17-105847 Electrical
City of Federal Way Permit #:17-105847-00-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: ESTHER ADULT FAMILY HOME
Project Address: 3923 S 328TH ST Parcel Number:614360 0580
Project Description: Wiring for exterior light.
Owner Applicant Contractor •
FOLASHADE AKINLOSOTUESTHER ADULT FOLASHADE AKINLOSOTUESTHER OWNER IS CONTRACTOR
FAMILY HOME LLC ADULT FAMILY HOME
29810 4TH AVE SW 29810 4TH AVE SW
FEDERAL WAY WA 98023 FEDERAL WAY WA 98023
USA
Additional Permit Information
Is this an Online or O.T.C.application? Yes
Circuits-Residential 1
PERMIT EXPIRES Friday,7 December,2018
Permit Issued on Thursday,December 7,2017
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: f -'l 0>
O
_fkV1%,NO.
t
r .
•
THIS CARD IS TO REMAIN ON-SITE
Feces !Way 1/0"4 Construction Inspection Record
y INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 105847 00 Address: 3923 S 328TH ST
Project: FOLASHADE AKINLOSOTU FEDERAL WAY WA 98001-9654
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.
0 UFER Ground(4295) Ditch cover(4030) El Slab/Concrete Floor(4255) '
Approved Approved Approved to place concrete
1
4By Date By Date By Date
® Pool Bonding(4195) El Temporary Power(4275) ® Service(4235)
Approved Approved Approved
•By Date ��By Date By Date
• '
Feeders/Sub-panels(4045) J® '•
Rough Electrical(4225) El Ceiling Cover(4020) ,
7❑
Approved Approved Approved
By Date .By Date By Date
4E1 Final-Electrical(4055)
Approved
`� Date\2 /7
Rough Electrical 0 Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED ELECTRICAL
CITY OF Dirk.
Federal Way DEC O 1 2017 PERMIT APPLICATION
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT (�
PERMIT NUMBER / -F _ / 0 5 X (-/ t (--
SUITE/UNIT/SPACE#
SITE ADDRESS: 39d, 3 5 , 3 a 8 .
PROJECT VALUATION ASSESSOR'S TAX/ AR��# CURRENT/PROPOSED USE
$ �0 yl 0 - n S $ O
PROJECT NAME
(Tenant or Homeowner Last Name) (Ni L__ S 1'
ri
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME � _ ,,q ss--����,,,,,,PRIMARY PHONE
PROPERTY OWNER NACV11 ; {%1.(Q- /t �L (. T - GSaC
MAILING ADDRESS E-MAIL
' ..9\141
CITY STATE ZIP FAX
Wer CZ0 2a (a53) o 3
NAME PRIMARY PHONE
Dv.) ( ) -
MAILING ADDRESS E-MAIL
ELECTRICAL
CONTRACTOR CITY STATE ZIP FAX
( )
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAMEDP1/414PRIMARY PHONE
APPLICANT M lb' i � *) S - 1 3 2 S
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
17Z4eZYC-4 1,044j, 11-Ift 0)--3
NAMEp PRIMARY PHONE
PROJECT CONTACT nAt \ r J ( 0 ) 1 ?3<S
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 o this application. 7 �]
SIGNATURE: DATE t ® `
PRINT NAME: OPS 1 1 P <I N L-
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application