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19-105066 Electrical City or Federal Way Permit #:19-105066-00-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: TRAN Project Address: 30434 8TH AVE S Parcel Number:091800 0025 Project Description: Electrical to include adding(5)outlets for(2)new bedrooms and(6)smoke/carbon monoxide detectors. Owner Applicant Contractor ALEXANDER TRAN THIET TRAN OWNER IS CONTRACTOR 30434 8TH AVE S 5925 33RD AVE S FEDERAL WAY WA 98003 SEATTLE WA 98118 Additional Permit Information Is this an Online or O.T.C.application9 Yes wit � ' � y k, 4 � p` •� y 't" ,�jr„P Circuits-Residential 5 PERMIT EXPIRES Thursday,22 October,2020 Permit Issued on Wednesday,October 23,2019 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: Date: — fJ 1� � —02..0/47 THIS CARD IS TO REMAIN ON-SITE , `rnr°0 4.A* Construction Inspection Record Federal Way INSPECTION REQUESTS:(253)835-3050 PERMIT#: 19 105066 00 Address: 30434 8TH AVE S Project: ALEXANDER D TRAN FEDERAL WAY WA 98003-4113 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. f 1 ® UFER Ground(4295) ' ® Ditch cover(4030) ® Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date '•By Date •1•By Date • ® Pool Bonding(4195) [] Temporary Power(4275) i ® Service(4235) Approved Approved I Approved By Date By Date I By Date •• ® Feeders/Sub-panels(4045) ' ® Rough Electrical(4225) ® Ceiling Cover(4020) Approved Approved Approved •By Date • By Date 8e...../--,, f, /t/. 'f By Date El Final-Electrical(4055) Approved By R..R Date tact i El Rough Electrical El Final ElectricalElRight of Way Approved Approved Approved By Date By Date By Date ELEC'T'RICAL CITY of Federal Way RECEIVED PERMIT APPLICATION OCT132019A / CITY OF FEDEp.AI WNE IKBER 1 5 _ 1 O S O (P 6 _ E COMMUNITY DEVELOPMENT SUITE/UNIT/SPACE# SITE ADDRESS: 3 043 LI 8`I"t` 3 PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE $ it OD o 9 1 2 O 0 _ 0 0 2 5 PROJECT NAME (Tenant or Homeowner Last Name) 5 -14A- Jnr c ,.5 PROJECT DESCRIPTION 6 4 r� I fci - Detailed description of work to be included on this permit only NAME kA/ PRIMARY PHONE PROPERTY OWNER B0 4� g S l..( ( 2,06) 4 t- if b7 l MAILING ADDRESS E-MAIL e2-1 e✓ 1/3J 6 m L CO CITYJ w o STATE ZIP FAX fie"(,� -�/ W . 1�? ( ) - NAME PRIMARY PHONE alikelY CeY ra.CTO-'1'‘' ' (id ) 4-4 f-4-04 MAILING ADDRESS E-MAIL ELECTRICAL )b ' )(1- cout,44. CONTRACTOR CIT STATE ZIP FAX ater WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# / / NAME PRIMARY PHONE ( Wh,P�/ C�1,- i t ( ' q l-4 -- 0Q APPLICANT MAILING ADDRESS E-MAIL CITY STATEZIP FAX Facti ti \41* � c)3 ( ) - 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 f this application. SIGNATURE: DATE 4 —0,&47) PRINT NAME: � P Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application , AL. Property Owner CITY OF °> �• Federal Way Electrical Work Permit Application :Applying F©r Your Eectrcal 'elt <' 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. As authorized under RCW 19.28.261, I J tfi 6- J i1 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 ofthis affidavit. s. Which'statement describes you? (Mark only one.If none apply,you may,not take out this;permit) gis. I own this property. - t 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. A ❑ 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 i 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. ,Et, 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 www.cityofiederalway.com permitcenter@cityoffederalway-com Bulletin 11080—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 affidavit is true and accurate. I understand that if I make false statements or misrepresentations, I may be assess penalties. Printed Name of Property Owner,Renter,or Lessee Si ature - - ,9' Date ropeg-aty°( wnnr-ami1iispectioi ite'1n ormation F,. . Property Owner's Name(Last,First)or Company Name Mailing Address Unit/Apt.# City / State Zip ,Qpro / — 1fd a24orneg-r✓n ®li 9 t-rt.,.,C A awn. D time hone CEmail 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 floorbreak area,etc) fi DEPARTMENT OF COMMUNITY DEVELOPMENT/33325 8TH AVENUE SOUTH/FEDERAL WAY,WA 98003-6325 253-835-2607 www.cityoffederalway.com permitcenterPcityoffederalway.com Bulletin 4080—June 6,2018 Page 2 of 2 k:\Handouts\Property Owner Electrical Work Application