical Power Company/Serving Utility I. i Description Of work being done(Example:adding outlets in the kitchen,second floor breakarea,,etc.) 1 i. 1 ouptt'l— , 1 C 1 t i. i DEPARTMENT OF COMMUNITY DEVELOPMENT/33325 8TH AVENUE SOUTH/FEDERAL WAY,WA 98003-6325 253-835-2607 www.cityoffederalway.com 2s.permitcenter(a�cityoffederalway com Bulletin#080—June 6,2018 Page 2 of 2 k:\Handouts\Property Owner Electrical Work Application